Recently at one forum young mother from Germany posted post with recommendations of midwives and nurses of the hospital on how to care for a newborn. Among other recommendations was: 2 breasts per feeding on one minute 10-15, the second 10-15 (or release/fall asleep), start feeding with the breast, which was last seen in the latter. (c). In theory, this is the prevention of feeding lactostasis, but also contributes to the formulation of milk.
Part of mothers agreed with this method of feeding. However, some moms are perplexed by such frequent changes of the chest, because, according to them, the child will not get fat "rear" milk, respectively, and in weight add will not.
Not surprisingly, opinions are divided, moms even consultants breastfeeding, belonging to different organizations have different positions, and each theory is justified. Moreover, there is even a theory that the Fed should be of three (!) breasts (the first-second-again first).
I believe in order to understand, how often should I change the breast, it is worth to understand the process of making milk.
Everyone knows that in the mammary gland of an adult woman has any ducts with small amounts of secretory tissue. However, during pregnancy under the influence of estrogen and progesterone secretory tissue begins to grow on the ends of the ducts and alveoli are formed, the walls of which are composed of a secretory epithelial cells-laktocitov and the surrounding layer of myoepithelial cells.
From the middle of the pregnancy laktocity produce colostrum, and within a few days after delivery, under the influence of the hormone prolactin, they start producing milk. Develop speed of milk is fickle, and it depends on the degree of emptiness: the more devastated by the chest, the faster it produces milk. Accordingly, if a child is emptied when feeding one breast, then the formulation of milk in this chest will go in full swing. At the same time, the second, not with the breast milk filling process will proceed more slowly.
The fact of the matter is that a static electricity accumulated in the breast milk itself stops producing its cells. This is due to the fact that it contains a substance which inhibits the production of milk. This substance is called "factor inhibits lactation" (FIL), or "inhibitor". The more trapped in the breast milk, the more the concentration of inhibitor, the slower a new milk. During feeding or pumping an inhibitor is removed along with the milk from the breast, respectively, speed the elaboration of milk increases. In addition, laktocity stretch from large quantities of milk alveoli worse respond to prolactin. Such a mechanism invented by nature to prevent overflow of the breast and allow the child itself regulate the amount of milk from the mother.
Thus, despite the fact that the level of prolactin in the blood is the same as for a single and second breast milk develop speed may be different. Negotiated milk accumulates in the alveoli and streams, but this process, as we have learned, is not infinite. Every woman has the maximum amount of milk, which can gather in the chest, the so-called "capacity" of the chest. It can be different even for the right and left breast one mom, not to mention the different women. It is worth noting that breast size and "capacity" is not always the same.
When milk accumulates in the chest, it gradually begins to flake on the "front" (usually less fatty) and "rear" (in which fat is much more). Between the "front" and "rear" milk no clear dividing the border-jumping from one to another is going on very smoothly. This is due to the fact that more liquid part of milk between feedings gradually accumulated flows forward toward the nipple, leaving behind heavy fat molecules, which gradually are attached to each other, to the walls of the alveoli and get stuck in the ducts.
Nipple irritation tide: due to the action of the hormone oxytocin is accelerated outflow of milk, and it is thrown by channels towards the nipple. As the devastation of the breast fat molecules detach from the shark from the walls of the ducts, alveolar and begin to move through channels. Therefore, the longer the feeding, the more fat the milk secreted from the breasts, as more and more molecules of fat is pushed on the channels. Accordingly, the level of fat content in milk is the degree of fullness of breasts: the larger the break between feedings, the more filled with breasts, the less fatty milk will receive the child at the beginning of the feeding, the longer he has to reach the fatty milk.
Thus, mothers with large "capacity" chest child often cannot empty the breasts fully as much as it just didn't go down. So if you pick up such a capacious chest via 10 minutes after the beginning of the feeding, it remains still very much milk (very fatty), which may lead to laktostazu mother and child milk fat loss (which is very often the cause of the so-called "secondary lactase deficiency" and increased gas, because the "front" milk is rich dairy sugar-lactose). Accordingly, for mothers with large capacity your chest doesn't fit the method proposed by the author of the post medical staff of the hospital.
At the same time, if the mother's breast is small, this method seems reasonable: child per feeding will empty both breasts, thereby triggering mechanism accelerated a new milk. This technique is not only justified, but in such a situation and need in the early months to ensure your kid proper nutrition.
It is worth noting that the frequent changes of the chest is not relevant and even harmful in the transition from colostrum milk. Some moms breasts at this stage increases quite a bit, and it swells greatly. This is not only due to a sharp increase in the volume of milk, but also due to tide extra blood and fluid, you need to prepare the breasts for feeding. At this time, it is especially important to feed the baby often, completely emptying the breasts, since the abstract the produced milk frees up space for excess fluid, respectively, a little swelling subsides.
Dissolve bulked up chest a newborn is very difficult, and for 10 minutes he hardly cope, so consultants on breastfeeding recommends giving the child sucking one breast as much as he wants, without limiting the time-sucking and only after the child himself let go of the breast, you can try to offer him a second.
The shape of the nipple can also affect the time required for the devastation of the chest, because when properly put the nipple rests in the sky kid, thereby stimulating the sucking reflex. However, there are moms with flat and sucked the nipples. Of course, this is not an obstacle to breastfeeding, however, until the nipple is not drags, the child may not be very convenient to suck, respectively, it may require more time.
The diameter of the ducts of different mothers is also different: the narrower floodplain, the longer it takes the process of emptying the breasts. Milk can also derive a squirt or directly in 3-4 jets, respectively, milk churn rate will be different. In addition, the speed of the outflow of milk when the mother's stress, pain sensations (e.g. when cracked nipples) and other circumstances, reducing levels of the hormone oxytocin.
The kids themselves are emptying the breast at different speeds. Gipotonus, prematurity, oppression of the nervous system of the child after birth, short frenulum, the wrong grip, etc. can cause sluggish and inefficient sucking.
There are objective reasons why it does not make sense to give the second breast. For example, when a child asleep on the first breast (wake it will just be inhuman).
For us it was important the proposal the second breast at the hospital because there was little colostrum and babe gladly took the second breast. After colostrum milk changed optimal was feeding single breasted, with daughter hung on his chest from 40 minutes to 1.5 hours (all the while she was swallowing a little bit). There were several factors: undeveloped narrow ducts, retracted and flat nipples, small gipotonus daughter, establishing the correct grip. Because in the first month of baby little gained, pediatrician recommended me to feed in the same way that recommended that the author of the post.
In the evening it was still more or less, but the next morning (after the nightly feedings "one breast 10 min-another chest 10 min") I have a child and oxytocin-green frothy diarrhea and flatulence. So I realized that we don't fall into this method of feeding.
As a result of the second breast I gave in only one case: when the daughter ate first. Usually it is manifested in the fact that sometime after sucking baby began to grumble with a breast in my mouth, slamming on her hands, circling. The pharynx when it was heard. Then she stopped chest with obvious indignation, and then I offered her a second. Usually, this has happened only in the laktacionnye crises and lasted only a couple of days, then again we returned to one breast. But know the Moms who give the second breast at each feeding, and the only way the child gaining weight.
To sum it up: every body is different and, in the case of breastfeeding it is not one, but a whole two individual organisms, respectively, adjusted to the specific pair of mother-child method can be only a trial. Moreover, in different periods, this method may be subject to revision, so is more flexible with regard to this issue. In any case, after the establishment of "mature" lactation (when breasts stops so much poured into milk comes in response to sucking, and hence less stratified on the "front" and "rear"), as well as when the child increases the power sucking, the difference between feeding a breast and two becomes insignificant. The main thing is that the child was fed and satisfied!
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