It is necessary to use a breast pump to maintain the milk volume when the mother and baby are separated. However, using the wrong method not only fails to maintain the normal milk volume, but also hurts the breast. The milk volume is not maintained, but it may be sucked less. Therefore, it is important to learn to use the breast pump correctly!

Less milk but still blocked

This novice mom is asking for help in this issue. The baby is 1 month 3 days. During the first 14 days after birth, my mother has been feeding (adding 3 to 5 milk powders per day). After 14 days, the baby was hospitalized with high jaundice for 6 days, and the mother used a breast pump to maintain the milk volume. After the baby was discharged, the mother resumed breastfeeding, but the baby became thinner after breastfeeding and stopped breastfeeding for another 7 days at the doctor’s request. During this period, the mother continued to use the breast pump to maintain the milk volume. After 27 days of the baby, the mother started to suck up the breast milk with a breast pump for feeding, and added milk powder when the milk was not enough. The mother’s question and confusion are: When the baby was born 12 days ago, she started to stop milking, went to the health center to massage, acupuncture, and also asked the nurse to pass the breast, but there was no substantial improvement.

I don’t have enough milk, why is it always blocked?

The breast pump is used incorrectly, which seriously affects the amount of milk. Sometimes the mother’s nipple hurts a lot, and the filling degree of the breast changes little before and after breastfeeding. We found out the problem through the following detailed diagnosis: Incorrect use of the breast pump will cause breast damage and the milk volume will definitely decrease.

Problem 1 Nipple Injury

Severe edema on both nipples, ulcers on the left nipple (the broken area has not been better), the areola swelled like a “swimming circle”, and milk production was not smooth.

The sticking point: two wrong practices

■Baby sucked her mother’s nipples within one day after birth. The mother did not take measures in time and continued to feed with pain, which aggravated the nipple damage.
■During the baby’s hospitalization, the mother has been using the breast pump incorrectly, the suction power is set too large, the size of the horn cover is not suitable, and the nipples will be rubbed during sucking, causing pain, aggravating the nipple damage, and the milk production is getting worse and worse.

Problem 2 Severe breast siltation

Large areas of bilateral breast stasis, multiple breast ducts are thick and hard, light pressure will be pain.
Sticking point: Incorrect care used
■The current condition of the breast has something to do with previous breastfeeding. Incorrect nursing methods have made breast problems more and more serious.
■The siltation inside can not be completely discharged, which causes more and more siltation, frequent milk blocking, and less and less milk production. Gradually correct and help mothers achieve smooth milking and feeding.
In the case of a breast problem, all adjustments must begin with the breast. Only after the breast function returns to normal milking can we gradually reduce the occurrence of milk jams, and achieve breastfeeding with good breast milking and correct breastfeeding timing.

Step 1 drain the silt first

With proper breast care, the silt is discharged, so that the milk is smoothed, and more breast tissue is involved in lactation. When nursing the breasts, milking gradually improves during the second half of breastfeeding. With the removal of the silt, the previously hard position of the breast has become soft, and the pain during compression has also been significantly reduced.

Step 2 use the breast pump properly

Let mothers find a horn cover that is comfortable and does not cause pain when sucking milk, reducing the wear of nipples and areola, and avoiding aggravation of nipple and areola edema. In the case that the appropriate bell mouth cannot be replaced immediately, reduce the breast pump position to the lowest position, shorten the breast pumping time to 5 minutes, and the interval between the two breast pumps is about 3 hours. Although the intensity, duration, and interval have changed, the amount of milk sucked out is similar to that in the past, and there is no significant reduction, and the pain when the mother sucks milk is also relieved, which provides time for the nipple and areola to swell and recover. Slowly, the area of ​​breast stasis is reduced, and the milking line becomes thinner and thicker, with 2 to 3 milking lines on both sides. When the milk array is not here, there are 1-2 milk lines squirting, and milk leaks from other pores. In the recovery of nipple and areola, milk production is better, and milk can be removed normally.

Step 3 Final Reinstatement

After the mother changed the appropriate bell mouth for the breast pump, the milk became smoother, and the amount of milk sucked up significantly: 60mL was sucked out in the previous 3 hours, and now it can suck out 90 ~ 100mL. However, by observing the mother’s pro-feeding, I found that babies who have not eaten mother’s milk for a long time will still “eat” and can hear the sound of swallowing, but the mother’s breastfeeding posture is obviously wrong. These wrong ways not only hurt the mother’s nipples It also affects the baby’s intake of milk, and milk that cannot be removed in time can cause milk clogging. Therefore, the mother needs to re-practice how to breastfeed in the correct position. After examining the mother’s breasts after various efforts, I finally found that the silt is basically only the root of the breast, which does not affect the production of milk; the edema of the nipples and areola have been improved: when the milk array comes, the bilateral milk line reaches 8-9 Roots can last up to 2 minutes, each milk line becomes thicker, and the intensity of spraying is also high. Mother finally resumed feeding!