With us you are in good hands with questions about breastfeeding. We are mothers with their own experiences and have understanding for your questions. Through our training, we have learned a lot and are learning every day.
Breastfeeding is not only important for a healthy diet for your child but also an important element for emotional development.
From the nutritional physiological perspective, mother's milk offers everything for an optimal start into life. In addition, breastfeeding promotes the attachment of mother and child through the intensive physical and eye contact. There are also numerous health-damaging effects of breast-feeding.
Here are some important topics for you. You can find news about the topic of breastfeeding on our blog. Please feel free to contact us for individual questions
is precisely adapted to the nutrient requirements, defenses and growth of every child.
is necessary for healthy physical and emotional development of the child.
contains nutrients, vitamins, minerals, enzymes, hormones, protection and defenses in optimal quantity and composition. These ingredients make the mother's milk a full-fledged and inimitable food.
is always there, properly tempered and germ-free. It does not need to be prepared, and the mother is independent of boiled water, sterile bottles, teats and milk powder. There is no packaging waste, and breastfeeding is thus an active contribution to the prevention of garbage.
is easily digestible, breast-fed children have fewer digestive problems than infants fed with flask food. The antimicrobial agents protect against infections in the respiratory tract and the gastrointestinal tract, as well as protection from allergies.
The development of the movement apparatus is promoted by the suction and chewing movements when drinking at the breast, in particular facial expressions, palate and dentition. Breastfeeding promotes the mother-child relationship. Breastfeeding not only serves food intake, but through the body contact, the child is given the feeling of warmth and security. Breastfeeding is good for the figure. Through breastfeeding hormones are released, which cause a faster uterine regression, as well as the excretion of stored water.
How does breastfeeding work?
The result of the interplay of hormones, the psyche of the mother and impulses leads to milk formation in the maternal breast.
It does not matter how big the breast is. Crucial for the production of the mother's milk is the glandular tissue. Size and shape are determined by the different amount of adipose tissue.
During pregnancy, the glandular tissue, milkballs and milk ducts grow. The pre-milk, the colostrum, is formed during pregnancy.
If the baby's breast is stimulated to the brain via the nerve pathways, hormones are formed which are important for breastfeeding.
One of these is the prolactin, it stimulates milk production in the breast. At the same time, during the sucking process, the hormone oxytocin is released, which causes the milk ducts to contract, so the milk can flow.
This process is referred to as "milk donor inflexion". Some mothers feel the onset of milk donor flexion as tingling or pulling in the chest, others do not notice at all.
Just during the first few weeks, it is perfectly normal for your milk donor to wait a few minutes. Once you have more experience with breastfeeding, your milk donor flexion is triggered faster and automatically when the baby is sucked.
The pre-milk is already formed during pregnancy, but intensified in the first days after birth. It has a high carotenoid content and is therefore yellowish. The pre-milk contains only a small amount of fat and lactose, but is particularly rich in proteins (proteins) and salts. The pre-milk also contains a large amount of immunoglobulin A (IgA).
Immunoglobulin A (IgA) is an antibody that can be found in other body fluids in addition to the mother's milk. This antibody forms a kind of protective barrier on the surface of the digestive tract (the infant). This protects against harmful substances, especially against pathogens of certain intestinal diseases. In this context, one speaks of the "first neonatal vaccination" or "enteral nest protection".
The high protein content (human lactalbumin) is important for the excretion of billirubin, a degradation product of the human blood, over the child's intestine. Too high a bilirubin concentration can lead to newborn youngsters.
So that the meconium (also Kindspech) can quickly be excreted, the high salt content in the collostrum is helpful.
The transitional milk is given to the infant approximately from the 1st to the end of the second week of life. It forms the transition from pre-milk to mature women's milk. Their consistency is milky, until creamy, colorfully this milk varies from whitish to slightly yellowish. In contrast to the colostrum, the transitional milk is already somewhat fat- but it contains less protein.
Mature women's milk
The mature women's milk is formed around the third week of life. It has a high fat content and a low protein content. On the color scale, the milk is settled between whitish and slightly bluish, its consistency can vary slightly depending on the diet and the time of the day. The mature women's milk is the only food- Source of fluid that an infant needs in the first month of life. The mother's milk is perfectly adapted to the nutritional needs of the infant.
Wound nipples can cause unbearable pain while breastfeeding and are among the most common reasons for premature breast-feeding. In most cases, sore nipples can be pre-flexed.
In the first few days after birth, many women feel breastfeeding as easily painful, especially sucking. The nipples are more sensitive and accustomed to the new strain. Often, the infant is not properly placed on the breast.
Causes of sore nipples
Frequently sore nipples develop in the first days, because the breast is very tense by the initial milk intake. The infant can not grasp the nipple with the mouth. It is best to brush some milk with your hand, or pump a little milk with a milk pump. Massages can also be helpful. For this purpose, the midwife or nursing adviser should be the best. If the chest is less bulging, your child can better grasp them with the mouth properly.
Flat or hollow nipples of the mother or medical suction problems of the child (eg due to a misalignment of the tongue, too short a tongue or lip lobes, (under) jaw asymmetries) make it difficult to suck the breast.
The child can develop a false suction technique when fed with the bottle. Dummies can also be disruptive, although the risk seems to be lower than in bottle feeding.
It can also happen in healthy mother-child pairs that the child does not correctly grasp the nipple when it is being placed, so that the nipple is not lying properly - that is, not deeply enough or not symmetrically - in the child's mouth. If pain occurs during suction, the suction connection should be released and the child should be applied again. Incorrect detachment of the child from the breast may also injure the nipple.
Also the incorrect use of breast-feeding (pumps or breast-feeding) can lead to sore nipples. Here too, consultation with midwives or lactation consultants is necessary.
Sometimes a bacterial or a pilinfection (thrush infection) can be the cause of a miracle, aching nipples that do not want to heal. In such cases, a drug treatment by a woman doctor and / or a dermatologist is necessary.
Therapy for sore nipples
It is important to find the right nursing position. It can also help to change the breastfeeding period regularly (cradle, backhand, lying down, over the shoulder, "laid-back nursing"). or when the open wound comes into the mouth of the child. The drying of mother's milk on the nipple is also to promote wound healing. Many natural peoples treat skin irritations with women's milk. However, the nipple should not swim in mother's milk, but always remain dry.
As moisture softens the skin and increases the risk of injury, the nipples should be allowed to dry in the air after breastfeeding. If milk runs out between the still meals, you should wear silage and change frequently. Hygienic and respiratory silent pads play a big role for the prevention and treatment of wonderful nipples.
To avoid an infection of the sore nipple, always wash hands thoroughly before touching the chest.
If only one breast is affected, the child can be placed on the healthy breast first to release the milk donor flexion, thus relieving the affected breast. If both breasts are affected, it may be beneficial to manually trigger the milk donor flexion.
If the wound does not heal despite the correct application and suction behavior on the part of the child, infection with bacteria or yeast fungi may be possible. In these cases, the physician should take microbiological examination material before the start of the therapy in order to select the appropriate therapy. Since the infection can spread to the whole breast and thus lead to mastitis, the use of antibiotics is recommended for bacterial infections of the nipple. To increase the effectiveness, the antibiotic is used not only locally in ointments, but as a tablet or juice.
In order to be able to breast-feed despite pain, still tolerable painkillers, primarily ibuprofen or Paracatemol are recommended. The dosage should be high enough for breastfeeding to be possible and should be determined with the attending physician and the midwife or the lactation consultant.
If unbearable pain prevents the mother from breastfeeding, or the child vomits, because it can not tolerate swallowed blood, then a nausea can be inserted for a few days. The breast should be emptied regularly either by hand or with a gentle pump. You can borrow gentle milk pumps from us in these cases on prescription. Due to the regular emptying of the breast, the milk is kept until it can be breast-fed, as well as avoiding congestion and pain in the breast.
The child is fed with the milk obtained by means of alternative feeding techniques (using a cup, spoon, finger feeder, nutritional probe or SoftCup) until the nipple heals and the child can again drink from the breast. By means of alternative feeding techniques it is possible to avoid suction confusion and breast distention.
Ointments with lanolin or vegetable oils are often recommended for sore nipples. Results from clinical trials that evaluate the efficacy of these ointments are contradictory. Only one thin layer should be applied to allow the skin to breathe well and to swallow as little lanolin as possible.
Many women find it convenient to use the so-called Viennese breast donut. With the help of the breast donut, the nipple also remains erect in the bra. By avoiding the kinking or pressing, the circulation is improved and thus the healing of the wound is promoted.
What should be avoided by sore nipples
You always hear the advice that sore nipples can be avoided by restricting breastfeeding to 15 to 20 minutes. Restricting breastfeeding, however, does not prevent nipples, but only hesitates them at best. Premature detachment of the child from the chest can also lead to injuries in the case of awkward handling. In addition, by restricting breastfeeding, the child is deprived of the rich hind milk. Milk accumulation and a hungry child can be the result.
Many ointments, creams and oils can worsen nipples. Particularly harmful are alcoholic solutions, which also dry the skin.
Disinfecting solutions dry the skin, local anesthetics disrupt the milk donor inflexion and also affect the child.
Use of soap dries the skin and can also increase the susceptibility of the nipples. Therefore the breast should only be washed with warm water without soap.
The use of breast-feeding (breast-feeding) is generally not recommended for sore nipples. If they are used, care must be taken to ensure correct application.
The red light situation is similar. Subjectively, many women feel the use of red light as a redemption. However, the red light can dehydrate the skin and thus delay the healing of the wound.
Tea bags (eg, with sage or black tea) soften the skin of the nipples and increase their vulnerability to injuries and infections. Although tea leaves can contain inflammation-inhibiting substances, the disadvantage seems to outweigh the moisture.
The use of hydrogel compresses in sore nipples
Hydrogel pads help against the pain, for which the mothers are very grateful. Acceleration of wound healing has not been demonstrated. However, the use of such compresses can increase the risk of infection. In order to avoid infections, the following points may be taken into account: Always wash hands before the nipples or the hydrogel compresses are taken.
After removing the compresses, rinse with warm water, dab dry with a clean cloth and place on a clean surface. After breastfeeding, rinse the chest with water and dab dry with a clean cloth. Only then apply the hydrogel compresses. Once the compresses appear milky, dispose of them, and use fresh compresses. Hydrogel compresses in accordance with the WHO Code are offered by Ardo (Multi-Mam compresses) and Medela. Also suitable are brustringe of ELANEE and the nipple protection of Medela to protect the nipple from friction by clothing (breast-bra).