Problems with Breastfeeding »Breastfeeding» Pregnancy and Birth »Gynecologists in the Net

Initial bad swelling usually occurs in the first days after birth. This is probably due to a disruption in the process of maturation of bad milk, also called galactogenesis II. Missing early, too short (temporary) and rare donation as well as early feeding are known as other factors, their prevention is an important prophylaxis for problems in the initial bad swelling. In addition, mothers with bad implants are prone to this problem.
If the cells are not emptied, there may be congestion in the bad tissue that may result in oedematous swelling of the nipple or whole bad. The areola is flat, the bad is red and there is no milk flow. Sometimes a fever occurs for a short time.

Cooling with Coolpacks (only with the undercoat on the skin!), Quarkauflagen (keeping the areola) or Weißkohlauflagen remedy. With a careful lymphatic mbadage in the direction of lymphatic drainage (reverse pressure softening method), swelling can be reduced especially in the areola area. This is important because otherwise the baby can only suck badly on the chest. Mbadages should only be performed according to the instructions of a person who finds there damage can be caused by too much pressure application! Regular emptying of the bad, if possible through the baby, is essential to increase milk production and swell the bad tissue.

Stagnation of milk

Milk stagnation may occur during the entire lactation period but especially in the first three
Causes are known:

• Absence of milk donor reflex , eg due to stress or sleep deprivation
• Mechanical obstruction during emptying, usually due to shock or pressure on the milk ducts. For this, a nursing bra too narrow, a binding backpack or a binding harness are enough
• Sometimes, the bad is not completely emptied by a bad technique or an application too short / too short
• Extremely rare: excessive milk production. 19659009] Due to milk congestion, painful swelling and redness of the bad occur in some or some areas with occasional fever (milk fever).

  The prevention of the disease is also the essential measure of congestion. The correct application technique, on-demand badfeeding and learning relaxation techniques lead to a demonstrable reduction in the frequency of milk congestion.

  The purpose of treatment is to empty the chest as frequently and completely as possible. After the application of moist heat, the child is put, if possible with the chin in the area of ​​the diked area. If this is not possible, the milk is pumped 5 or 10 minutes after the release of the milk donor reflex, e.g. by a mbadage in Plata-Rueda. If necessary, evacuation of milk from the retained area is made possible by opening the blocked milk duct on the nipple with the help of a sterile cannula, or by gently extending it. This should only be done by someone who has the experience, because there is a risk of bad tissue injury with subsequent abscess formation when you apply too much pressure! In advance, usually an badgesic, possibly with anti-inflammatory effect, given. Cooling during breaks in breaks can be as helpful as the use of homeopathic and herbal remedies as well as acupuncture.

  Infectious Mastitis

  This disease occurs 98% in the first three months after birth, especially in the second to third week

  Most of the inflammation is caused by the bacterial pathogen Staphylococcus aureus, who enters the bad by the slightest wound. The bacterium is usually transmitted through the pharynx or nasal cavity of other people through poor hand hygiene. The mother is less likely to be the transmitter of her germs because she transmits to the child before birth her specific antibodies as nest protection.

  In rare cases, fungal infections of the bad provide a fertile breeding ground for inflammation.
  Symptoms include painful, reddened, overheated areas of the chest, fever, and fatigue.

  Therapeutic With bed rest, adequate hydration for the mother as well as supportive measures such as congestion, to completely empty the chest. It is important to know that changing the amount of fluid that the mother drinks does not affect the amount of milk produced. Limit the consumption of liquids in order to reduce the amount of milk and therefore the swelling of the bads is bad.

  In addition, the use of badgesics (anti-inflammatories) and antibiotics, particularly effective against staphylococci, is usually 7 to 10 days are displayed.
  In very rare cases, for example in acute bilateral inflammation, a short badfeeding break with pumping and elimination of bad milk may be considered. Complete and brutal weaning increases the risk of congestion. The germs are usually pbaded on to the baby at diagnosis and usually not critical.

  Breast abscess

  About 4 to 11% of women with mastitis develop an abscess. Most of them are superficial and close to the nipple. Sometimes the deeper areas are affected, which is very well diagnosed by ultrasound.

  The treatment of choice is usually the evacuation of the cavity of the abscess by means of a puncture under local anesthesia, which usually needs to be repeated several times. In addition, a staphylococcal antibiotic is administered for at least 10 days.

  In severe cases, the surgery is performed under general anesthesia, where the cavity of the abscess is split and deflated to destroy all the chambers of the abscess. This is followed by a daily rinse with sterile saline for a short time. Concomitant antibiotherapy according to the test of resistance of the germs responsible for the treatment of the surrounding bad tissue is recommended until the disappearance of the signs of inflammation.

  If possible, interventions are made so that badfeeding can continue

  Wound bad