The number of women who are breastfeeding has been steadily declining in all countries of the world, and by the year 70, according to the World Health Organization, only about 5% of women were breastfeeding their children in the first year of life.
In 1968, a well-known American pediatrician inadvertently remarked: "Feeding with artificial mixtures has become so simple and safe that, apparently, there is no longer a problem with breastfeeding." After such words, the number of nursing women went down sharply. And by 1970, according to WHO, only 5% of women were breastfeeding children under one year old.
Today, hypogalactia (insufficient lactation) is a universal phenomenon. Up to 60% of modern mothers have a shortage of breast milk.
Why does milk disappear?
- In diseases of the thyroid gland or diabetes mellitus, hormonal disorders occur in the mother's body. The amount of milk is reduced or it is disappearing.
- Preterm birth, late attachment of the baby to the breast - all this can affect the quality of lactation.
- Hard births, non-observance of the daily routine, poor diet, deficiency of vitamins, micro, macrocells, amino acids - all this also affects the production of milk.
- Premature babies suck worse than those born on time, and milk production from the mother can again go down sharply.
What will help maintain breast milk?
Daily massage of the mammary glands will relieve pain during feeding.
A cold compress will reduce swelling and pain after feeding.
Nipple cracks can be healed with breast milk. Grate the milk over the nipple and halos and allow the milk to dry.
Massage protects against mastitis, or inflammation of the breast. It is necessary to massage from the affected area towards the nipple. This will help release stagnant milk from the milk ducts. If you have mastitis, your doctor may prescribe antibiotics, and after a while you will be able to feed again.
A nursing mother should drink at least 2 liters of fluid per day. The diet should have all the nutrients - at least 3,500 kcal.
It is necessary to feed the child at his request. Frequent feeding increases the amount of milk in the first two days.
Great help to stimulate lactation.
For a long time, scientists around the world were looking for effective and reliable means to increase lactation. Women resorted to "folk remedies."
The most famous means in Russia for increasing lactation is sweet tea with milk. Mom needs a plentiful drink, it is, but not all infants tolerate cow's milk protein well. In addition, milk sugar is the cause of gas in the intestines of the baby.
The second most popular tip is “drink herbs or lactogon teas.” However, many seemingly harmless herbs can cause a strong allergic reaction in a child. You should also carefully consider the biologically active additives (“lactogonous teas”) sold in pharmacies. They are often given out as special herbal teas. In fact, these drugs are not medicines, therefore, they have not passed scientific clinical trials and do not have proven effectiveness in increasing lactation.
In 2009, a team of scientists from the Department of Obstetrics, Gynecology and Reproductology of the National Medical Academy of Postgraduate Education conducted clinical studies of Apilak Grindeks in the complex therapy of hypogalactia, the main active ingredient of which is Apilak royal jelly. 86 women participated in clinical trials.
As a result of the study, it was found that "Apilak Grindeks" helps to effectively increase lactation for the most common causes of hypogalactia: nipple cracks, overwork of the mother, later application to the breast, improper feeding technique. The volume of breast milk for 1 feeding already on the 3-4th day of taking Apilak increases by 30-60 ml, and in some cases - by 120 ml. The effectiveness of a 2-week course of treatment when using Apilak Grindeks » 1.5 times higher compared with conventional means to improve lactation.
What is the secret of royal jelly?
Royal jelly is the secret of the glands of working bees. Bees feed their larvae and uterus with this milk. But if the larvae eat milk only in the first two days of their life, then the uterus feeds on them all their lives, therefore it is much more than ordinary bees and lives for almost 5 years (40 times more than working bees). Due to this, the wonder milk during the laying period, the queen bee is able to lay more than 2,000 eggs. And the life expectancy of a queen bee, feeding exclusively on royal jelly, is 6 years, while working bees live only a couple of months. For good reason, the uterus is called the queen bee (BeeQueen), and royal jelly - royal jelly (Royaljelly).
What is the benefit of royal jelly for breastfeeding?
The whole secret is that royal jelly is close in composition to breast milk. It contains vitamins A, C, groups B, E, K, folic acid, which is necessary to create new cells. Therefore, this acid is so necessary for infants - during a period of rapid growth.
Apilak Grindeks based on royal jelly contains all the nutrients necessary for the child: easily digestible proteins, fats, carbohydrates. Together with them, the baby receives all the necessary enzymes for the breakdown of nutrients.
Royal jelly has a general tonic effect on the body of a nursing mother, in particular, improves the function of the mammary gland.
Like breast milk, royal jelly contained in Apilak Grindeks is completely sterile. This beekeeping product helps strengthen the immunity of the baby and nursing mother.
Royal jelly helps restore the mother's body and relieve stress after childbirth. So, in the course of scientific research it turned out that taking Apilak Grindeks, nursing mothers decreased irritation, fatigue, symptoms of depression disappeared, and as a result, the amount of milk increased.
The natural preparation Apilak Grindeks based on royal jelly is absolutely safe, therefore it can be taken during pregnancy and lactation. The course of treatment lasts from 10 to 15 days.
Ways to increase milk production
Lactation deficiency appears for reasons:
- individual structure of the female body, in which breast milk is produced less,
Women due to a primary lack of milk begin to feed with a mixture. It’s more logical not to do this. The quality and quantity of lactation is affected by the hormone oxytocin, which is excreted in the body during stimulation of the nipples, contractions, orgasm. The last 2 cases are associated with uterine contractions.
We conclude: in most cases, milk production increases due to the frequent application of the baby to the breast. There are other additional ways to increase lactation at home.
Watch a video on how to increase breast milk production:
Rest from domestic stress
Great responsibility for caring for the baby, household chores rests with the woman. The mother of the child does not have time for herself. Due to stresses arising from household chores, milk production is reduced.
To avoid stress in the mother of the newborn after the birth of the baby, distribute household chores between the parents. If the father of the child works often, young mothers are advised to sleep according to the regimen of the baby, and not torment the body with household chores.
Complete balanced nutrition
In the diet of a nursing mother, the pediatrician recommends including a maximum of useful products that increase lactation: nuts, oatmeal, cereals, beans. Oatmeal or oatmeal cookies are best eaten in the morning or as a snack. In Asia, as a lactogonous product, they eat green papaya with soup.
Most mothers of babies up to three months start the fight with extra pounds too early. It is good if the diet of a nursing mother consists of 1500 kcal or more, taking into account the daily energy consumption. Vegetables and fruits cannot be excluded from food. Watch a video about balanced nutrition on GV with children's doctor Komarovsky:
Breast massage and pumping
At the beginning of breastfeeding, when the baby is not yet a month old, a breast pump helps young mothers. While breast milk is produced a little. Over time, the infant's appetite increases, and the need for milk increases.
You can increase lactation through constant pumping with your hands or a breast pump along with breast massage. The latter helps to get rid of lumps in the chest, if there is more milk than the baby needs. This prevents the development of mastitis and lactostasis.
Breast knead between feedings. You can try massaging your chest with a shower. Hot water activates lactation.
Frequent attachment to the chest is an easy way to increase lactation. Nipples are constantly stimulated, leading to increased milk production. It is necessary to monitor the fat content of breast milk. The child ate or not depends on her.
The fatter the milk, the more value it has. Fat content is different in color. If breast milk is blue in color, it is low-fat. When the cream is separated from the milk after an hour, then it is oily. In the first case, it is better to feed the baby a little so that he does not completely refuse to breastfeed.
Babies love to suck. It calms them. Therefore, nipples were invented. But, if a woman wants to increase lactation, it will be necessary to separate the baby from the nipple for a while. A couple of days at nighttime, the child is recommended to give the breast, even empty, to stimulate the nipples. Sometimes pacifiers prevent the baby from learning how to grab the breast.
Lactogon teas: ranking of the best
Teas for lactation help increase lactation. They are drunk exceptionally hot to warm everything inside. Consider the best teas for lactation to nursing mothers:
- BEBIVITA. It costs 185 rubles. The composition includes lemon balm for sedation, hibiscus with anti-inflammatory properties and a tonic nettle. Moms note the rich taste and ease of brewing tea. The only drawback is uneconomical consumption.
Grandma’s basket. The price is in the range of 70-100 rubles. The Russian manufacturer included anise, caraway, fennel, lemon balm and rosehip with nettle in lactation tea. The instructions indicate that tea improves digestion in mom and relieves the child of colic. This manufacturer still has teas for babies: with chamomile, you can drink from 1 month, with rose hips from four.
Lactomama Evalar. Another tea for nursing mothers from the budget series. Sold from 90 rubles. The composition contains essential oils, due to which the woman relaxes and milk flow increases. Tea is brewed for 10 minutes. To begin with, they try a little bit, because allergies can appear.
Breastfeeding is the best a mother can give her baby. Therefore, when there is not enough milk, you can not despair. Often, women establish GV by the methods listed in the article.
Have you had lactation problems after having a baby? Tell us about it in the comments. Share the article with your friends on social networks. Thanks for attention.
The text of the scientific work on the theme "Problems of breastfeeding. How to increase lactation? (experience exchange)"
E.S. KESHISHYAN, MD, professor, Russian National Research Medical University named after N.I. Pirogova of the Ministry of Health of Russia, Moscow
CHALLENGES OF BREAST FEEDING
HOW TO INCREASE LACTATION? (EXPERIENCE EXCHANGE)
The article analyzes the problems that arise during breastfeeding, and possible ways to overcome them.
breastfeeding babies hypolactation
Breastfeeding is an absolute nutritional priority in the first year of life. The effectiveness of the effect of breastfeeding on the growth and development of the child is described in articles and manuals of foreign authors and our compatriots 1-6. However, pediatricians who have direct interaction with young parents and advocate for the undoubted support for breastfeeding, confident in its necessity, still often "come to a standstill", trying to understand why the baby reacts restlessly to breastfeeding? Why does the baby begin to cry near the chest, often come off and worry about the nipple? Why does the child have relatively short periods of sleep, sleep is superficial and sensitive? Why do "intestinal colic" occur as with artificial feeding? What can and cannot be eaten by mom? How to understand whether there is enough milk in such a situation, etc. There are a lot of questions.
HOW TO SUPPORT Adequate lactation?
Breastfeeding is a sequential and continuous process. The key to success is compliance with the technique of applying the baby to the breast and the psychological preparation of the mother. Failure to comply with these conditions leads to disharmony between the mother and the child, which helps to reduce lactation and premature termination of breastfeeding in the first months of the baby's life.
The first alarming factor, often supported by neonatologists and obstetricians, is the idea of hypogalactia.
Hypogalactia is a decreased secretory ability of the mammary gland. However, true hypogalactia is extremely rare and, according to world statistics, is not more than 1% 1-3. Most often we are talking about secondary hypogalactia associated with “external factors”, for example, medication: ■ suppression of prolactin synthesis during stimulation with oxytocin in labor,
■ the effect of narcotic drugs during cesarean section surgery (it should be noted that in modern obstetrics practice there is a tendency to minimize the use of these drugs).
Hypogalactia is also caused by improper breast emptying and emptying, lack of psychological motivation for breastfeeding 3, 4. However, even if it seems to the mother that “she does not have milk”, it is advisable to convince her to put the baby to her breast more often, because one more of the reasons that violate the physiology of breastfeeding is the late start of breastfeeding.
The practice of "separate stay" in maternity hospitals, feeding the child on a clockly basis with a 3 or 3.5-hour break often leads to a mismatch in the maximum food reflex and the production of enzymes in a child with a dictated feeding time. This leads to the fact that children are forced to “feed” with mixtures or “milk” in children's wards most often from the horn, and by the time of feeding they cannot fully suckle their breasts. Thus, secondary hypogalactia, breast abandonment, a large loss in the child’s body weight, up to the need to use intensive infusion therapy methods for correction, etc., are formed.
The practice of "separate stay" in maternity hospitals, feeding the child on a clockly basis with a 3 or 3.5-hour break often leads to a mismatch in the maximum food reflex and the production of enzymes in a child with a dictated feeding time
Thus, counseling by neonatologists and especially baby sisters in the first days of a child’s life and the support of a young mother these days is one of the main tasks of the neonatal service of the physiological maternity hospital and one of the main guarantees of prolonged breastfeeding. In addition, proper attachment to the breast will determine the absence of nipple cracks and pain, which also reduces milk production and complicates the process of sucking.
Hypolactation is a secondary decrease in lactation after a period of normal lactation. The correction of this condition is the frequent attachment of the child to
8 MEDICAL COUNCIL •
breast, even every hour, and this can lead to the restoration of lactation. Hypolactation crises may occur one month after delivery every month, coinciding in time with the actual or estimated menstrual cycle. Hypolactation crises occur with increased stress, excessive sweating, stress.
Hypolactation crises are a physiological and functional phenomenon, reflecting to some extent the adaptation of the mother's body after childbirth. The task of the medical worker is to explain to the mother the possibility of the appearance of such episodes and teach her how to act in such situations. Unfortunately, often the doctors themselves very easily diagnose “hypogalactia” and advise feeding the baby with mixtures. This practice very quickly leads to the consolidation of hypolactation and the forced transfer of the child to artificial nutrition.
Hypolactation crises may occur one month after delivery every month, coinciding in time with the actual or estimated menstrual cycle. Hypolactation crises occur with increased stress, excessive sweating, stress
The possibility of hypolactation crises is determined by the "periods of formation of breastfeeding", which include:
Preparatory - the formation of the psychological attitude of the expectant mother to breastfeeding.
The period of mutual induction is the time from the first application to the breast after childbirth to a significant secretion or "rush" of milk on the 3-5th day.
The adaptation period is from an irregular regime to the formation of a steady rhythm of hunger and satiety.
The main period is feeding at constant or increasing intervals. Sustained weight gain.
The most difficult for the formation of breastfeeding and its prolongation is the adaptation period, which lasts 1-2 months. At this time, the baby has an unstable rhythm of hunger and satiety, and the woman has an unstable rhythm of milk flow. That is why the so-called feeding on demand. This is not a random, chaotic feeding, which, according to some pediatricians, violates the rhythm of digestion. On the contrary, the mother, as it were, submits to the formation of the individual rhythm of the child, and together they create a feeding regimen, which can have unequal intervals throughout the day. The most problematic and requiring psychological setup in the family is night feeding and rejection of the idea of a mandatory night break to provide “rest” to the gastrointestinal tract. The biological clock, the duration of sleep and wakefulness, the child forms himself, gradually and in accordance with the natural
Manufactured under pharmaceutical conditions
Herbal tea with a lack of breast milk
Helps to increase the volume of breast milk up to 45%. Increases the duration of natural feeding. Reduces bloating and improves baby's appetite. Does not affect the taste of milk.
DO NOT BE A MEDICINE
Ekolyushy distributor: LO "Eurogakt". СГР № RU.77.99.88.003.E012301.11М dated 17122014 d. Manufacturing Ai ^ Krlnctsihge ^ s ^ board, due u ^ 1 ^ ayusrl k'f Sgykya, y: 1 No.. £ 3.25
Dietary supplement. BEFORE APPLICATION IT IS RECOMMENDED TO CONSULT A DOCTOR
needs. In the first month of life, there is no difference for a child between day and night, respectively, and the diet may not differ, but in the future the concept of “night sleep” begins to prevail over daytime, especially when the “night reflex” is correctly formed (bathing in one and the same at the same time, the uniform actions performed when the child is put to sleep at night). If a young mother asks after 2-3 months, how long the child will eat at night, that she does not get enough sleep, etc., then we can say that such a woman is completely not psychologically ready for the process of breastfeeding. After all, night feedings can normally be maintained for 2 years.
A nursing mother must eat properly and fully. Although the risk of developing an allergy to various products in a child exists, however, its significance in recent years seems to be greatly exaggerated.
In practice, one has to repeatedly encounter situations of severe restriction of nutrition of a nursing mother. So, any changes on the skin of the child, which may not be a manifestation of an allergy at all, force doctors to exclude a wide range of products. At the same time, mother’s milk is “complementary to the baby,” and a true allergic reaction is extremely rare, even for products of "high risk" such as chocolate, citrus fruits, coffee, etc.
However, only good nutrition and an optimal drinking regimen can help maintain lactation and end the hypolactation crisis, which is relatively painless for the child.
A feature of the use of herbs is the cumulative effect, so wait for the influx of milk after a few days of regular intake
In addition, there are special tools - teas and herbal preparations, which can activate lactation. An example of such a remedy is Phytotea Lactafitol®. Its composition includes a balanced set of herbs that have historically proven their properties by folk experience. So, the fruits of ordinary fennel (dill of a pharmacy) and the fruits of anise, the fruits of ordinary caraway seeds and dioecious nettle leaves have been used since ancient times as milk products and to improve the functioning of the digestive organs, having a carminative property. The method of application of this herbal collection is standard - pour 1-2 filter bags with a glass of boiling water (200 ml), cover and leave for 15 minutes, take 1/2 glass 2 times a day with meals. Duration of admission is 2-4 weeks.
When using milk-tea teas, it is necessary to remember two main things: the mother should not be intolerant to any component of the collection. This requires careful reading of the composition and analysis, while
Have each of the components of the collection ever been examined, or an unusual reaction occurred.
In addition, in the postpartum period, the woman’s immune and endocrine systems change very much, and even if there were no previous reactions to the components of the collection and the woman, in principle, often took similar collections for malaise, now, during lactation, the body’s response can be pathological, so the first technique is best done in the morning and carefully analyze your own condition and the condition of the baby.
When using milk-tea teas, it is necessary to remember two main things: the mother does not. there should be intolerance to any component of the collection
A feature of the use of herbs is the cumulative effect, so wait for the influx of milk after a few days of regular intake.
If there is no acute reaction to the herbal composition, then such teas are, of course, a useful and safe means of maintaining lactation, correcting hypolactation crises, normalizing the function of the gastrointestinal tract in the baby and, ultimately, improving the general well-being and mood of the nursing mother.
Thus, it would seem that the absolutely natural state of lactation and absolutely natural feeding, which allowed to save and develop humanity, has many nuances and problems that a pediatrician needs to know about. This will allow, on the one hand, to take into account the peculiarities of postpartum anxiety in a woman’s condition and, on the other hand, the “interests” of the baby in striving for the most physiological adaptation in extrauterine life, to go through the difficult period of the first months, help support breastfeeding and keep it for the whole first year of life.
1. Feeding children of the first year of life. Physiological basis. WHO Bulletin. Ed. James Acre Geneva, 2002.
2. Feeding and nutrition of infants and young children. Guidelines for the WHO European Region with a special focus on the republics of the former Soviet Union. Unisef-WHO. Copenhagen.
3. Breastfeeding and the psychological unity of "mother-child." EAT. Fateeva, J.V. Tsaregradskaya. M., 2000.183 s.
4. Help for mothers to breastfeed / F. Savage King. 1995.172 s.
5. The national program for optimizing the feeding of children of the first year of life in the Russian Federation. 2011.
6. Nursing care for a newborn in an outpatient setting. Ed. DI. Zelinsky. M., 2010.165 s.