Continuing the topic of the previous article, we will consider 5 more principles of the «nesting» method, which is intended for situations when breastfeeding is just getting better, work is underway to increase the amount of milk, there is a lactation crisis and / or anxiety in the breast.
Sleeping on the balcony or for a walk in a stroller for too long can negatively affect tactile contact, which prevents unity with mom. In this connection, it seems relevant to cancel walks (including sleeping on the balcony) if the mother cannot carry the child in her arms during the walk and apply it to her breast at first request for any anxiety of the child.
Also, in order to avoid additional unpleasant emotions, it is not recommended to walk with the child if the baby does not tolerate the fees for a walk, he is worried about the cool air, another smell, bright light, wind, etc., and also if it is impossible to avoid contact with strangers during the walk …
In addition, unlimited space and an abundance of impressions can overexcite the baby, which also does not help to recreate the intrauterine feeling of calm and security.
On a walk, there are a lot of stress factors for the baby: a large space (which, after the tightness of the uterus, can scare and disorient), an abundance of oxygen (in the womb, the child experienced hypoxia, after which it is difficult for him to adapt to an excess of oxygen in the open air), temperature drops (in babies immature thermoregulation, so they are very sensitive to temperature changes), an abundance of new impressions, etc.
Under the influence of these factors, while walking, babies can fall into deep, stressful sleep, which is why feedings are reduced, which negatively affects lactation.
In addition, for restless breastfeeding, breastfeeding during sleep, during sleep, or immediately after is an important (and sometimes the only) opportunity to try to attach the baby to the breast. Accordingly, the cancellation of walks will allow the mother to organize a joint sleep with the child at least during the day, with the baby to the breast.
In addition, exposure to stressful factors during a walk can itself lead to restless behavior in the chest. Moreover, this may not appear immediately. They put him in the carriage — shouted — rolled away — fell asleep. Once I fell asleep — we believe that everything is fine, we continue to walk. It is possible that he will stop screaming after a while, but the level of indignation will grow (after all, the need is not satisfied) and, as a result, may lead to protest, including in the form of refusal of the breast. In this case, the exclusion of walks is necessary as an exclusion of the reason for refusal.
Stress has a negative effect on the bonding of mother and child — the child receives too many signals, which prevents him from concentrating. If water procedures stress the baby a lot, he is worried before / during / after bathing, falls into deep, prolonged sleep after taking a bath, or vice versa, does not sleep for a long time, then bathing should be reduced to a hygienic minimum (about once every 3 days). At the same time, it is important that the bathing procedure itself and subsequent care are carried out by the mother personally.
Factors that can provoke stress in a child while bathing:
⛔ changes in humidity and temperatures (babies have immature thermoregulation);
⛔ large spatial volumes (the baby is used to the tightness of the uterus);
⛔ lack of support and a sense of the «finitude» of space (the child does not yet feel the boundaries of his own body, does not realize himself, does not coordinate movements);
⛔ frightening sensation of «floating»;
⛔ disconnection of contact with mom;
⛔ undressing / dressing procedures.
Under the influence of stress factors, a child may gain weight poorly, show anxiety under the breast or refuse it altogether, sleep for a long time after the procedure (deep stressful sleep, as a result of which latching to the breast is skipped), or, conversely, do not sleep for a long time or sleep is very bad. Also, the child may have increased intracranial pressure, colic may increase, regurgitation may appear.
If there are signs of exposure to stress factors, bathing should be canceled while working on the formation of lactation, increasing the amount of milk, overcoming breast rejection.
If the child, on the contrary, really likes to swim, he relaxes in the water — you can try not to cancel the bathing, but to organize them so that there is no break in unity with the mother during the bathing period. All procedures before and after bathing are performed by the mother personally + organize a joint bathing of the mother and baby. When working on giving up breast, this can be used as an additional opportunity to attach the baby to the breast (the baby lies on the mother in warm swaying water, relaxes, feels mother’s warmth, her closeness).
Practice skin-to-skin contact
This is a very effective impact, contributing to the return of trust in mom and the world in general. An increase in tactile sensations and a decrease in all others help to focus the child’s attention, to restore the natural ability to suckle the mother’s breast. Babies who practice skin-to-skin contact during the first hours of life are more likely to breastfeed effectively. They will have more stable and normal body temperature, more stable heartbeat and blood pressure, higher blood sugar, etc. Tactile contact is important further for the reasons listed, since its effect on the physical level continues not only in the first hours of a child’s life. Tactile sensations help the infant to suckle and later chew and swallow food.
The mother’s body is the most tested and reliable source of warmth for the baby. The baby is warm, comfortable and, more importantly, he feels safe in skin-to-skin contact. In such conditions, the baby is more likely to attach itself to the breast — this happens at the level of instinct and is very important not only at the stage of lactation, but also when working on giving up breast.
Moreover, the mother herself will also easily feel the effect of skin-to-skin contact — she will feel an even greater rush of tenderness and love for her baby, which triggers the oxytocin reflex, which stimulates the release of milk from the breast (if the cause of anxiety in the breast is a weak flow milk and long-term stimulation of the breast before hot flush — this can also help). The child, in turn, will certainly feel mother’s tenderness, and this will help them become even closer.
Remove all artificial maternal breast substitutes — pacifiers, nipple bottles
The correct way of feeding is inherent in the child genetically, but sometimes the baby seems to forget what is laid down by nature, because he is offered something that is not natural by nature — pacifiers and bottles with nipples, the way of sucking which is radically different from sucking the mother’s breast. In order for the baby to remember the desires inherent in nature, to learn to re-capture the mother’s breast correctly and to suck it effectively, it is necessary to remove all objects that have a different way of sucking than the breast and can confuse the baby (not only bottles with a nipple, but also pacifiers). If the child needs supplementation, then it should be given from non-sucking objects.
By replacing herself with a dummy, the mother herself contributes to the separation of close contact between the mother and the baby, since the temptation to calm the baby with a dummy and go about her own business very often outweighs the need to be with the child, to wear him in her arms, to communicate with him. This leads to a reduction in attachments to the breast, because When asked to suck, mom will periodically replace breastfeeding with a dummy. It would seem, what’s wrong with this, if there is enough milk, the child is happy, and is it so convenient for mom? However, it is worth remembering that the amount of milk does not decrease immediately, but gradually, and it will not work to return it immediately (when we come to the problem of «not enough milk»).
Mom often does not face the problem of giving up breast against the background of a pacifier. It so happens that from birth a child sucks on a pacifier, and only arranges a strike at the breast at the age of about three months. The reason for this behavior was detailed here.
A child likes to suck on a pacifier because, in principle, he needs to suck on something, and since they do not give a physiological breast, he has to be content with what he has. Baby and mother’s breasts are made for each other. However, when a foreign object for sucking appears (a bottle with a nipple or a pacifier), the “third is superfluous” law can work. And what turns out to be superfluous — a breast or a pacifier / bottle with a nipple — is a matter of time. Since pacifiers and nipples have a completely different principle of sucking — this can lead over time to problems with seizure, refusal of the breast (more energy is spent on the breast, because if the baby is not seized correctly, it receives less milk, it can catch air and experience discomfort — this can irritate him and lead to the thought “I feel good with a pacifier / nipple, but bad on the breast, so I don’t need a breast”). Besides,
Thus, when dealing with restless breast behavior, it is important to rule out all artificial breast substitutes as a possible cause of rejection (even if it did not appear immediately). In addition, a dummy is often given to the baby for sleep, namely the time before, during and after sleep is the most favorable time for trying to attach the baby to the breast.
Also, the rejection of pacifiers and bottles with nipples is intended to speed up the process of teaching the baby to suck on mom’s breast. Deprived of soothing nipples and quickly saturating bottles, the baby has nothing to do but feed and calm down naturally, stimulating the mother’s lactation.
As a rule, swaddling has a calming effect on the baby, because in the womb, the baby is accustomed to the limitation of space and warmth. Swaddling is especially important in cases where the mother needs to leave the baby to sleep, as well as if the arms, legs or other concerns of the child interfere with effective breastfeeding. At the same time, it is important to follow the rules that will make swaddling safe and comfortable. Read more about how to swaddle properly and how to get away from swaddling — here. With restless behavior near the breast, you can try to swaddle the baby and, while rocking, in motion, offer him a calm and half-asleep kiss to the breast.
It is worth noting that any recommendations should be looked at and adapted to the specific mother-child dyad. Someone likes the same swaddling, someone annoys; bathing in the bath is stressful for someone, while someone is happy to bathe and apply to the chest in water with a bang, etc. It is also important to consider the age of the child. The essence of the «nesting» method is quite universal, so it can be used at any age of a child, just for grown-up children it makes sense to correct some of the nuances of its implementation.