THE MATERNAL LACTATION

cow-milk The lactation to the chest is not single beneficial for the boy, but also for the mother, who, in her narrow relation with the suckling baby, will receive an involution of her maternal feelings. To give the chest to the son means, in effect, to prolong the privacy and the symbiosis created during the gestation.

Maternal milk is without a doubt the natural food of the boy.
And nevertheless, the number of mothers whom the chest does not give to its children very is elevated, although at the present time it is it less than in the past.
The reasons by which the modern mothers resign to give the chest to the children are very numerous and not all easily identifiable.
Let us try to remember some here.
There is no doubt that the fashions condition of remarkable form our behavior, more than what it is wanted or it is possible to be recognized.
Probably many mothers do not give the chest to their son simply because it seems an action of another time, existing in addition as artificial milk exist that are as good as the natural one; on the other hand, the conviction that occurs giving the chest to the boy he is uncomfortable. Nevertheless, next to these subjective reasons, objective ones exist other. In the first place, the type of obstetrical attendance.
She is demonstrated that one of the first causes of the diminution of the frequency of lactation to the chest resides nowadays in the form of organization of the modern services of obstetrics, in which the mother and the son keep little contact in the first days after the childbirth, the neoborn one receives artificial milk in a moment and the mother is not informed into the advantages of the maternal lactation.

THE PREPARATION

teta The most important rule so that the maternal lactation follows a good course is that the mother is convinced that wants to give the chest to its son. So that it takes place, it is necessary that the mother is determined to give the chest to her son from the moment at which knows that she is pregnant or, at least, in the last months of gestation. During this period, that is to say, in the months previous to the childbirth, it must begin to observe if their breasts are adapted for the lactation. Taking between the thumb and the index the mammary areola and approaching the fingers to each other sees if the nipple excels normally, which favors the suction. Otherwise, daily massages with the hope can be carried out of which they cause the protrusion of the nipple. In the last days of gestation, the mother must begin to wash the galactophoros nipple to clear of obstacles, if outside necessary, conduits and can begin to express some drop of colostrum. For it, she will have to take with both hands the breast from the periphery and to compress it. Of this form milk will be pushed towards the interior of the conduits; in a second time, the mother will have to hold the breast from the base with the hand of he himself side and to soon express the nipple with the index and the thumb of the opposite hand. If, arrived the moment from the childbirth, the massages had not produced the protrusion of the dissuaded nipple, the lactation still can be possible by application of a plastic or glass milk extractor. By the others, the preparation of the breast for the lactation takes place of spontaneous form. Thanks to the action of two hormones, the folliculin and the progesterone, take place the development of the glandular weave and the lactiferous conduits. At the moment of the childbirth, an abrupt fall of the numbers of foliculin and progesterone is registered and takes place the secretion of another hormone, the prolactose, on the part of the gland previous hipofisis. Of this form, the milk secretion begins. It is a this process that takes place in two times: secretion of milk to the conduits from the mammary glandular weave and excretion of milk to the outside through system of lactiferous conduits. Once the secretion has begun, it is necessary to consider a series of principles so that this one continues normally, like for example that the breast is no secretion yes is not stimulated by the suction, according to they demonstrate to the practice and the experimental studies. These last ones have shown that different manipulations from the breasts (as for example the tie of the lactiferous conduits) does not stop the milky secretion if the suction continues; and, on the contrary, if measures are taken that disable the suction of the breast or that they numb it, the secretion stops. On the other hand, the milk secretion is interrupted if the breast is not totally empty. From this point of view, problems do not exist when that suck the breast is a sufficiently great boy and strong thing. Without a doubt some, will be able and have appetite sufficient to drain the chest completely. Nevertheless, yes problems can appear during the first days of life of the boy or if it is a weak boy. When such conditions occur, the chest must manually be drained after the taking or by means of “pump”. During the suction, the young taking in its mouth the nipple and the areola, exerting a negative pressure equivalent to about 200 mm of mercury. The penetration of the nipple must be deep, so that the boy can support his lips on the skin that surrounds the areola; only thus they will be able to start off of this one stimuli that will induce the contraction of the lactiferous channels and will determine the exit to the outside of milk. So that the act of the suction can take place, it is necessary that the boy is comfortable and that the mother is not bothered.

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