Breastfeeding: Mεdikal sכlushכn fכ engorgement, breast engorgement, εn milk shɔtat Breastfeeding 🤱🍼

Nirupama (age 25) kam na mi klinik las Tuesde, wan nyu mama we bin geht in fes pikin 4 de bifo. I bin taya pasmak ɛn i bin de kray.

"Dɔkta Priya, mi tu brɔst dɛn at lɛk rɔk ɛn i de at bad bad wan. Di pikin de kray bikɔs i nɔ ebul fɔ latch pan di nipple. A de wɔnda if a nɔ gɛt inof milk fɔ gi di pikin," Nirupama bin tɔk bɔt in fred ɛn pen.

a kol am dכn εksplen se: "Nirupama, yu de fεs wan rili kכmכn kכndyushכn we dεn kכ l brεst εngjεmεnt insay mεdikal tεm dεm. Insay di fכs wik afta dεn bכn, di brεst dεm de swεla εn i de at biכs di blכd εn limf fכluid we de kam insay di brεst wan tεm εn di milk de prodyuz. Dɔn, di nipl εn di dak εria we de rawnd am (areola) de flat εn strεch, we de mek i at fכ." di pikin fכ lat fayn fayn wan b כ ku pipul dεn kin tink se dis na ‘lack of milk’ (lack of milk) . kɔrɛkt wan."

🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm

Di nɔmal diskɔmfɔt we yu kin gɛt we yu de gi yu mama in bɛlɛ go dɔn insay sɔm dez, bɔt yu fɔ go to dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn sayn ya we de wɔn yu:

• Na wan brɔst nɔmɔ i kin fil bad, i kin gɛt sɔri-at, i kin rɛd, ɛn i kin gɛt fiva (dis kin bi sayn fɔ mastitis, we na infekshɔn na di bɔdi).
• Siriɔs wata we de kɔmɔt na di nipple ɔ blɔd de kɔmɔt, di nipples krak, ɔ i de at.
• di pikin de sho sayn dεm fכ dεn wata - lεk fכ pis lεs dan 6 tεm insay 24 awa, i de urine dak yכlכ, i de slip pasmak, כ i de lכs in wet.
• di pikin in wet we dεn bכn nכ de inkrεs sכmtεm ivin afta 10 dez afta dεn bכn am.

Di men tin dɛn we kin mek di milk nɔ gɛt bɛtɛ milk

Bɔku mama dɛn, pan ɔl we dɛn nɔ rili gɛt shɔt milk, dɛn kin ridyus dɛn milk we dɛn de mek bikɔs dɛn nɔ de du di rayt we:

• Poor Latch: di pikin nכ de latch pan di brεst fayn fayn wan, we de mek dεn nכ de pul di milk fayn fayn wan.
• di bεlε we dεn de gi bεlε dεn dכn dכn: Nכ de gi pikin bεlε fכ pas 3 awa.
• Yuz atifishal milk ɛn sup: We yu gi di pikin fɔmula, i de ridyus di mama in milk we i de drink.
• strεs εn fכ fred: we di mama de כnda siriכs strεs, di sekreshכn fכ di כmon כksijεn frכm di pituitary gland de inhibit εn di "let-down rεflεks" de dεaktiv.

Aw fɔ kɔntrol di bɔdi we de bɔku?

Fɔ fala dɛn tin ya we yu bɔdi tayt, akɔdin to di fizik tritmɛnt ɛn klinik advays:

1. Wam Kɔmprɛs Bifo Yu Gi Masta: If yu put wam tawɛl pan yu bɔdi fɔ sɔm minit bifo yu gi yu mama in bɛlɛ ɔ yu wam shawa, dat kin ɛp fɔ mek di milk dakt dɛn rilaks ɛn mek i izi fɔ mek di milk flɔ.
2. εksprεshכn wit yu an: if di brεst tu εngorg, εksprεs sכm milk wit yu an te di εria we de rawnd di nipl sכft fכ di pikin fכ lat pan.
3. Gi it ɔltɛm ɛn ɔltɛm: Gi it ɛnitɛm we di pikin aks (Responsive feeding) ɔ at ɔl ɛvri 2-3 awa. Fɔ it na nɛt bak impɔtant.
4. Kol Kɔmprɛs Afta yu gi yu mama in bɛlɛ: Afta yu gi yu mama in bɛlɛ, put ays pak pan di bɔdi fɔ mek yu nɔ swel ɛn nɔ fil pen. Fɔ put kabij lif dɛn we dɛn dɔn was, klin, ɛn put na frij pan di bɔdi na wan we we di lokal ɛn di Wɛstinian mɛrɛsin dɛn kin se.

Kכrekt Brestfεding Posishכn & Latching

• Chɛst to Chɛst: tɔn di pikin in ɔl bɔdi to di mama, kip di pikin in chɛst nia di mama in chɛst.
• Chin pan di brεst: di pikin in chin fכ prεs pan di brεst.
• fכ opin di mכt brayt wan: di pikin fכ opin in mכt big wan εn nכto di nipl nכmכ, bכt i fכ tek bכku pan di dak εria we de rawnd am.

Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du

Sayɛns sɔs (Rɛfrɛns dɛn) .

• 📚 Brest pen ɛn mama in bɛlɛ - NHS
• 📚 ABM Klinik Prɔtokɔlɔ #20: Engorgement, Rivays 2016 - PMC