Wednesday, April 12, 2017

Relactation: how to get the milk?

 Relactation: how to get the milk?  The story began with a letter.
"My name is Eugene. I very much want to return the milk. My son Max was born at 36 weeks, the hospital immediately began to feed mixture, saying he was weak and poor sucks. We have written a children's hospital for weight gain, there is forbidden to breastfeed, I express breast pump and feeding from a bottle of milk was less. When discharged home, then I think everything will be adjusted quickly, but the milk is almost completely gone. Now we have almost 2 months, milk is not completely gone, but it literally 3 drops. Toddler put to the breast, it is enough for a couple of minutes. When Max realizes that there is nothing to eat, begins screaming. I was in despair: it seems that the more I try, the less it turns out. "

And we started working - remotely, over the Internet ...

Relactation   - A process Recovery lactation When at the beginning of the work my mother did not decanted or breastfeeding. 1-2 may be symbolic - 1-5 minutes - of breastfeeding during the day or at night, for example, for calm.
Relactation is considered to be successfully carried out, if able to replace at least 50% of artificial feeding on breast milk.

The first letter I was praised for wanting to return to Eugene breastfeeding (HV), described how important attitude mom questioned in detail about pregnancy, childbirth, GW, lifestyle, care for the baby, illness, taking medication. Dala task: to count the number of urination in a child per day and precisely - the daily volume of the mixture. I told him and explained the scheme reduce supplementary feeding with a mixture of how we will gradually switch to HS. She asked me to pay attention to good attachment - on it depends very much on the success in the HS. I sent the necessary links to articles about the latch, on how to return the milk and how to move from mixed feeding at the breast, as well as video clips sent from the organization of supplementary feeding nesosatelnyh items.

Relactation   available:
- If the mother is set firmly on the result,
- If your child has expressed a need for sucking (sucking a bottle, pacifier, hands, etc.)
- If there is support for the whole family.

Eugenia start to finish feeding the baby with a spoon, not from a bottle. Maxim took a chest almost immediately and practically ceased to release it. They moved with his mother to sleeping together - it's a great extra incentive to increase the amount of milk.

However Eugene was horrified by the clock hovering baby on the breast, the nipple started to hurt, there were doubts: what if he is now and will always hang? What if he gets used to sleep in our bed? And as without pacifiers? But what about the dad who needs attention?

Here the consultant begins the most difficult: you have to patient and attentive to questions and doubts mother. We corresponded a lot in that time. It took time and effort to develop confidence in her mother that she is able to bring up a child feeding. I drew her attention to the fact that before - in the first weeks after birth - to express a very decent amount of breast milk, despite the Caesarean section and separation from the baby. We had a little bit deeper into the physiology of development and selection of milk, physiology and biological rhythms of the infant. In the course of our work together, we have corrected a lot of chances in the general organization of breastfeeding. Eugene tried to clearly and thoroughly answer all my questions. Of course, I gave a lot of links to relevant articles: a crying newborn, life without pacifiers, a joint dream.

 Relactation: how to get the milk?
Good attachment

As I mentioned, it's important to latch baby to the breast was right, and I asked to send a photo of applying. To my great joy to all the photo was almost perfect.

By the time the boy was 13-14 urination at night, a mixture of 90-100 g every 3-4 hours. Mixtures now become much smaller because bottle went on a spoon, and Maxim in full to breastfeed. The amount of supplementary feeding baby reduced itself - ate a little and cried until I give the breast. Pain at applying gone, apparently had simply adapted the nipple and areola to frequent suckling.


A week later, the mixture remains active operation only about 250 ml per day. Handpainted Wife regime of supplementary feeding for 250 ml, asked to count the baby urinating on the third day. He continues to respond to emerging issues and passing doubts. It is praised and admired my mother: it was a drop of breast milk, but in fact this week 2/3 of the mixture was removed.


On the third day, Eugene has sent a letter that the baby urination only 12, she was very tired, cranky baby, do not sleep alone, not postponed, worn in a sling for a long time does not work - back pain ...

Here I am a good mother, a good sorry, expressed understanding of her condition, she said that she had already done much to your baby and, in principle, you can stay on the fact that there are ... BUT .... can be a week "rest" in this volume mixture and then estimate - "suddenly" will force to remove another 50 ml?

And it has not lost, after 3 days got this response:

"Thank you very much for your help! At the moment, we still have a supplementation of 250 ml. But the amount of urination has increased to 15, so I'm starting tomorrow will reduce the volume of the mixture to 200 ml. Hopefully that will go to full breastfeeding !!!
Once again, thank you so much !!! "

Then I almost cheered mom only a short letter on its results. For some time, Jack was gone.

 Relactation: how to get the milk?  And now, after nearly a month sent a letter:
Hello! How do you and asked to report on our progress. In January, we added 900 I still finish feeding, about 100 grams per day, sometimes less. The kid gets a mixture only when he is sucking both breasts, and I can see that not gorged. How much milk I do not understand, because now it does not come between feedings and chest seemed empty. But when the child begins to suck, I feel a surge of (my mother to establish a "tidal lactation" / - OE). I am very glad that I was able to milk back , Though not in full. I hope to maintain lactation as long as possible! Thanks again for helping us mums in this difficult matter, breastfeeding!

There is no doubt, I'm very happy for mom and baby! His wife hinted that, based on the result of the remnants of supplementary feeding can go very well ...


Why do mothers breastfeed longer :
- Irregular organization GW
- There are physical problems with the mother or child, preventing the normal breastfeeding
- No support for: mothers are not sure that they will be able to breastfeed and fully meet the baby's milk.

The reasons why mothers want to return milk :
- Concern for the state of health of the child,
- Problems with his health,
- The child does not tolerate or refuse artificial feeding,
- Suddenly I found out about the possibility of return to breastfeeding and want to do it.


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