Mastitis and 9 Complaints Often Experienced by Breastfeeding Mothers

Breast feeding should be fun. Imagine, with a loving gaze, the bonding between mother and baby can be awakened when the mother provides the best nutrition for the little one. Unfortunately, such beauty is sometimes disturbed by several complaints that are often experienced by both of them. Moreover, during the breastfeeding process for the first child, both mother and baby are still learning.


1. Breasts feel full and tight in the early days of breastfeeding

Usually, the milk does not come out immediately after the mother gives birth. After the baby is 3-5 days old, then milk production begins to meet the baby's needs. The mother will feel 'full' breasts. not infrequently there is a tight or hard sensation that causes discomfort. Or milk suddenly leaks and drips from the nipple.

This is very normal because the mother's breasts are adjusting to the needs of your little one. The key is often to feed the baby with the right position and latch. Within a few days, the milk production will follow the baby's needs so that this full sensation is no longer felt. mothers do not need to worry, milk production is still sufficient for the needs of the baby as long as the baby is still fed as long as the baby wants. What is important, always monitor for signs of adequacy of breast milk such as frequency of urination (BAK) and minimal weight gain.


2. A breast milk dam or blockage of the milk ducts


Dams are characterized by swollen, reddish breasts. Pain usually accompanies this symptom. You may start to have a fever. Some of the possible causes are early initiation of breastfeeding (IMD) that is not immediately carried out immediately after delivery, the process of breastfeeding has not been carried out routinely every 2-3 hours as the baby wants, or because the position and latching have notright.

plumpBlockage of the milk ducts has symptoms similar to that of breast milk, which occurs because the ducts are blocked by compressed milk. The cause is the same, but it can also be due to a blow to the breast or clothes that are too tight.

Just like the previous complaint, the solution to overcome this blocked milk duct is to continue feeding it to the baby. You can also gently massage the breasts while breastfeeding to reduce blockage in the milk ducts. .To reduce pain, the mother can first compress the breast with warm water, and after being breastfed, it can be again compressed with cold water or using cabbage leaves attached to the breast.


3. Mastitis



mastitis is characterized by swelling and redness due to inflammation of the breast. The breasts feel hard and painful to the touch. Unlike breast milk, swelling in mastitis generally only occurs in one part of the breast. mastitis usually occurs 2-3 weeks after birth.

Again, the cause of this complaint is the improper position and attachment when breastfeeding so that the emptying process cannot be effective. it could also be due to trauma or excess pressure on the breasts, or prolonged pauses in breastfeedingInitially mastitis occurs because the milk is too long in the breast (milk stasis) and is not excreted, causing blockage, or is often referred to as non-infective mastitis. if there are sores or abrasions on the nipples, or if milk stasis is left for too long without significant treatment, infective mastitis can occur.

Consulting a doctor is the best way to deal with this. usually the doctor will prescribe analgesics to reduce pain, and antibiotics in case of infection. Doctors also still recommend that mothers continue breastfeeding to get rid of milk stasis.


4. Abscess

If the mother feels excruciating pain in the breast and there is a discoloration of the swollen part, especially if pus appears from the nipple, it is certain that mastitis has developed into an abscess. doctor action is definitely needed, namely through light surgery to remove pus. No need to worry, within a few days after the pain subsides, doctors generally have given permission for the mother to breastfeed her little one again. except in special cases, for example if the mother is HIV positive.


5. Nipple sores or abrasions



Pain and tenderness is almost certainly experienced by all new mothers. the process of learning a process that "he said" was natural was not as easy as imagined. Blistered nipples from the tip to the base are one of the reasons for this stinging feeling. The dilemma also haunts the mother's mind: about to be poked, the feeling of numbness reaches to the crown, but if not pricked, the breast will swell and cause other pain.

The position of the mother and the baby while breastfeeding and the improper attachment of the baby's mouth to the mother's breast are the causes of sores on the mother's nipples. With proper latching, the baby's mouth grips most of the areola, the dark part of the breast, not just the nipple.

Blistered nipples can heal on their own when they are properly positioned and attached. for that, there's nothing wrong with the mother asking for help from a lactation counselor to correct the position and attachment while breastfeeding.


6. Thrush and Candida infections

Thrush due to Candida yeast infection can occur both in the baby's mouth and on the mother's breast. Transmission can also occur between the two. pain in the mother's breast with a prickling sensation, sometimes it doesn't go away even though the position and attachment are okay. or areola with itching feeling and appearing reddish rash resulting in discoloration are some of the symptoms caused by this infection.

Candida infection in the baby's mouth causes white patches to appear on the inner cheeks or tongue that resemble milk deposits, but they do not go away when wiped with wet gauze. the baby may also show signs of pain while breastfeeding due to this thrush.

Infection by Candida yeast usually occurs when the mother is taking antibiotics, for example during mastitis treatment. consultation with a doctor is needed to overcome this infection because the doctor will observe whether enough mothers are treated, or including babies. this is done to prevent the infection from going back and forth from mother to baby and vice versa.


7. Unique anatomy of the nipple (flat, immersed, large, or long)



Every human being is unique, even the shape of the breasts and nipples varies widely. Some nipples make it difficult for a baby to stick their mouth to the breast. The inverted nipple, for example, has connective tissue that holds it from the baby's suction so that the nipple cannot stick out.

lure the baby by rubbing a little breast milk on the nipple can also be done so that your little one can easily direct his mouth to the right place. Mothers with nipples like this need not worry. the baby feeds not on the nipple, but on the areola. This will help increase your confidence. .flight hours need to be increased for both mother and baby, so that both will find the most appropriate and comfortable position for breastfeeding.

to remember, the use of a pacifier or pacifier should be avoided because it makes the baby "lazy" to open his mouth. As babies get older, their mouths will widen and make it easier for them to "catch" the breasts. The connective tissue that holds the nipple sinks down over time so that it will appear over time.


8. Breast milk production (perceived) is insufficient

Some mothers feel that their milk production is not sufficient to meet the needs of their babies. breast is too flaccid, no longer full of milk. Or when it is milked, the result of the milk is only in droplets. Or the baby seems always thirsty, characterized by crying and gestures looking for breasts. when breastfeeding can take hours.

Is it true that the mother's milk production is lacking?

To be sure, the mother must observe the signs of adequacy of breast milk in the form of frequency of BAK and the increase in body weight (BW) of the baby. if the baby does not meet these signs of adequacy, it may be that the baby is not getting enough nutritional intake in breast milk. The most common cases are:

the baby is not breastfed as often as possible, so the breasts are not able to adapt to the needs of the newborn

If the baby does not fit properly on the breast, the suction is not strong enough. as a result, not much milk gets into the baby's digestive tract. This can be overcome by improving position and attachment Babies are not breastfed as desired or according to their needs.

Mothers often change parts of the breast before one side is empty so that the baby does not get enough fat-rich lindmilk.

Provide breast milk or formula using a pacifier, or by providing a pacifier to calm the baby. this will cause the baby's suction when breastfeeding is no longer effective.

Provide food or drink other than breast milk so that the baby is no longer breastfeeding frequently. In fact, milk production is largely determined by demand (supply by demand). as a result, the breasts no longer produce enough milk for your little one.

Mothers need to know that by breastfeeding the baby as often as possible and with good lactation management, milk production will match the baby's needs.


9. Babies constantly cry

crying is a baby's way of communicating with the outside world. Crying is not just because the baby is hungry. There are many reasons why he cries:

The baby is sick, or in pain. finding out the location or cause of this pain needs to be done to determine the next course of action.

Babies are hungry so they need more milk than usual. This phase is often referred to as a growth spurt. the mother only needs to breastfeed more frequently according to her request, the mother's milk production will automatically adjust to the needs of the little one.

Allergy to food consumed by the mother. There are some babies who have allergic tendencies. mothers need to remember what food they have just eaten. Generally, milk, eggs, soy, tea, coffee, or nuts are often blamed for triggering this allergy. Just avoid it for a while while watching the baby's reaction.

colic or disorders of the digestive tract. Babies often cry, especially at night with their legs bent as a sign of stomach discomfort. This symptom is very common in newborns and will subside by itself when the baby is 3-4 months old. often holding him in an upright position or regularly doing ILU massages and rubbing his legs will help reduce this complaint.

Babies need comfort. Sometimes babies just want to be held or breastfed for comfort. rooming is highly recommended so that the mother can sharpen her intuition and make it quick and responsive to recognize the types of baby cries.


10. Excess supply of breast milk



An excess supply of breast milk is characterized by:

babies often cry as in colic symptoms Babies often defecate with a soft texture and greenish color The weight gain was not significant enough according to the growth chart mothers often experience let down reflex (LDR) due to an increase in the hormone oxytocin which causes a sudden rush of milk so that the baby immediately releases its suction on the mother's breast.

good lactation management will help reduce these complaints. Again, the mother must ensure the position and attachment while the baby is nursing, and feed on one side of the breast until it feels "empty", then transfer it to the other breast. this needs to be done to maximize the hindmilik that the baby drinks. Too much lactose-rich foremilk causes flatulence, colic and greenish stools.

the various problems above are the colors that complement the story of breastfeeding mothers. Hopefully this will not deter us from continuing to provide the best nutrition for our children. Happy decorating, mother ..

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