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Your questions about breastfeeding and caring for a child and the answers to them

After childbirth comes a lot of milk, and as far as I know: a newborn baby needs very little. Is it worth it right after delivery to express? As a rule, a large amount of milk comes on the third-fifth day after childbirth? The first two days the breast produces colostrum and is usually not filled. At a joint stay, when the mother can feed the baby not according to the strict regime, but on demand, the milk comes to the rhythm of "demand-receipt". This means that the milk comes in as much as the baby needs. If this rhythm began to be debugged from the first day of the life of the crumbs, the active arrival of milk is not dangerous. In this situation, there is no need for regular decanting. When milk comes and the painful fullness of the breast is noted, it can be expressed within two days before you have a feeling of relief, but no more than three times a day. As a rule, after two days, unpleasant sensations pass and the supply of milk is normalized. The need for regular decontamination 5-6 times a day arises, if the maternity home does not have chambers of joint residence and the baby is fed on a regime or for some reason does not bring at all. Do I need to decant if I feed my baby not according to the regime, but on demand. And does not the milk burn in the chest, if you do not express it? If you are feeding your baby on demand, then there is no need to express milk after each feeding. With normal lactation, decantation only takes away from the mother time that it would be better to devote to the baby or home affairs. Expressing is necessary in case of problems: breast engorgement, treatment of lactostasis or mastitis, in case of compulsory separation of mother and child, to preserve milk, to treat nipple cracks, etc. The need for expressing is determined by the breastfeeding consultant, because regular additional pumping leads to a reduction in the amount of milk and the cessation of lactation. But the opinion that milk can burn out in the chest, if you do not pour it off, refers to prejudice and has nothing to do with life. Being in the mammary gland, milk can not deteriorate. Therefore, if a woman does not decant, her milk is always full. My mother and mother-in-law say that I must express the milk to the end. Is it correct? It is impossible to express milk "to the end" - it stands out from the chest with an uninterrupted flow. Even when they ceased to beat trickles, it continues to flow on a droplet. Moreover, regular expression is not needed. They lead to traumas of the breast, take a woman a lot of time and turn the process of feeding into a burden. To breastfeed was successful, it is necessary to refuse from decanting and to establish frequent feeding of the child not less than 12 times a day. How often should you weigh a baby? To make sure that the baby has enough breast milk, it can be weighed monthly or twice a month, and if something bothers, then weekly. A healthy child with sufficient nutrition every week adds in weight from 120 to 500 grams. Frequent control weights, produced once a day or even several times a day, do not provide objective information about the nutritional status of the baby, they just make the mother and the child nervous, as a result of which the mother lactates and the baby stops gaining weight. I was advised to feed from both breasts in one feeding, but I do not know how long a baby should suck one breast and when to offer him a second? Do not shift to the second breast before it sucks the first. Milk in the maternal breast is heterogeneous: it is divided into early milk, which the child receives at the beginning of feeding, and later the milk that he receives at the end. Early milk is more liquid and sweet, and later - more dense and satisfying. Thus, at the beginning of feeding the child drinks, and at the end - eats. If you hurry to offer the baby a second breast, then he will not get late milk, rich in fats. As a result, he may have problems with digestion: lactase insufficiency, foamy stool, etc. Continuous sucking of one breast (30 minutes - 1 hour) will ensure full functioning of the intestine. Therefore, alternating feeding from the left and right breast is best after 1 - 3 hours. For example, if the baby sucked his right breast for 1 hour, then fell asleep for 30 minutes and, waking up, asked for a breast, then he can be offered a left breast. And if the baby sucked his right breast for 15 minutes, then slept for 30 minutes and again asked for the breast, it should be applied to the same chest. I feed my newborn exclusively on the chest. Do I need to breastfeed or dopaivat child? Breastmilk is a balanced food and drink for babies. It fully meets all the vital needs of the child. With properly organized breastfeeding, including proper application, frequent and prolonged feeding of the child and joint sleep, the baby does not need additional nutrition until 6 months of life. To preserve the full-fledged breastfeeding and the health of the child, you should completely stop dopaivaniya baby not only with water, but also with different teas, dill, water, etc. Previously, pediatricians advised drinking milk with water, because they considered milk to be exclusively food and were afraid of dehydration of the body. These fears are groundless. In breast milk contains 87-90% of water, so with full-fledged frequent breastfeeding, the baby's need for the liquid is fully secured. Many studies show that even in a hot climate, mother's milk completely satisfies all the baby's needs for fluids. In addition, the centers of thirst and satiety in the brain in a newborn virtually coincide and these needs are met simultaneously. When dopaivanii water we deceive the baby, creating a false sense of satiety, and this leads to sluggish sucking and reducing the need for breast milk. When dopaivanii baby mothers lose milk and stop breastfeeding for 3-6 months. Many mothers and pediatricians say that the baby can not be kept at the breast for more than 10 minutes, since prolonged sucking leads to the appearance of cracks. But from other moms, I heard that their children sucked their breasts for an hour, but there were no cracks. Why do cracks actually appear? The appearance of cracks on the nipples is associated with the correct application, and not with the duration of breast sucking. If you correctly apply your crumb to the chest and feed it in a comfortable position, cracks will not occur. Learn how to properly apply to you, lactation consultants. If you are sure that the baby is sucking in the right position, he can stay at his chest as long as he likes: the feeding should be completed when the baby releases the breast. Another cause of nipple injuries is regular breast washing before and after each feeding. If the mother washes the breasts with soap and then at the same time treats her with greenery, she may have cracks even if properly applied to the chest. Frequent washing and treatment with alcohol destroy the protective layer located on the skin of the nipple, and the areola, which produces special glands located around the nipple. This protective grease is necessary in order to prevent loss of moisture. In addition, it has bactericidal properties and inhibits the growth of pathogenic microorganisms - it is this protective layer that prevents the occurrence of nipple injuries. I expect the birth of a second child. I could not bring the first child to breast. I really want to feed my second child with breast milk. Please tell us what to do for this? In order for any woman to feed her baby, it is necessary to follow a number of simple rules. These are physiologically justified rules, the expediency of which has been proved by many studies of the World Health Organization, the International Dairy League, and a number of other independent researchers. These are the rules. Early application to the breast The first application of the newborn to the maternal breast should occur during the first hour of the child's life. It is the first application made in physiological terms that allows the baby to form a stable habit of correctly grasping the breast. In addition, when you first put the baby gets the first drops of colostrum - only 2 milliliters. Nevertheless, even this amount of colostrum plays an important role in the development of immunity and the reduction in the incidence of newborns, is an important moment in stimulating lactation and ensuring its success and duration. Exclusion of breastfeeding Dogrudnym refers to the first feeding of a newborn not from the mother's breast, but from the bottle. If the child was taken away from the mother and the first time he received not the maternal breast, but the nipple, then the danger increases significantly that the mother may stop breastfeeding or begin breastfeeding altogether. Breast feeding is very dangerous for the following reasons: • The child does not receive colostrum - the earliest and healing food; · If a baby is not fed from the breast but from a bottle, then he may have a nipple mess and he will not be able to take the mother's breast willingly and successfully. Thanks to the research of the WHO, it has been established that even one or two breastfeedings are sufficient to prevent breastfeeding. Joint maintenance of the mother and the child Immediately after the transfer of the mother and child from the delivery room to the postpartum ward, they must be provided with a joint stay in the mother-child ward, where the baby's bed is placed directly beside the mother's bed. The mother is given the opportunity to communicate with the child from the very beginning. She can be with him in the same bed, sleep with him, breastfeed, wash him, if necessary, in his arms when she wants. From the moment the mother and the newborn arrive in the joint residence, the process of their mutual adaptation and mutual training in breastfeeding begins. Exclusive breastfeeding in the first days of a child's life It is very important that there is no additional feeding and dopaivaniya child in the first days after birth. Colostrum is the most valuable food for newborn babies and perfectly matches their specific needs. Colostrum contains little liquid, which protects the kidneys that have not developed from an unbearable load. The baby can not yet cope with large volumes of fluids without experiencing stress. With a small amount of colostrum contains a lot of nutrients and immune factors. Their density in the colostrum is several times higher than in the mature milk. The level of protective factors of colostrum is so high that it can be considered not only as a food product, but also as a medicine. Immune colostrum factors help the child's digestive system to prepare for the food process. They cover the immature surface of the intestine, thus protecting it from bacteria, viruses, parasites and other pathogenic factors. Colostrum, like the milk replacing it, acts as an activator of the baby's development. Therefore, the introduction of newborn breast milk substitutes can be regarded as a rude interference in the functioning of his body. Feeding a newborn in the first days of life is possible only if the baby is born by a caesarean section and the mother has a disrupted milk production process.
Correct attachment to the breast If the child correctly grasps and sucks the mother's breast, then he can suck as long as he likes without causing trouble to his mother. Correct application to the breast protects the woman from cracks and abrasions on the nipples, lactostasis, i.e. blockage of the milk duct, and mastitis. Therefore, it is very important to learn how to properly put the baby to the chest and watch for it. If the baby has captured the breast incorrectly or changed position during feeding - it is necessary to take away the breast and invite him to grab it again. When properly applied: · feeding the child does not cause painful sensations, pain can occur only when the baby grasps the breast; · There are no nipple injuries, mastitis and other problems; · The child sucks out enough milk; · The duration of feeding does not matter. In case of incorrect application: · when a child is nursing, painful sensations arise; · There are nipple injuries, mastitis, lactostasis and other problems; · There is a need to limit the time of feeding; · The child sucks out a little milk and does not eat. It is very important that when feeding the mother takes a comfortable pose and gives a comfortable position to the child. A comfortable posture during feeding provides a good outflow of milk from the breast and is a preventative of lactostasis. Feeding on demand The frequency of feeding should be regulated by the child. Any anxiety, crying, or searching behavior of a child, when he turns his head and catches his mouth nearby objects, is an expression of the requirement to kiss your chest. The baby of the first months of life must be applied to the breast for any reason, giving him the opportunity to suckle when he wants and how much he wants. This is necessary not only to saturate the child, but also for his psycho-emotional comfort. For psychological comfort, the baby can be applied to the breast up to 4 times per hour. In total, the baby of the first months of life during the day, there are 12-20 feedings. It is not necessary to be afraid, that at frequent attachments the kid will pereste. Gastrointestinal tract of a child is not adapted to feeding by the clock, but to continuous feeding! The intestine of the infant is adapted to the absorption of breast milk in unlimited quantities. At the beginning of a child's life, the activity of his own enzymes is low, but the constant intake of active substances in breast milk stimulates the activity of the child's enzymes. In addition, breast milk contains enzymes that help their own assimilation. Thus, breast milk is a unique food that helps itself absorb. That's why it is digested much better than any super mixture. The mother must herself offer the baby a breast for any reason. It should be disturbed if the child has not been applied to the breast for a long time. Duration of feeding If the child is full, he stops sucking and releases the breast. There is no need to interrupt feeding after a certain period of time or to take the baby's breast off. Different children remain at the chest different in duration. Most of them are saturated in 20-40 minutes, and some babies can suck for 1 hour or more. The duration of sucking is determined by the feeling of saturation of the child. Recent research has shown that "lazy suckers" eat as much milk as "active" ones. If a "lazy sucker" is premature to take the breast, he will not get the amount of milk that he needs for normal growth. Therefore, the mother should provide the child with the opportunity to decide when to stop feeding. Especially valuable are the moments when a child sleeps at the chest and slowly sucks it - at this time it is fully saturated. The mother should be concerned if the baby sucks only 5-10 minutes and does not want to sleep under the breast. Night feeding and joint sleep Night feeding is necessary to preserve full-fledged long lactation. Breastfeeding between 3 and 8 o'clock in the morning stimulates the production of milk in sufficient quantities for subsequent daily feedings. For better development, the child must necessarily receive both day and night milk. Joint sleep of mother and child facilitates night feeding and allows mother to have a better rest. To the child who sleeps nearby, you do not need to get up and sleep is much calmer and longer. Therefore, the mother's dream becomes more complete in depth and duration. The view that the mother can pile on and "sleep" the baby is unreasonable. A woman can damage a newborn only if she is intoxicated or has taken sleeping pills. The risk of "sudden death" is much higher among children who sleep separately from their mother. In addition, night feeding up to 6 months protects the woman from the next pregnancy in 96% of cases. If a woman experiences anxiety for the life and health of her child, when he sleeps apart from her - then she became a real mother. Eliminating breastfeeding The breast milk is a balanced food and drink for babies. It fully meets all the vital needs of the child. With properly organized breastfeeding, including proper application, frequent and prolonged feeding of the child, joint sleep and night feeding - the baby does not need additional nutrition. A baby does not need additional nutrition until 6 months of life. Eliminating dopaivaniya child In order to preserve full-fledged breastfeeding and the health of the child's mother should completely abandon dopaivaniya baby not only water, but also different teas, dill water, etc. Earlier pediatricians advised to milk the child with water, because they considered breast milk to be an exceptionally food and were afraid of dehydration of his body. These fears are groundless. In breast milk contains 87-90% of water, so with full-fledged frequent breastfeeding, the baby's need for the liquid is fully secured. Many studies have shown that even in a hot climate, mother's milk completely satisfies all the baby's needs for fluids. In addition, the centers of thirst and satiety in the brain in a newborn virtually coincide and are satisfied simultaneously. При допаивании водой мы обманываем малыша, создавая у него ложное чувство сытости. Это приводит к вялому сосанию и уменьшению потребности в грудном молоке. При допаивании ребенка матери теряют молоко и прекращают кормить грудью к 3-6 месяцам. Опасность использования сосок и пустышек Грудь и соску или пустышку дети сосут по-разному. Ребенок, которого покормили из бутылочки, будет неправильно брать материнскую грудь и поэтому после бутылочного кормления у мамы могут возникнуть проблемы. Многочисленные примеры доказывают, что порой, даже одного кормления из бутылочки достаточно, чтобы ребенок отказался от груди и возникла масса осложнений с дальнейшим грудным вскармливанием. Не менее опасным является использование пустышки. Ребенок, получающий пустышку, реже прикладывается к груди. В результате он недополучает материнского молока и хуже набирает в весе. При использовании пустышки у детей тоже возникает «путаница сосков» и они чаще отказываются от груди. Если женщина действительно хочет выкормить ребенка грудью, то среди предметов ухода за малышом не должно быть бутылочки с соской и пустышки. Кормление из обеих грудей Не следует перекладывать ребенка ко второй груди раньше, чем он высосет первую. Молоко в материнской груди неоднородно. Оно делится на ранее молоко, которое ребенок получает вначале кормления, и позднее молоко, которое ребенок получает в конце кормления. Ранее молоко более жидкое и сладкое, а позднее — более густое и сытное. Таким образом, вначале кормления ребенок пьет, а в конце кормления — ест. Если мать поторопиться предложить малышу вторую грудь, то он не дополучит позднего молока, богатого жирами. В результате у него могут возникнуть проблемы с пищеварением: лактозная недостаточность, пенистый стул и т.д. Продолжительное сосание одной груди, около 30 минут — 1 часа, обеспечит полноценную работу кишечника. Кормление из обеих грудей может потребоваться ребенку после 3 месяцев. Мытье груди При мытье груди, особенно с мылом, с кожи соска и околососкового пространства удаляется защитный слой жиров, который содержит защитные факторы, предотвращающие проникновение в кожу груди болезнетворных микробов. Частое мытье сосков с мылом сушит кожу и приводит к образованию ссадин, трещин и мастита. Поэтому не следует мыть грудь перед каждым кормлением. Достаточно мыть грудь ежедневно или один раз в 3 дня при приеме обычного гигиенического душа. Сцеживание Если мать кормит ребенка по требованию, то нет необходимости в сцеживании молока после каждого кормления. При нормальной лактации сцеживание препятствует естественному вскармливанию, поскольку оно отнимает время, которое лучше посвятить ребенку или домашним делам, и доставляет неудобства. Сцеживание бывает необходимо при проблемах: при нагрубании груди, лечении лактостаза или мастита, при недостатке молока для увеличения его выработки, в случае вынужденного разлучения матери и ребенка, чтобы сохранить молоко, при лечении трещин сосков и т.д. Необходимость в сцеживании определяет консультант по грудному вскармливанию. Регулярное дополнительное сцеживание приводит к сокращению количества молока и прекращению лактации. Взвешивание ребенка Чтобы убедиться в том, что ребенку хватает грудного молока его можно взвешивать ежемесячно или раз в 2 месяца, а если что-то беспокоит, то еженедельно. Здоровый ребенок при достаточном питании каждую неделю прибавляет в весе от 120 до 500 грамм. Частые контрольные взвешивания, производимые 1 раз в день или даже несколько раз в день, не дают объективной информации о полноценности питания младенца. Контрольные взвешивания нервируют мать и ребенка, в результате чего у матери снижается лактация, а младенец перестает прибавлять в весе. Поддержка матери Для успешного грудного вскармливания матерям необходимо общение с более опытными женщинами, имеющими положительный опыт грудного вскармливания. Это помогает молодой матери обрести уверенность в своих силах и получить практические советы, помогающие наладить кормление грудью. Therefore, young mothers are encouraged to contact the mother's support groups for breastfeeding as early as possible. Женщины, воспользовавшиеся поддержкой опытных матерей или консультантов по грудному вскармливанию, в 9 случаях из 10 успешно кормят грудью до 1,5 лет и более. Не перегорает ли молоко в груди, если его не сцеживать? Мнение, что молоко может перегореть в груди, если его не сцедить, относится к предрассудкам и не имеет никакого отношения к жизни. Находясь в молочной железе, молоко не может испортиться. Поэтому если женщина не сцеживается ее молоко всегда остается полноценным. Нужно ли сцеживать молоко до конца? Сцедить молоко «до конца» невозможно — оно выделяется из груди непрекращающимся потоком. Даже когда перестали бить струйки оно продолжает течь по капельке. Более того, регулярные сцеживания не нужны. Они приводят к травмам груди, занимают у женщин много времени и превращают процесс кормления грудью в обузу. Чтобы вскармливание было успешным необходимо отказаться от сцеживаний и наладить частое кормление ребенка не менее 12 раз в сутки.
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Ваши вопросы по грудному вскармливанию и уходу за ребенком и ответы на них

  1. The mother group of breastfeeding support in Samara. Breastfeeding the most important issues, 2014

  2. But what about anemic women? Do not they take away the last strength from breastfeeding?
    No. Anemic women are able to breastfeed normally, although for their own health it will be best if they are treated. Drinking tea while eating reduces the absorption of iron, so try to drink tea two hours after eating. Strictly speaking, exclusive breastfeeding can protect women from anemia, as it delays the return of menstruation. The
  3. Psychological well-being of the child and breastfeeding.
    The benefits of breastfeeding have been written and spoken repeatedly. Mother's milk is both antibodies and lysozyme, which protects the child from infection, and does not cause allergy proteins, and easily digestible carbohydrates, it is a bifidus factor that accelerates the colonization of the intestines with bifidobacteria, it is a hormonal growth factor, and enzymes that help the baby to digest food. However, not everyone knows that mother's milk
  4. Evaluation of breastfeeding efficiency.
    Indicators of infant feeding efficiency will be the harmony of the child's physical development, the good (elastic, "rubber") turgor of his tissues, good appetite and normal character of the departures, proper motor and mental development, rarity of the respiratory and intestinal
  5. Что это значит для ребенка – грудное вскармливание?
    Как вам понравится тот факт, что вы делаете своему ребенку подарок, который может поднять его IQ примерно на 10 пунктов; может улучшить работу сердца, кишечника и почти всех других органов вашего ребенка; уменьшить риск сокращающих жизнь и ослабляющих заболеваний, таких как диабет; и помочь вашему ребенку избежать многих обычных для младенцев проблем, таких как ушные инфекции, расстройства
  6. Вопросы, которые могут у вас возникнуть при подготовке к грудному вскармливанию
    БЕСПОКОЙСТВО ПО ПОВОДУ ОПУЩЕНИЯ ГРУДИ Я ожидаю моего первого ребенка, и я слышала, что грудное вскармливание может опустить мою грудь. It's true? Беременность, а не грудное вскармливание, заставляет грудь измениться. Гормоны беременности обусловливают увеличение груди и растяжение кожи, так как готовят тело к вскармливанию ребенка независимо от того, будете ли вы кормить или нет.
  7. Breastfeeding: the beginning, duration and practice of exclusive breastfeeding
    Due to the lack of comprehensive and comparable data and unified international definitions, it is difficult to make any general statements about the prevalence of breastfeeding in the WHO European Region. Data on the percentage of children who are breastfeeding, shown in Fig. 8, are taken from various sources (27). These data should be approached with caution: survey techniques
  8. Necessity of supplementing a child. Help of accessories for breastfeeding
    There are several solutions to this problem. ^ Feeding from a drinker or a cup with a lid is the simplest, but requiring patience. If desired, this skill can master any mother. More convenient option - a soft spoon, which has a handle as a bottle, where the food is poured. In a spoon made of soft silicone, the food comes in dosed, when a person, feeding a baby,
    Article 17. Right to benefit for the care of a sick child, for a child under 3 years of age in the event of a mother's illness. The right to a childcare benefit for a child who is under 14 years of age to care for a child under 3 years of age in case of illness of the mother has a working mother or father or other working relative actually caring for the child, as well as working
    Article 13. Right to benefit. The right to childcare allowance until the age of 3 years is reached by families, as well as adoptive parents, guardians who bring up children of the specified age. Article 14. The amount of the allowance. Пособие назначается в размере 120% установленной в республике минимальной заработной платы и выплачивается ежемесячно со дня оформления отпуска по уходу за ребенком
  11. Инициатива юнисеф по уходу за детьми и питание ребенка
    Факторами, непосредственно определяющими хорошее питание, здоровье и выживание ребенка, являются потребление пищевых продуктов и гигиена питания. Однако, как показывает рисунок 16, прямое влияние на потребление пищевых веществ и, следовательно, на здоровье ребенка оказывают действия по уходу за ним. Для хорошего питания должны быть обеспечены хорошая еда, хорошее здоровье и хороший уход. Примером
    We often wonder why some mothers do not breast-feed. From our point of view, breastfeeding is a natural continuation of the relationship that began in the womb. Perhaps some women are convinced that breastfeeding does not really matter. Having studied the first chapter, you will understand the benefits of breastfeeding for both the mother and the baby. We believe that if you appreciate
  13. When do children need more than one breast milk and how long should the baby be breastfeeding?
    Feed the baby exclusively with breast milk up to 6 months of age. Approximately at the age of 6 months, all children, along with breast milk, need additional food, but ideally continue to breast-feed for up to a year and
  14. Alternatives to breastfeeding
    Breastfeeding is usually the best way to feed infants. Nevertheless, there are situations when it may be preferable or it is necessary to replace breast milk with an alternative. In addition to the contraindications briefly described above, there are circumstances where, despite all efforts to continue breastfeeding, the mother can not maintain lactation on
    All children should be exclusively breastfed from birth to about 6 months of age, but in any case during the first 4 months of life. It is preferable to continue breastfeeding after the first year of life, and in groups with a high prevalence of infections, the child can benefit from continued breastfeeding throughout the second
  16. Support of breastfeeding
    POLICY FOR SUPPORTING BREASTFEEDING In 1989, the World Health Organization and the United Nations Children's Fund issued a joint statement on the role of services to help mothers protect, promote and support breastfeeding. This statement brings the most up-to-date scientific knowledge and practical experience on the organization of the EB in the form of precise, universally acceptable recommendations
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