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.

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.

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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Cracks in the nipple

Many mothers do not know firsthand what a cracked nipples. For many, this problem becomes insurmountable means that breastfeeding is over. Some still carries a little more if there is a consultant on breastfeeding.

Here is one such story.

On the phone, Marina said that she was hurt and she was sooooo sooo waiting for me. I said that I was going ...

New parents and baby live in a small room, the door closed at all times, there simply can not be hot and humid. Baby beautiful stand breaks between feedings at three o'clock, just do not wake up - not surprising in such an atmosphere, I immediately wanted to go to sleep, too. We talked on the accumulated problems. My mother is very much unclear organizational aspects of breastfeeding . My advice to her present discovery very different views were Marina on how it should be really. Neither she nor her husband's mother did not breastfeed. The young couple are very tuned to breastfeeding, but did not know about it ...

And Marina just hysterical pain in the nipples, torn and bleeding mouth newborn. Yes, a consultant to work hard with the pain and hysterical mothers. As it is necessary to calm her down, to give hope - and most remain calm. It was scary at first, that did not work, Mom "will not be given."

She has a strong chest, small areola and vyalenko Alexei sucked really hard, and does not try to open your mouth. Attach the baby to the breast pose "Crib" I am trying to put the chest as far as possible. Mom hurt, but better can tolerate. But for a long time we did not suffer, deprived baby from the breast, and Alex fell asleep. And we have long said, what's wrong with the nipple, bottle, than the good co-sleeping. Beautiful mother right in front of my dad called and said, "Well, fine sleeping with us! "They talked about how to take care of the breast (a crack at it, apparently were including because of the wrong, hard-grabbing breast) why pereryvymezhdu feedings should be reduced, even if the child will have to wake up for feeding than bad breast pump for torn the blood of the nipples.

To cracked nipples heal faster:
- Be sure to follow by applying baby to the breast - the pain can not be tolerated! Pain is a signal that something is not quite right.
- At 2-3 days time limit sucking injured chest to 15-20 minutes per attachment.
- After breastfeeding dry the air for 3-5 minutes.
- Put on the areola and nipple thin layer of cream with lanolin nipple, napirmer, Purelan let the cream soak, remove the excess with a soft cloth.
- If a crack large, it is necessary to give time for healing - from 12 hours to 2 days. At this time, the patient is required to express his chest, not to the stagnation of milk and there was not reduced to the amount of milk.
- When the cracks on the nipple can not use a breast pump, as it interferes with the healing of fractures. Mama do well to learn to decant gently and painlessly hands.

After a while we Marina shook Alexei, attached to the breast in the new position "out of hand"   - Oh! much better, you can live! The kid even good mouth opened in surprise apparently, my mother and I helped him a little bit. Marina gasped, and I with her.

AT position "Lying on his side"   venerated long and sad. Marina hysteria that now will be painful, and crawl away with Alexei on the bed ... And Alex once "threatened to" go to sleep, just so we procrastinate, I customized my mother back. As a result, docked, it was not hurt!

However, in this position marina unaccustomed was difficult to give chest despite the small size of her hand under the child prevented her ... Long crawl, happy - but not in vain, it was comfortable, and my mother a little more relaxed.

I answered a lot of questions about the traditional food nursing mothers. He advised to open even the door into the corridor and keep the baby dressed easier.

The next day, Marina wrote sms: "Feed not painful, thank you! But the milk had disappeared somewhere" ...

I was surprised and encouraged her to call and discuss on the phone.

But that is another story...

Here's everything you need to avoid cracked nipples :
- Find out in advance how to put the baby to the breast;
- Patiently teach the baby correctly to breastfeed;
- Take away the chest and apply the kid again, if you see that he sucks wrong;
- If you are not sure about applying, contact the person in the hospital, or to invite a consultant to the house;
- Do not wash your breasts more than once a day;
- Let's nipples after feeding the opportunity to dry in air.

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Why am I against artificial feeding

In the early 20th century, the invention of infant formula has saved the lives of many babies whose mothers went to work on the production and were forced to leave their children to nannies and wet nurses. The infant mortality rate fell sharply from 70 to 30%. Artificial mixture became almost "manna from heaven" for the children of those distant years. But now, our contemporary, is not obliged to give the child to the nursery immediately after birth, he thinks: "Is it really useful to the artificial breast milk? I want my baby got everything you need. But I feel very insecure from all these worries and inconvenience associated with breastfeeding. My childhood infant formula fed from a bottle with me and everything turned out fine. "

Breast milk   - A healthy natural diet, created by nature, and the mixture - a substitute man-made for cases where, for some reason, my mother can not feed themselves. Let's look at the major components breast-feeding   - GW : Nutrition, suckling, hepatitis B as part of the life of my mother - in comparison with a mixture of artificial feeding.

Milk - it is, above all, the child's diet. Breast milk - a healthy (ie, natural) food, which differs from the composition of the mixture, of the functions they perform and the effect on the child's body. Breast milk contains all the nutrients in the right amounts. The composition of breast milk adapts to the needs of the individual child. It contains a unique set of enzymes that help the child to digest is the most milk and facilitate the work of the intestine. Milk nourishes the child and protects the body from disease, provides growth and development.

Breastfeeding provides emotional and psychological support to the child, making him calmer and more balanced.
GW As part of the life of my mother, in fact, created by nature itself, to make life easier for moms and make it more comfortable. When properly organized breastfeeding   Mom comfortable and pleasant child. It is also useful to the health of mothers process: breastfeeding - a rapid recovery after childbirth (the influence of the hormone oxytocin on the contraction of the uterus), natural contraception, prevention of cancer, helps to lose weight, because It consumes more energy, saves from postpartum depression (morfepodobnye lactation hormones relax and soothe the mother involved in the formation of attachment and feelings of adoration for his crumbs). To successfully breast-feeding mother only needs to know some things done right, especially the behavior of mothers in different situations, to have information support.

Composition breast milk and is unique to the latest studies, it contains more than 400 compounds, many of which can not be reproduced in the mixture (e.g., hormones). The composition consists of milk fat, protein, carbohydrates, minerals, vitamins, mineral salts, anti-infective agents - leukocytes, immunoglobulin and even bacteria that contribute to the protection of the gastrointestinal tract.

The whole composition of the milk is perfectly balanced. Moreover, it has the ability to change with the growth of the child during the day, and even during a feeding, adapting it to the needs of your child. Milk passes through the digestive tract faster and better absorbed, so they can not overfeed the child. It contains substances that protect against allergies. Special fats contribute to the growth and development of the brain, provide energy, essential fatty acids, fat-soluble vitamins (A, D, E, K). Proteins are very important for the development of the nervous and immune systems. And this is not all the useful properties Breast Milk .

Recent research psychologists confirm that calms the child at the breast, it is easier to endure pain and illness, feels protected, feels the connection with his mother, her credibility and to the world. Moms who breastfeeding They say that it is not just feeding - this is the first education. Breastfeeding also contributes to the proper development of the maxillofacial unit.

Breastfeeding moms in your life does not cause inconvenience when the mother knows

the basic rules of successful feeding:

• how to properly put to the breast,
• what it means to feed on demand
• public attitudes can be fed,
• how to organize a dream
• How to care for breast,
• What are the main problems may arise, and what is their prevention,
• where to find the information you need and where to find help.

In contrast to the blend, breast milk is always at the mother is available, the right temperature, requires no special training, which is especially useful outside the home, on the road, in the event of disruption of electricity and water. Hormones of lactation promotes relaxation. During feeding mother rests and calms down, she can not even sleep.

But what gives the artificial feeding?

Artificial mixture - this is only artificial nutrient. Of course, that industrial production can not take into account the specific features of the child (age, health status).

•   The mixture has many drawbacks. When feeding a mixture of completely missing the emotional component and a positive impact on the health of mothers.
• Feeding mixture - not the most comfortable process, as It requires special training every time (dosage, sterilization of bottles and other feeding schedule.).
• The mixture requires careful selection, as it can cause allergies.
• The mixture does not vary in composition from feeding to feeding and does not take into account the needs of a particular child at a time.
• It has such a rich composition of breast milk.
• The mixture is hard to digest.
• It is expensive and requires regular trips to the store.
• When artificial feeding of breast milk substitutes are often problems with a chair and overweight in children.
• The mixture may be contaminated with harmful bacteria in the manufacture.
• Thus there are no anti-infectious agents and hormones necessary.

Doubts about the difficulties associated with breastfeeding, understandable and quite natural. But the more information will be my mother, the easier it will be to make a decision.
Here are some tips to feel confident:
1. Read specialized literature.
2. Talk to the woman in his entourage, find out how they opted for a particular type of feeding their children, the difficulties encountered, how to solve problems.
3. Just try it begin to feed - this will give you the opportunity to experience to see and feel what GW.

But whatever method of feeding you choose, you, in any case, a good and loving mother! It is proved that a child who is loved and taken care of, will be happy and will grow well, even though it be fed breast milk or artificial formula. Remember, please, that the most important thing for a kid to a home atmosphere was warm and friendly, and he felt the presence of a loving mother!

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Thrush Breast feeding Why hurt?

This consultation ran strongly in my memory. And when they say "thrush" I always remember this event ...

Natasha has invited a consultant on breastfeeding in order to solve the problem of lack of weight gain of the child. During the 2nd month of life Sasha added only 250 grams

That opened my eyes? The boy lay quietly in his crib and ... sucking his hand, or rather all four fingers, except the thumb, was in his mouth.

- That you always like this? - I asked my mother.

- Yes, when the baby is awake, and even in a dream, he was always with his hand. Do not cry!

- So often it is necessary to give the breast, and that will then allow good.

- Yes, I give ... but only 5 times a day ... because I hurt - my mother said with tears in her eyes.

I expected to see in the cracks of the nipples tortured. But no, there was no injury. Gentle chest with pronounced nipples - to easily make a breast baby. I ask about how and when the chest pain. Mom told me that hurt the capture, then comes relief, but not for long. And the further feeding continues, the greater the growing feeling "like hot bundles pulls in the chest", it becomes impossible to feed. Between feedings skin on the nipple and areola itchy, my mother often does not know where to go ... smears emollient cream for the nipples. It helps for a few minutes, then again itching and burning ...

I have carefully examined the nipple and areola. The skin was like parchment: stretched, dryish. Areola and nipple were pinkish, slightly swollen.

After her mother described the condition and feelings, breast exams there was little doubt that this is a fungal infection, commonly called " thrush breast ".

Thrush - a disease caused by the fungus Candida albicans. Fungus loves milk and place of its generation. Infection can develop in the mouth of the child and on the nipples of nursing mothers. The nipples are pink, the skin on the nipple and areola foliated, itching, burning. The pain may be slightly reduced at applying child, taking showers, airing chest. Lubrication nipple and areola by conventional means from the teat injuries gives relief, but for a short time and does not eliminate the problem. A child can be a perfectly healthy, and also struck a fungal infection (oral cavity and / or the area of ​​the diaper).
Often the hallmark of such problems with the breast is completely painless during lactation (except when thrush occurs immediately after birth). Antibiotics and a history of a mother increases the chances of diabetes thrush nipple.

We try to attach the baby to the breast, no complaints about the correctness of applying I did not have. And the kid, of course, was ready to suck more ... but my mother took him from the chest in 10 minutes. It was unbearably painful.

Of course, in this situation, my mother tried as far as possible to delay the next feeding, and her son carefully in this "help" - sucking his hand.

I advised to consult a dermatologist for diagnosis and prescription of treatment. I support and encourage my mother, that her problem will be solved soon and then I will come to it again as soon as the improvement of the breast.

I showed how to express milk, and encouraged to finish feeding the baby expressed breast until the breast will take medical treatment. We discussed the pumping mode, the mode of feeding and amount of supplementary feeding, hygiene and family during infection of the fungus.

Treatment of breast thrush

Facilitate at the time of the state of mothers can simple home remedies - for example, wash the chest with a weak solution of vinegar. But you must immediately consult your doctor, who may prescribe an antifungal cream for moms, antifungal oral suspension for child medication by mouth, if the local media have no effect, or relapse. Medicaments as recommended creams and suspensions applied to the nipples after feeding.
If treatment is chosen correctly, the improvement should occur within 72 hours. Duration of treatment thrush breast typically about 2 weeks. In addition, it is necessary to restore the normal flora of the body, this will help live yogurt and acidophilus.
Attention! If fungal infection n Elzy freeze expressed milk. You can finish feeding immediately after pumping. By repeating the infection is useful to treat the whole family. It is important to protect the nipple from injury, carefully applying and weaning the baby. The skin of the nipple and areola with thrush is easily injured.

After 10 days, I again visited the family. My visit was more friendly, supportive.

I met a happy mom. Toddler rescued safely in its cradle - sweetly hands crossed on his chest. My mother fed him for a week almost exclusively breastfed every 2 hours. The child disappeared need to suck your hands, because now you can breastfeed without limit! The increase in 10 days was 400 g

Natasha said that the dermatologist has confirmed the diagnosis of fungal infection and appointed an antifungal cream. She was relieved for the second day and began to put the baby more often. Out of pumping and supplementation. We discussed this with my mother, when called up on the phone all the time Natalia was connected. Generally, treatment "thrush" lasts 2 weeks. Mother clearly followed the doctor's prescriptions and does not interrupt processing nipples. Ahead was a few days of treatment. But it does not bother Natalia, she was something to compare.

Preventing breast thrush

1. Proper use of disposable or reusable breast pads, if the milk is leaking.
2. The use of cotton underwear and basic hygiene.
3. Careful treatment of breast pumps and other accessories for komrleniya if Mom uses them.

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