Mastitis (infected, uninfected)
Many young mothers heard the frightening word "mastitis", and some are familiar with it firsthand ... What is it? Since mastitis is an associated bacterial infection, as a rule, against the backdrop of stagnation, blockage of the ducts, the main prevention of mastitis will be measures to prevent these closures and stagnation. These measures are quite simple.
Measures to prevent mastitis
From the first days
Take care in advance of the joint house. When a child evenly sucks a breast from birth, the arrival of milk is usually not accompanied by a strong ruffling. When there is a joint stay, there is no need to express it, apply the baby as often as he wants and when you feel the tides.
If for some reason the child has to be separated, your actions are somewhat different. Since there is no feeding of the baby, there is a need for decanting. On the first day of milk arrival, it is necessary to decay 2 times to the maximum possible emptying. Then pumping out the rhythm in which the child is fed. If the baby is brought for feeding, ask the staff not to feed him before.
On the subject of linen
It is better if it is a special bra for feeding, with detachable valves, pitted. Choosing the usual model, make sure that the bones are not pressed anywhere on the chest. The chest girth should match yours exactly, and the cup size should be slightly larger. Because wearing is not necessary, rather. This is dictated by questions of convenience and aesthetic perception. At home, you can do without it, or use supportive T-shirts.
Do not overdo it with cleanliness
For the prevention of cracks do not take a great interest in frequent breast washing - this removes the natural grease. It is enough to have a common shower twice a day.
Protect your chest
Breasts should be protected not from the breath of the wind, but from bruises and injuries, which can disrupt the patency of the milk ducts.
Feeding on demand
Neither the mother nor the child has the body set up for feeding on the regime. Rare, limited feeding contributes to the fact that milk stagnates.
Do not express without need
Expressing after each feeding "until the last drop" to "remove the remnants" and prevent mastitis, can lead to the opposite result! The fact is that the more the breast is stimulated, the more milk is produced. Regular pumping promotes the formation of excess milk, which the child can not cope with. As a result, the breast is not well emptied, which leads to stagnation.
Change the posture
The breasts are arranged so that when sucking a baby, the lobes to which the child's chin is directed are best emptied. In the classic pose, when the mother holds a crumb on her hands, the lower part is best emptied and the axillary is worse.
Frequent changes of postures during the day contribute to the prevention of stagnation. Try a pose from under the arm when the mother sits, and the child lies on the pillow near the chest, and his ass and legs are behind his mother's back. For a good emptying of the upper lobe, put the baby on the bed or on the table with your legs on your back, and bend over him.
Learn how to properly support the chest
The thumb and forefinger form a kind of horseshoe, like the Latin letter U. The hand is under the breast. Do not squeeze the chest, do not squeeze the ducts. Breast support may not be needed if the breast is not too large.
A common mistake of moms is to make a dimple on the chest in a place where the child's spout touches it. The baby breathes perfectly nose, and such actions lead to pinching of the milk duct. In addition, when the child rests with a spout in the chest - it is for him a signal that he is in place, otherwise the baby begins to turn his head, and the whole process of application can deteriorate.
Control the baby's attachment
Signs of improper application: the lower sponge is turned out, the tongue is visible, making wave-like movements, the baby's cheeks are not drawn, rhythmic swallowing is audible, my mother has no painful sensations how long the baby would suck.
Sleep with your child
The closer the baby sleeps to the mother (ideally under one blanket), the more likely that the mother will not forgive the signal for feeding when the baby is startled. A child sleeping in another room risks not being heard, and mom will wake up in the morning with a hardening in her chest ...
Do not enter the lure too fast
As soon as time comes to feed the crumbs, many are tempted and in a matter of weeks, or even days, bring the lure to values comparable to the object of the adult portion. Breasts do not have time to adjust to a smaller milk production.
Feed the long
Complete the feeding when the baby sucks less and the chest becomes less full. Not the best gift you will make for your breasts, if in about a year you count the baby too adult for such pampering. Your body is not yet ready for excommunication, the breast can react with nagging.
Know how to relax during feeding
It has been noticed that mothers with breast problems are much less likely to get pleasure from the process of feeding their babies.
|Problem||Main symptoms||Body temperature||What to look for|
|Breast engorgement with: the arrival of milk (usually 3-4 days after birth), changing the composition of milk (10-18 days after delivery)||The mammary glands swell, become hard, hot and painful.||It can significantly increase when measured in the armpit. At other points - for example, in the groin or in the ulnar fold - is normal or slightly elevated.||If the child can not grasp the tight chest well, it is recommended to strain it slightly before feeding.|
|Lactostasis (obstruction of the duct, stagnation of milk)||The place where the duct obstructed, swells, painful tuberosity appears, reddening of the skin is often observed. When decanting from a certain part of the nipple, milk does not flow or flows badly.||Not increased.||As often as possible, put the baby to the chest. When feeding the baby's chin, it should be directed towards the seal. Preheating and massage of a painful lobe can help. Massage with gentle stroking movements, without strong squeezing|
|Неинфицированный мастит||The state of health worsens, the inflamed areas ache, the pain can be felt when walking, changing the position||Maybe 38 C or higher.||With an effective emptying of the breast, the condition improves within 24 hours. If worsening, consult a doctor|
|Infected mastitis||Part of the chest becomes red, hot, painful when touched.||It is increased: it lasts more than 2 days with effective emptying of the breast||Effective compresses, except alcohol (alcohol blocks gormonoksitotsin, responsible for the outflow of milk). Prescribed antibiotics should be checked for compatibility with breastfeeding.|
|Breast abscess||At the place of compaction, a cavity with purulent contents is formed||High||To find out if there is pus in milk, you need to pour a little on cotton wool - the milk will be absorbed, and pus - no|