Breastfeeding without prejudice to the mother

Health Tips

Sometimes the phrase “breastfeeding” is understood literally: the nipple is chewed into blood, everything hurts, there is no joy of motherhood – a solid sense of duty. What are we doing wrong? Anastasia Tabina, osteopath and aesthetic medicine doctor at the Osteo Poly Clinic, tells.

Choice of underwear

Fortunately, recommendations for actively preparing the breast for feeding are a thing of the past. Rubbing the mammary glands with a hard towel or aggressively massaging the nipples does more harm than good. Feeding is a natural process, women are naturally ready for it.

What is really worth paying attention to during pregnancy is the selection of underwear. A good bra will help your breasts form properly and prevent further ptosis (sagging). Here’s what to consider:

  • Push-ups and models with underwire are not your option until the end of feeding. Any pressure will interfere with the proper formation of the breast. Choose models that evenly support the bust.
  • Breast size during pregnancy will change 3-4 times. Take it for granted, do not persist, do not squeeze into small cups and do not skimp on underwear.
  • Ideally, you should buy cotton models designed specifically for pregnant and lactating women – they will provide optimal support.
  • It is necessary to wear a bra throughout the day: not only when going out to people, but also at home, and if the size has increased significantly, then at night.

Growth problems

How much your breasts will enlarge during pregnancy depends largely on the genetic predisposition. For some, the bust will grow from the first to the fifth size (and this happens), for others – from the second to the third. Obviously, in the first case, a change in the shape of the mammary glands cannot be avoided, even if you order a bra according to individual measurements every time.

Some girls hope to preserve the beauty and elasticity of their forms by not breastfeeding. I hasten to upset: 80% of the increase in breast volume occurs during pregnancy. Whether you will feed later or not is not so important: everything has already happened.

In osteopathic practice, such a procedure is provided as a non-surgical breast lift (after breastfeeding is completed). Manual techniques allow you to tighten the stomach and chest – “remind” the soft tissues of the position that they occupied before childbirth.

Prevention of lactostasis

Lactostasis – stagnation of milk in the ducts of the mammary glands – causes discomfort and pain in the chest. If milk stagnates for more than three to four days, there is a risk of developing mastitis (acute inflammation). One of the reasons why lactostasis can occur is the tortuosity of the milk ducts. In this case, it is advisable to prepare the breast for feeding in advance. An osteopathic specialist can diagnose the problem and cope with it even during pregnancy: with the help of manual techniques, he will prepare the tissues of the gland, relax the entire breast area and normalize the condition of the ducts. If you have not gone through the procedure in advance, of course, you can correct the situation during feeding: the main thing is not to start lactostasis before the inflammatory process. Similar preparation for feeding is needed for women who have had certain breast surgeries (partial resection of the gland, implants). Do not hesitate, even with an incomplete gland, you will be able to feed the baby.

In any case, it is very important to start feeding before the milk has arrived. For the first three days, the mother produces colostrum – a very thick substance that contains a large amount of antibodies and leukocytes to protect the child from infection, helps the formation of the intestinal microflora of the baby and prevents the development of allergic reactions in the future. The child is simply obliged to receive this most valuable food. And among other things, regular feeding in the early days is the best prevention of lactostasis.

Treatment of lactostasis

Suppose you neglected prevention and stubbornly tried to feed the child “by the clock”, despite his indignant cries … Be that as it may, now you feel a seal and pain in the breast lobule, perhaps the temperature has risen. You have an average of three days to deal with the problem without complications. The first and easiest way is to breastfeed the baby. A child is the best “cure” for lactostasis. Arrange your savior so that the chin is looking towards the “blocked” breast lobule. Then the main effort will be directed to the resorption of the problematic part of the gland.

A soft massage will also benefit – smooth stroking movements from the area of ​​​​lactostasis to the nipple. To enhance the effect of massage, you can do it while taking a bath or standing in the shower. Aggressive effects are strictly contraindicated: pressure, hard massage, warming compresses.

How do nipple cracks occur?

Sometimes a baby can injure the breast while suckling. Why is this happening? Possible options:

  • He doesn’t latch onto the chest properly because he’s uncomfortable. Do not despair: with a certain perseverance, sooner or later you will agree with your baby. Make sure that the baby completely captures the nipple so that even the halos are not visible: while the baby’s mouth is wide open, he makes sucking movements, as if “crushing” the nipple with his tongue against the upper palate. As soon as the child learns to suck normally, he will no longer injure the nipple, and feeding will become one great pleasure for both participants in the process.
  • The child has some violations of sucking, swallowing, breathing – as a result, he cannot properly grasp the nipple and injure him. If it is not possible to establish feeding as described above, there is a reason to contact a neurologist and an ENT doctor. If doctors of other specialties did not find any pathology in your baby, but the problem persists, you need to visit an osteopath. Sucking disorders can be associated with microtrauma and stress during childbirth. The osteopath will conduct a fine diagnosis and, if necessary, a soft correction of dysfunctions.
  • The most “traumatic” children for their mother’s breasts are those whose teeth have begun to grow. If you have the tools, you want to use them! Fortunately, the teeth erupt when the children are ready for the initial communication. Therefore, gently and confidently explain to your child how it hurts when he bites, and how everyone will feel good and pleased when he stops these experiments.

How to treat cracks

For healing cracks, panthenol or lanolin-based products are best suited. Preparations in the form of a cream are better: the ointment must be washed off before feeding, and the cream is well absorbed and does not require rinsing. The best assistant in healing the nipples is fresh air: do not wrap your chest at home, so very soon all wounds will heal. Small cracks are not a hindrance for further feeding. If the child has severely injured one breast, next time give him another, and carefully express milk from the injured manually. Do not bottle train your baby while he heals: if he gets used to unnatural light sucking, he will be lazy to extract milk from the narrow ducts of the breast – you may need the help of a breastfeeding specialist. Up to 3-4 months, you can retrain a child who regularly received bottle feeding and return to the breast. After 4 months, this is much more difficult to do.

Photo: shutterstock and legion-media

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