Abundant milk production was the hope of many breastfeeding mothers. But mothers know that the abundant milk production must be balanced with the habit of feeding the baby more often. If the mother does not work then it is not a problem, but what if the mother is an employee or a worker who must return to work after the expiry of maternity leave? This is what mothers need to know.
Breast engorgement is a condition in which postpartum breast feels very full by the ASI, tense and painful. The cause is an imbalance between milk supply and baby's needs. This condition generally occurs when the mother suddenly stopped giving her milk before their time.
Engorgement can occur:
• When you first ran in breast milk, during the first few days after birth.
• When mothers breastfeeding normal and routine, but it can not pump their milk according to milk production.
• When the mother and the baby suddenly stopped breast-feeding and breast milk consumption.
• When babies begin to reduce the breast, usually occurs when babies start eating solid food enhancement, or when the baby's illness is marked by decreasing the desire / passion to feed.
Begins producing breast milk after two to five days after giving birth. At that time your breasts will feel warm and heavy. Some mothers feel the swelling and discomfort because of it.
Breast milk is filled with excessive swelling and pain will be felt, it can stimulate the occurrence of acute engorgement, it is usually because:
• Waiting too long to nurse a newborn baby (without early initiation).
• Mother does not want to breastfeed, although the production of enough milk.
• Breastfeeding a bit so as not to evacuate and drain the breast of milk.
This acute engorgement will cause the baby to suck hard on mothers and suckle properly, so that:
• Babies do not consume enough milk.
• Breast is not quite empty and depleted.
• Putting the pain will be felt because of the broken. This is because the baby tries to suck the breast that is fully charged. If you then reduce breast-feeding mothers, the lessons will be re-inflamed and engorgement will deteriorate.
Symptom
This occurs when engorgement breast milk when breastfeeding or pumping out is not as much production is going so full of breast milk. Mothers who experience this will feel:
• Breast feels enlarged, tense and sore. When acute engorgement, the breasts will be swollen, hard, look shiny, warm and supple to the touch.
• Mom will feel the lessons were flattened, and the area around the nipple will seem darker, called the areola and very hard.
• Babies will be difficult to find the nipple, and when I found the baby will be working hard to suck the breast so the nipple can be injured due to the baby business.
• Low maternal fever (body temperature around 37.8 degrees Celsius). If body temperature continues to rise immediately to a doctor.
• Lymph nodes around the armpit to swell the mother and the sick.
Complications and consequences
Without treatment, acute engorgement will cause blockage of channels in the breast milk and cause infection of the breast known as mastitis (breast inflammation).
Care and Treatment
Swelling of the breast is no need to worry excessively and mother can treat and conduct their own treatment at home unless a symptom of infection or mastitis, which may require the mother to consume antibiotics.
These steps can be taken to treat their own mothers to reduce swelling include:
• If the nursing mother, treatment is focused on improving the flow of breast milk with more frequent feeding. Make sure baby is nursing properly and fairly. Usually with this step within 12 to 24 hours later the discomfort is felt will disappear.
• If the mothers do not breastfeed, breast enlargement will cause the breasts to stop producing milk. This discomfort usually disappears after the first variable to 5 days.
Prevention
If the mother plans to breastfeed the baby, then:
• Begin feeding the baby as soon as possible after birth and continue onwards with more often, every 1 to 2 hours while the mother was awake.
• Breastfeeding every one to two hours on the first few days this will reduce the likelihood of engorgemen.
• Make sure the breast soft enough so the baby can breastfeed correctly. If the production of extra milk, so breastfeeding mothers should be pumping out up to breast feels empty after each feeding.
• Try to breastfeed your baby no less than 15 minutes each time breastfeeding, although this may change over time of infant growth.
When the baby is already full or reduced desire to feed, then:
• If the milk production remains high, wipe or guyur breasts with warm water with a shower. Let the warm water flowed across the surface of the breast that would accelerate softening the nipple and breast milk will come out with its own excess.
• If milk flow does not feel perfect, a towel soaked in warm water can be used to mebungkus breasts before breast-feeding mothers. Stimulation of warm milk will help the flow is maintained.
• If the mother works and the difficulty to breastfeeding mothers on a regular basis so make sure to regularly manually pumping breast milk at least every three to four hours.
If engorgement had occurred and the mother still wants to breastfeed, then:
• soften the nipple and areola before breast-feeding to prevent luga start of the nipple.
• If the milk exiting the overflow by itself, it first compresses the breast with warm water before feeding.
• Breast Pump in soft tissues and membranes that contained in the breast does not hurt. Make sure the breasts sucked and drained after each feeding and the mother can save them in the refrigerator.
• To prevent swelling, tense, hard and pain caused by the mother can do:
• Taking anti-inflammatory drugs non-steroidal such as ibuproven, certainly with a doctor's prescription.
• cold compresses every 15 minutes to prevent tissue damage in the breast. Cold compresses should not put ice directly on the breast that would be harmful to tissue in the breast.
• The mother may try to use sheets to cover the breast cabbage in her bra and replace every two hours. This mode can be quite helpful, only this way could allow the production of breast milk decreases.
• Wear loose-fitting bra that does not reduce breast. Bras that are too tight can push the breast which in turn will reduce the flow of breast milk that can lead to blockage in the flow of breast milk.
If mothers do not breastfeed and experience engorgement, then the mother can do one or more of the following steps to reduce the discomfort:
• If the engorgement has happened, do not pump all the milk directly. This would likely spur increased milk production and makes engorgement worse. Breast pump to taste until the mother felt comfortable enough alone.
• Ibuproven for additional medication.
• Cold Compress
• Bra that suit their needs and not pressing.
How the choice of breastfeeding or not to remain in the mother. Remember, the quality of breast milk is not replaceable by any milk production. Then what are mothers waiting for?
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