Breast-feeding Problems
Some women do not produce much milk while in the hospital, but produce more when they return home. Until there is enough milk for the baby’s needs, a supplementary bottle may be given, but only after (never instead of) breast-feeding. Substituting a bottle for breast feeding will actually prevent the development of a steady milk supply since the baby’s sucking stimulates the breasts to produce more milk. Frequent nursing, therefore, helps to increase the supply.
It is useful to know before the baby’s birth how to press out (express) milk from the breasts. Have a sterilized cup ready. Wash your hands and make sure they are warm. Sit comfortably at a low table with the cup on the table just under your breast. Massage the whole breast with both hands. Then, with thumb and forefinger of one hand, squeeze the milk reservoir deep behind the areola. Slide thumb and forefinger through 90 degrees round the areola and squeeze again, making sure that all the milk sacs are emptied. Meanwhile, with the other hand, massage the breast gently from top, side, and bottom toward the areola. In the hospital, a hand pump may be supplied with instructions on how to use it. Some hospitals use electric pumps. A close-fitting funnel is placed over the nipple, areola, and breast tissue, and the milk is withdrawn by gentle suction produced by the pump. An experienced nurse can provide useful suggestions on the use of the breast pump after the birth of the baby. Such pumps are well worth learning about as they allow the nursing mother increased flexibility, especially if she plans to return to work shortly after the birth of the child.
Engorgement may occur at the beginning of the milk-producing cycle. The milk-making cells enlarge following hormonal stimulus and an increase in the blood supply. The process lasts for two to three days and in many women causes the breasts to swell painfully. Cold compresses and a mild painkiller should relieve the condition. Nurse the baby frequently, applying warm compresses before feeding. Put a little oil on the breast and express gently.
A relaxed attitude is important to correct any insufficiency in the supply of milk. Follow a sensible diet and eat a little more than was necessary during pregnancy. Drink plenty of liquids, about five pints a day, especially before and during nursing. It is very important to drink at least a quart (four 8oz glasses) of milk a day. Get enough sleep and rest whenever possible. Apply hot and cold compresses before nursing. Let the baby nurse frequently, emptying the breasts at every feeding.
