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Correct application of the baby to the breast. What it is?


When I start talking about the correct and wrong application of the baby to the chest, I often hear this phrase: "What do you mean? Is it possible to suck the breast wrong? "Most of the time I hear this question from medical workers. Especially I was frustrated at the beginning of my activity as a breastfeeding consultant, when I heard this phrase from the nursing staff of the maternity hospital ... Applying to the breast is a very delicate thing. 20-30 minutes after birth, the newborn has a desire to suck, he begins to look for the chest, opens his mouth, makes a nodding movement of his head, tries to crawl towards the nipple. And in these moments, when the instinctive sucking activity of the child is still not spoiled, the breasts are correctly seized and only 30% of children start to suckily produce it! The rest should be corrected, help, breast feeding several times before the attempt can be called successful. In most Russian maternity hospitals, no one applies the baby after the relaxation phase. No one waits until the baby comes to himself and shows the search activity. Immediately after birth, the baby is cut the umbilical cord, the mothers are shown and taken to the "treatment". At best, the baby will see his mother in 2 hours, and most likely in 6-12 hours. Mom usually says that the child rests after childbirth, he is now not up to sucking. At this time, the baby usually 1-2 times water or mixture, from the nipple. This is called breastfeeding and leads to the formation of the habit of sucking not the breast, but the nipple. Doctors and nurses usually protest and say, they say, what nonsense. Nothing wrong. Then there will be a breast to suck, will not go anywhere. Coming to the postpartum department, I constantly meet children 2-3 days of life, who do not try to suck the breast, if it falls into their mouth. The kid demonstrates active search behavior, opens his mouth, twists his head, sometimes screams. When I try to attach it, he opens his mouth wide, but does not try to start sucking. It happens that the child immediately begins to cry, as soon as he puts his chest in his mouth. Very often there is a situation when the child ceases to open his mouth widely during search behavior. This is how children behave who have had the experience of sucking nipples or pacifiers. Often there is such a "wonderful" picture: the mother sits over the plastic maternity home, admires the peacefully sleeping baby, sucking a pacifier, on which is written "I love you, mama". (Recently, in Moscow very often there are such pacifiers). I ask my mother if my baby sucks, what my mother says she tried to give a couple of times, but somehow it's not very ... Second day after childbirth ... Usually, when I start telling my mother that if I periodically give the baby to suck a bottle with the baby can give up the breast, the mother says: "Yes, it is easier to suck from a bottle. And here (in the hospital), and the holes are so big "Meanwhile, it's not at all in the holes and the ease of sucking. A hole can be made very small. The thing is that when you suck the nipples, the child makes fundamentally different movements. From the breast it is easier to suck, because helps reflex oxytocin, reducing smooth muscle cells around the lobules of the gland and pushing milk into the duct. Milk is injected into the child's mouth because of this reflex. The kid, having the experience of sucking on the nipples, also tries to suck the breast. It is practically impossible to extract the milk from the breast, if you suck it also like a pacifier. The child starts to get angry, refuses the breast, yells. Mom is upset and, for comfort, gives the baby a bottle or a pacifier, which he immediately begins to suck. Here it should be noted that the baby needs to suck to get rid of the feeling of discomfort. The child does not care what to suck. If he is used to sucking a pacifier, he will suck a nipple. If he is accustomed to sucking his breast, he will suck her and calm her down. If he gets used to calming down with a pacifier, he will calm down with it. It is widely spread the erroneous opinion that if a child is given first a breast, and then a bottle, then the child will not give up from the breast. Many mothers also believe that if from a bottle to give the child only water, tea or juice, the baby will not give up the breast. In fact, in order for the baby to give up breastfeeding or spoil the attachment, it does not matter when and in what quantities he sucks a nipple or pacifier. There are children who need to suck a pacifier for problems 1-2 times. There are babies who "suddenly" begin to be capricious at the breast in 2-3 months. There are children who are happy to suck everything they are given, but begin to reduce the weight gain. The World Health Organization puts it this way in its bulletin on feeding children of the first year of life: "In a normal newborn, reflexes of breastfeeding are already strong enough at birth. Indeed, the practice confirms that some children born at the 32nd week of pregnancy weighing only 1200g are able to effectively suckle the breast even before they learn to suck from artificial nipples, the difficulties with which were explained by hypoxia and bradycardia in premature infants. However, these crucial reflexes may be weak, or altogether absent in cases of too early interruption of pregnancy, or in children with extremely low birth weight, as well as in sick children ... ... However, most often the cause of the decreased effectiveness of these reflexes is iatrogenic: the use of sedatives or pain medications drugs during childbirth, intervention in the process of education after childbirth. Instinctive movements of the child should be fixed in correct behavior in the postpartum period. The use of other oral objects, nipples or pacifiers in the period immediately after birth can create a condition for the occurrence of other oral movements in the child that are unacceptable for breastfeeding. ... For the successful development of breastfeeding, factors that reduce the duration, effectiveness and frequency of child sucking should be eliminated by any available means. These factors include limitation of feeding time, feeding on schedule, inconvenient position, use of other oral objects, receipt of other fluids by the child, for example water, sugar solutions, vegetable or dairy products. "The value of proper application is enormous for the formation of full lactation in the mother, for prolonged and successful breastfeeding. Only when properly applied does the child stimulate the breast to produce enough milk. Only when properly applied, the baby can suck out milk as much as he needs. Only proper application does not cause the mother any unpleasant sensations during feeding and only with proper application it is never necessary to interrupt feeding due to painful sensations, because they simply do not exist. What does the correct application of the baby to the breast look like?
The child should grasp the nipple and areola with an energetic "bositelnogo" movement head, lifting the chest, and then as if superimposing it with the movement of the chest down, on the wide-open mouth, with the tongue lowered, but not sticking out under the breast. It is necessary that this grip is full and deep enough that the nipple is in the mouth of the child almost at the level of the soft palate, i. E. The nipple together with the areola must actually fill the whole oral cavity of the child. For such a capture, a very wide opening of the mouth is necessary, and if it does not work out right away, you can help the child, the nipple on the lower lip of the child, which will cause the reflex movement of the lips and the opening of the mouth. Often, the first reaction of the child to the mother's breast will be her licking and only then the seizure. With the correct capture of the chest, the child retains a wide-open mouth, on the side it is seen that the lower lip is completely turned out (it pushes the front edge of the tongue lying on the lower jaw). Areola completely enters the mouth of the child, if it is small. If the areola is large, then its capture is almost complete, asymmetrical. From below, the child captures areoles more than from above. The effectiveness of sucking is determined not through the creation of negative pressure, but through rhythmic areola massage, carried out by movements of the child's tongue. A bottle of any shape and with any size of holes the baby sucks as well as an adult sucks from a straw: by creating a negative pressure. The tongue does not participate in sucking from the bottle. There are no mating movements of the tongue. The tongue is usually located behind the lower jaw. Therefore, when a child who is accustomed to sucking a bottle in his mouth gets his chest, he does not know what to do with it. In the extreme version of the wrong attachment, the nipple falls between the jaws, the child sucks the breast as well as the bottle. If the nipple is between the jaws, the mother usually experiences quite strong discomfort. Severity of pain depends on the thickness of the skin of the areola and the individual sensitivity of the woman. But in any case, rather quickly the nipple is injured and often, already on the second day after birth, with abnormal application, abrasions appear, which turn into cracks, if the attachment is not corrected. This situation is so common that many women consider the formation of cracks an unavoidable evil accompanying breastfeeding. Very "insidious" is a painless version of misapplication. In this case, the nipple itself falls behind the jaws and lies on the tongue together with a small part of the areola. His child and expresses ... In this case, my mother does not hurt, tk. the baby does not bite the nipple. The kid even gets some quantities of milk. But the breast does not receive enough stimulation and does not emptied well. This gradually leads to a decrease in the amount of milk.
Usually the child in this case is not very good at gaining weight. Or there is a gradual decrease in the increase. For example, in the first month the child added 900g, in the second - 600, in the third - 450. If the child is somatically healthy, fed on demand, does not suck anything except the breast, then a painless variant of improper application is most likely. If a woman has never seen how a child should suck, if no one has shown her how to properly feed her baby and how she should suck, how to control the quality of the application during sucking, there is a very high probability that she herself will attach the baby not quite right and not can teach him the correct behavior of the chest. She does not know that there is something to be learned ... In those early times when breastfeeding in our society was a common occurrence, and not a rare exception, every woman could help a beginner to feed her mother, correct her mistakes, show the necessary tricks. At present, most women do not have the opportunity to study maternity in practice. Many read various magazines and books for parents and then try to take care of their baby and feed him, based on their theoretical knowledge. Unfortunately, it is impossible to learn the correct application of a child to the breast from books, magazines and pictures. Practical training is needed. In maternity homes, where most modern babies are born in the industrialized countries, no one studies such training. The overwhelming majority of health workers do not have the necessary knowledge for this. What is necessary for the successful learning of another woman is first and foremost a personal positive experience of breastfeeding. Nurses and midwives, like most modern women, have no such experience. Incorrect application, being a widespread phenomenon, does not cause any concern from the medical staff. Women are given only routine recommendations on the healing of abrasions or cracks, if any. If the baby and mom have a painless wrong application and the lack of milk associated with it, the problem is solved by prescribing the pre-breastfeeding and ends with a rapid transition to artificial feeding. supplementation is given from a bottle with a pacifier, and the problem of improper attachment is attached to the rejection of the breast. What should a woman do when she puts her baby to her breast?
Try to find someone who can breastfeed. If it is not possible to find a breastfeeding consultant (in Europe, North America, Australia, this is not a problem), let it be a mother feeding not the first child who followed the quality of the application, fed for a long time, not using the nipple and pacifiers, not having problems with nipples (abrasions, cracks). Observe how she gives the baby a breast and how her baby sucks. It can be your roommate in the ward. If you experience unpleasant or painful sensations while sucking a child, and the medical staff can not fix anything by their manipulations, try to find a mother who does not experience inconveniences in feeding and check with her. Unfortunately, this does not always help, because the size of the nipples, the shape of the breast, the size of the baby's mouth are very different. Optimal for the mother's option, when she is taught to apply a woman who has great practical experience and is able to distinguish between different application options for different forms of the nipple. For example, at first glance at two nursing neighbors in the ward, especially from a certain distance, it may seem that one mother is all right, and the other is not very deep. But on closer examination, it turns out that the first mom's grip turned out to be insufficient, although it does not hurt her mother, the child actually licks the nipple and the mouth is not open wide enough. The baby will have to be retrained and the mother will follow the quality of the application. In another case, it turns out that although the baby has a very small mouth, and the mother has a large nipple, the toddler put out the tongue very well, correctly arranged it and excellently expresses the breast. When applying the child, try to follow the general recommendations: Invest your baby's chest ONLY IN A WIDE OPEN ROOT! Do not try to push the nipple into the half-open mouth, most likely the child will squeeze his jaws or take it not deep enough. Try to act quickly, because wide open child holds his mouth a second or two. If you do not have time, wait for the next time. Help the baby open his mouth, holding a nipple on the lower sponge several times in a row. Be patient. Very often I watch such mother's actions: mother takes a baby, tries to attach it, the child shows active search behavior, turns his head. Mom says: "He does not want!" That is, the mother's instinctive behavior of the child aimed at finding the nipple is perceived as a negative response of an adult person! Or, for example, very often it happens when the mother touches the nipple to the lower sponge of the baby, he squeezes the mouth. Mom again immediately says that the child does not want to suck. And meanwhile, if she continued the proposal, then the kid would certainly open his mouth. After all, the child does not yet understand what they want from him. He does not know that his mouth is waiting for him. Most children need at least two weeks to form a stable skill in properly capturing the nipple, in response to the mother's offer! Very often, having grasped the breast correctly, the baby slumps to the tip of the nipple during sucking and starts biting it. My mother has painful feelings, but she tolerates them. Painful sucking is unacceptable! The child does not know that he sucks wrong! It must be taught to suck. If the baby begins to crawl to the tip of the nipple, the breast should be properly picked up (by opening the baby's jaw, quickly putting the tip of the finger into the corner of the mouth) and giving it anew. Usually, the child slips to the tip of the nipple in the event that during sucking, it does not touch the nipple of the breast. In most maternity hospitals, it is recommended to hold the breast over the nose with your finger, so that it would be easier to breathe. But the child feels the chest face! He should touch his chest with a spout during sucking. This position should be maintained during all sucking and at any age of the baby. If the newborn does not touch the nipple of the breast, then he does not feel that he is already in place, and can perform search movements with the nipple in his mouth! His mother immediately says that the child does not want to suck. The spout of the baby is so arranged that with the tip it makes a "hole" in the chest and breathes through small triangular or elongated lobes at the wings of the nose. Therefore, there is no need to hold the breast with your finger over the spout. In addition, that this maneuver spoils application, it also contributes to the development of lactostasis in the upper lobes of the gland, tk. Mom with his finger squeezes the ducts and makes it difficult to drain milk. The baby should not be allowed to pull off the nipple or pass it between the jaws back and forth. It is necessary to hold the head while trying to pull the nipple. And take the chest, if the baby starts to "indulge", causing mum pain. A child of an older age should not be allowed to turn his head with a teat in his mouth if he wants to look at an object. The kid must follow the object of interest only with his eyes. Or he must let go of his chest and turn his head, if it is so necessary for him. Отдельно хочу отметить «неудобные» формы соска — плоские соски, втянутые, длинные, толстые. Любой новорожденный, способный сосать, может приспособиться к любой форме соска своей матери. Мама, имеющая сосок «нетрадиционной» формы должна проявить больше терпения и настойчивости в обучении ребенка правильно сосать. И она должна постараться, чтобы ее малыш никогда не получал в рот других «оральных объектов», т.к. они в любом случае покажутся ему более удобными для сосания, чем материнская грудь. Для мамы с плоскими и втянутыми сосками очень важен момент втягивания ребенком груди в рот. Если малышу в рот попадает бутылка пустышка или соска, он перестает делать втягивающее движение. Соска и пустышка и так вытянуты, их не надо втягивать дополнительно. Поэтому, когда малышу в рот попадает мамин плоский сосок, он просто открывает рот и ждет, не пытается его втянуть. Маме с плоскими или втянутыми сосками надо постараться не допустить попадания в рот ребенку других объектов для сосания. При необходимости давать докорм или свое сцеженное молоко можно из ложечки, шприца или пипетки. Если у мамы длинные и (или) большие соски, ей очень важно вкладывать их в рот как можно глубже, пронося собственно сосок мимо челюстей. В случае с длинным соском ребенок очень часто смыкает челюсти на соске или сразу за соском. Ареола в рот практически не попадает, малыш ее не сцеживает, получается, что он просто лижет сосок. Молоко он сцедить так не может, грудь не опорожняется и не стимулируется. Начинается нехватка молока. Большой сосок невозможно вложить в недостаточно открытый ротик. Малыш, пососав соску или пустышку, перестает широко открывать рот, т.к. для сосания этих предметов совершенно не нужно открывать рот широко. Ребенок с самым маленьким ротиком может сосать грудь своей мамы с самым большим или длинным, или любым другим «неудобным», с нашей точки зрения, соском. Надо только правильно вложить грудь в рот, проявить терпение и настойчивость. Всего-навсего. Обучая ребенка правильно сосать, мама обеспечивает ему в будущем полноценное, идеально подходящее питание, а себе — продолжительную стабильную лактацию. Педиатр и консультант по грудному вскармливанию, Лилия Казакова.
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Correct application of the baby to the breast. What it is?

  1. Так значит, если я добьюсь правильного прикладывания моего ребенка к груди, у меня никогда не будет воспаления сосков?
    Almost never, but there is one disease - a fungal infection called thrush (candida albicans) - which can occur, especially after treatment with antibiotics. Women who become infected with thrush experience burning pain in the chest, which remains after feeding. Кожа при этом может иметь красноватый оттенок, блестеть и шелушиться. У ребенка могут быть (но не всегда) белые пятна во рту или
  2. Feed on demand of the child. What it is?
    You can often hear from a nursing mother: "I feed on demand, my baby requires breast every 3.5 hours." Or: "I always fed on demand. In a year we had already 1 feeding in the evening, and my child quietly refused the breast. " Before talking about the demand of a child, it is necessary to find out what is meant by modern women, when they say - "I breastfeed". Modern moms believe
  3. A little more about the correct attachment of the baby to the chest.
    Последнее время все больше женщин стремятся кормить детей грудным молоком, с каждым годом все больше появляется новой информации, которая позволяет кормить детей дольше. В этой статье мы поговорим о том, как правильно приложить ребенка к груди, ведь правильное прикладывание это одна из составляющих, которая обеспечивает приятное и длительное кормление детей грудным молоком. Именно правильное
  4. The first principle of breastfeeding: proper attachment to the breast
    When we understand the first principle of "proper application to the chest," we can help successfully initiate breastfeeding, and also we can prevent the most common difficulties, so that breastfeeding will continue to be successful in the future. The correct placement of the child leads to the correct attachment. Why is the correct attachment to the breast not always obtained by
  5. Длительность прикладывания ребенка к груди
    При естественном грудном вскармливании длительность прикладывания малыша к груди может варьироваться от нескольких секунд до часа в зависимости от задачи, которая стоит перед ребенком в тот или иной момент. ^ Короткие прикладывания связаны с чувством жажды (грудное молоко примерно на 90 % состоит из воды), необходимостью добыть энергию, потребностью обеспечить нормальную работу нервной системы
  6. Mother's help in applying the baby to the breast
    If you want to help your mother, you should see how she feeds the baby, and decide whether she does it right or not (see Figures b and 7). {foto12} Figure 7. The baby sucks in the right position. Signs that determine the correct position of the child during feeding - The child with the whole body is turned towards his mother and pressed to her. - The child's face is close to the chest. - Child's chin touches
  7. How to put the baby to the breast?
    Следите за тем, чтобы ребенок был правильно приложен к груди: • Голова и тело Вашего ребенка должны находиться на одной прямой линии, т.к. ребенок не может легко сосать грудь или глотать, если его голова повернута в сторону или он держит перед собой руку. • Лицо ребенка должно быть обращено к вашей груди, а носик должен быть расположен на уровне Вашего соска. • Прикосновение соска к губам ребенка
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    Что такое интубация? Intubation of the trachea is the most effective way to help with respiratory distress. At the pre-hospital stage, the most suitable is intubation through the mouth under the control of vision with the help of direct laryngoscopy. Для этого необходимы: ларингоскоп с прямыми и изогнутыми клинками различных размеров и автономным питанием осветительной системы, распылитель местноанестезирующих
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  12. Правильное прикладывание
    Секреция грудного молока находится в прямой зависимости от потребностей ребенка: чем чаще он ест и чем больше съедает, тем больше молока вырабатывают молочные железы. Поэтому педиатры советуют давать одну грудь в одно кормление. В следующее — другую. Тогда в ней будет накапливаться достаточно молока. Правильное прикладывание защищает соски от травм, а эффект качественного опорожнения молочной
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