causes of insufficient breast milk
Familiarity with the causes of insufficient breast milk
1) The notion of inadequacy
2) Inadequacy really
The first category: mental (the idea of inadequacy)
Causes of this mentality: Frequent waking up at night, sucking hands, dilute appearance of breast milk, rapid breastfeeding, increased feeding frequency, reduced sucking time, reduced milk leakage, shrinkage and softening of the breasts, non-angina of the breasts, lack of The possibility of breastfeeding, excessive crying of the baby (causes of crying: hunger, cold, heat, loneliness, discomfort, clothing, relocation, excessive irritation of colic, etc.) Infants should be monitored regularly and the mother should be assured that the volume And the quality of milk is good.
Second category: real (1- primary 2- secondary)
In 25% of women, breast milk is not really enough (no milk from the beginning)
Causes of these early cases:
Sheehan syndrome – anatomy (glands) surgery (surgery on the mother’s breast) – older age of the mother – radiotherapy for maternal diseases
Secondary:
Related to maternal and infant factors.
A: At first, breast milk is high, but then it decreases rapidly – for whatever reason, sucking decreases.
B: Due to problems between mother and child (sucking distance is longer).
Maternal causes of nipple pain – Separation for any reason of separation of mother and baby that occurs – Re-pregnancy – Melestitis (inflammation of the breast) Estrogen hormones (contraceptives are now relatively banned) – Diet for weight loss.
Causes of infant: prematurity – underweight – hypotension – ???? – Asphyxia – Down syndrome (usually cleft palate or heart failure (breastfeeding and breastfeeding is not possible) – Systemic heart disease – Respiratory – Oral problems –
Drowsiness – Breastfeeding – Short sucking – Excessive pacifier sucking – Auxiliary milk – Long feeding distance
Note: should not worry about excessive crying or progressive drowsiness)
The notion of insufficient breast milk: The main reason for using complementary milk.
In general, weight gain of less than 500 grams per month is an indicator of insufficient breast milk.
Treatment without finding the cause is always dangerous.
Due to the mother’s worries and anxieties – pain – separation of mother and baby – low contact between mother and baby – causes less secretion of breast milk.
If the baby wakes up late, it is better to breastfeed every two hours.
It is preferable to breastfeed regularly.
Prevention of maternal and infant danger signs:retraining the mother in breastfeeding
Use of fully automatic electric milking machine
Weigh the baby
Delay in using auxiliary milk
The use of complementary milk at the end of breastfeeding without complete emptying of the breasts reduces breast milk.
Causes of insufficient breast milk
producer:
Marjan Fallahi (Midwifery Expert)
Training Supervisor:
Sarkar Khanum Simani
Source:
Breast milk by Richard J. Scanner
Translation:
Confirmer: Dr. Pishvaei
Date of preparation: Spring 2013
Review: Fall 97