When a baby does not suck well at the breast, it becomes a real problem for a nursing mother. What if the baby does not suck for long and falls asleep quickly? Or, on the contrary, only when he kisses his chest, does he begin to withdraw and be capricious? Whether the reasons are always in the amount of milk from the mother, or are there any problems with the child himself - it's time to deal with these issues.

Causes of Breast Cancellation in Newborns

Nipple shape

A just-born baby may not breastfeed for a number of reasons. Most often they are a whole complex. Women's breasts can have a wide variety of nipple sizes and shapes. If the nipples are very flat or sunken, it is more difficult for a baby to drink milk, but most often babies do not experience any particular discomfort during feeding. In rare cases, the shape of the nipples can be a really serious obstacle to feeding.

Anesthesia during childbirth

If the mother gave birth with painkillers, the drugs also penetrate into the baby's blood, which is why the babies are sluggish and sleepy at first. The narcotic substances that make up the anesthesia are completely removed from the baby's body only after a few days. Even relatively weak (compared to other modern painkillers) morphine will cause a child to become lethargic for several days.

Mucus in the airways

If a baby is sucked too much mucus from the respiratory tract at birth, this may negatively affect his desire to suck for a while. If the baby was born completely healthy and full-term, there is no need to suck mucus.

The structure of the oral cavity

Sometimes children are born with a congenital anomaly of the oral cavity, popularly referred to as the "cleft lip". Often it looks like a cleft palate with a lip, which is immediately visible. But in some cases, only the palate in the depth of the mouth is split, which is not always possible to detect during the initial examination.

Improper breast latch

Why does the baby breastfeed poorly? One of the reasons is his inability to properly breastfeed. It does not depend on the shape of the breast and nipples. If the newborn takes the breast incorrectly, then milk is released worse, the child quickly gets tired and begins to be capricious. A nursing mother needs to monitor the correct grip and, if necessary, consult a consultant on breastfeeding.

Short frenum of the tongue

The first reason is purely physiological - a short frenulum of the baby's tongue. In this case, the tongue is not mobile enough, it is uncomfortable for the baby to suck. The problem is eliminated immediately after birth, it is enough to show the baby to the dentist or surgeon to make an incision on the bridle.

Bottle, dummy

A problem can arise if pacifiers and nipple bottles are used. The fact is that when sucking milk from a bottle and the mother's breast, different groups muscles. The difference is that milk flows freely from the bottle, you don't need to make any effort to get it. Breast milk has to be obtained. In this case, you will have to retrain the baby to take the breast.

Diseases

Babies may start to fuss during feedings due to poor health. For example, feeding is difficult if the baby has runny nose, a sore throat, candidiasis or inflamed ears. If there is a suspicion of malaise, you need to call a doctor at home. You can feed your baby with expressed milk. But in no case use bottles for these purposes, it is better to take mugs or a syringe.

Colic in the abdomen

Babies under the age of 2-4 months may be bothered by colic - the child will start to be capricious, kick with his feet, he can hear a rumbling in his tummy. The baby will become very restless and loud. Most often, these anxiety attacks occur at the same time, for example, every evening. To avoid intestinal spasm, you need to make sure that the baby does not swallow air while feeding. If the child begins to worry, you need to warm his tummy or bathe in warm bath... These steps will help relieve cramps.

False rejection

At the age of 2 months and up to 4 months. babies can begin to turn away from the breast during feeding, they are ready to be distracted by any trifle, but not to eat. There is nothing wrong with this behavior, when the baby is already about 4 months old, his diet changes - most often he begins to suck milk before and after sleep. The kid can eat half asleep, the main thing is to make sure that he does not toss and turn.

How can the situation be corrected?

So, what to do if the child became naughty when feeding?

Feeding frequency

Feed your baby as often as possible - newborns, especially those under the age of 2-4 months, should eat at least every two hours. If the child falls asleep, wake him up, he should not sleep for more than 2 hours. You will be the baby at night - at least once.

It is a mistake to think that a child in need will certainly demand it. Children with a calmer temperament may not be willing to eat as often as needed, unless their mother reminds them of it. If your baby is one of such calm children, often offer the breast yourself, including at night.

Feeding time

Increase the feeding time, you do not need to calculate the minutes when the baby picks up the breast. Let the baby suckle completely first one breast and only then attach to the other. The fact is that the most nutritious milk is the latter, it is more fatty and high in calories. If you change breasts too early, your baby will not get enough calories by sucking only liquid milk.

clothing

Do not wrap the baby up when you feed him, on the contrary - contact with the mother's skin will help him wake up. This method is especially good for sleepy eaters. Take off some of the clothes from yourself, and so that the baby is not cold, cover him from the back with a blanket.

Night feedings

In order to produce more milk, and the baby lays on the breast with great appetite, you can try feeding at night. Take your baby to your bed while you sleep, so both you and the baby will relax. In this state, the level of hormones that affect milk flow increases. Prolactin is produced more actively at night, so late feedings are considered the most productive. Also, according to recent studies, the amount of milk in the breast is affected by the human growth hormone, which is also produced during sleep.

Mother's closeness

Adults find it difficult to control themselves in food when they are sitting at a plentiful table - the hand is constantly reaching for the plates with goodies. The same rule works with babies, being constantly near the mother's breast, the babies are more often hungry. Get in the habit of carrying your baby in a sling, so he will always be with you. Some babies have an appetite on the go when the mother is on the move. In addition, constant walking will prevent the baby from falling asleep while sucking.

Rest

Get more rest yourself. The constant rush of milk will definitely not increase. Give yourself more time, walk, sleep during the day, use every free minute to relax yourself. Of course, it's good when you are helped with household chores.

Adequate sleep and rest blocks the production of stress hormones, which in turn speeds up milk production. Do not overwork and do not strive to redo everything in a day. Did the baby fall asleep? Sleep with him, let your man help you with household chores.

Avoiding pacifiers and bottles

Up to 7 months, when active complementary feeding has not yet begun, the baby feeds only on milk. If you want him to grow and develop faster, give up pacifiers and bottles - the baby should only be applied to the breast. It is better not to introduce artificial mixtures into the baby's diet, unless there is a medical indication.

Consult with a specialist, a feeding consultant will be able to observe how the baby is breastfeeding, and will give the necessary advice and recommendations.

How to regulate milk flow?

In the first 2-4 months. In the life of a baby, some mothers may be faced with the fact that during feeding, the baby begins to cough and turn away from the nipple. It may seem to some that the child even began to choke. This behavior can often be confused with colic, but the only thing that unites these two situations is the cry of the baby. Despite the fact that the baby is growing well, this behavior is worrying. This happens when there is too much milk.

This is an unpleasant moment, but the situation can be corrected:

1. Feed your baby in small portions, but as often as possible, so the milk will not stagnate in the breast. The baby should not feel hungry, otherwise he will drink too actively, which will again provoke a release too a large number milk.
2. Avoid hot baths and showers shortly before feeding, and do not drink hot liquids - an increase in body temperature will also provoke excessive milk production.
3. Milk flow can be reduced by lying on your side or back while feeding.
4. If it happened that the baby sucking milk choked, be calm, just hold it with one hand so that it stretches out, and gently pat it on the back with the other.
5. The pressure of milk is not constant, so it is important for the baby to learn to suck not only when the tide is high. An infant should suck out milk completely, including the "back" milk, which has an increased density and fat content.

"Front" milk contains much less nutrients, it is almost entirely composed of water. Such milk is easy enough to drink, because it goes quite actively. It is better not to change the breast until all the milk has been drunk. In order for the baby to be able to suck out as much milk fluid as possible, a special “breast compression” technique should be used.

Having drunk more liquid milk, the child may fall asleep, falling asleep at this time is quite normal. In a dream, he will quietly suck out the fatty "back". At this time, inexperienced mothers make a big mistake, changing the left breast to the right one and vice versa. Because of this, the baby learns to drink only liquid milk and gets used to it.

In such a situation, you will have to retrain the baby. Begin the next breastfeeding with the same breast from which you finished the previous one. Try to feed your baby in an extremely calm environment, preferably even in a slightly darkened room. If the baby starts to be capricious, change the position - this will calm him down a little. When the baby starts to get angry after drinking the liquid milk, squeeze the breast at the base to help the baby continue to drink.

DatsoPic 2.0 2009 by Andrey Datso

Often, mothers who are breastfeeding their babies have various kinds of difficulties associated with latching on to the breast and feeding. One of the common reasons for concern is breast refusals - when the baby does not breastfeed at all, and more often - when the baby takes one breast without problems, and prefers to give up the other breast.

Such situations often arise and often mothers make one big mistake - they follow the baby's lead and all this leads to the fact that the baby feeds on one breast, he may not get enough milk, and the second breast at the same time reduces the amount of milk or does not produce it at all. Then the mother's problem also arises - the mammary glands become of different sizes, and this gives the mother aesthetic and physical inconvenience. Why does this happen and what to do in such cases?

Why rejection?

First of all, you need to understand the question - did the baby always prefer the same breast or there were no problems with alternating breasts before? If the baby initially has a tendency to breastfeed alone, he may have problems with the cervical spine and neck muscles. On the other side and on the other breast, it is simply uncomfortable or painful for him to lie. This problem will be solved by a neurologist or pediatrician during examination, and this is usually detected almost once - in the first weeks of feeding. Then, for the duration of the treatment, you should choose comfortable postures for feeding on both breasts - it can be from under the arm, hanging over the baby, in a cross cradle, and so on, the main thing is that the position of the child's body is convenient for his muscles and skeleton.

If the child does not have physical health problems, the reason for refusing one breast may be in the formation of refusal as such. The baby may be sucking on the nipple and nipple confusion is forming, or he selectively refuses one breast in any position due to the fact that there is too much milk in it. And then at the beginning of feeding, too much pours out of it, which forces the baby to abandon it in favor of another breast - softer and with less pressure. Maybe the reason for the refusal is in the psychological discomfort of the baby - it is inconvenient for the mother to reproach the baby with one of the breasts. She does not so comfortably apply the baby to her breast and he subconsciously catches this, refusing the "unloved" breast. Sometimes giving up one breast is a kind of "show of strength" by the baby and a way to control the mother, a kind of whim of the baby. Sometimes the breasts can be slightly different from each other - it is easier and easier for a baby to get milk from one breast than from another. And then the child can give up the more "complex" breast in favor of a simpler one.

How to proceed?

First of all, don't panic and get nervous. With a strong nervousness of the mother, the baby may abandon the breast altogether. Feeling her physical and emotional stress... At the same time, the mother's milk in a state of stress is "clamped" by oxytocin in the breast and it becomes more difficult for the baby to get it. Pull yourself together and calm down - the situation is quite common and not critical. But it is necessary to correct the abandonment of the breast at its earliest stages, until the baby moves into the abandonment of the breast at all, or you yourself have not resigned yourself to the fact that all the remaining time will be fed from one breast. First of all, you need to understand for yourself - that you are the mother of this baby and in your pair you are the leader, you are the main one and you will need to decide which breast and in which of the feedings you will give the baby. Feeding on demand implies not only the requirements of the baby itself, but also the requirement of the mother - if she has discomfort in her breasts or a feeling of fullness in her breasts, if she needs to feed with her left or right breast in this situation. It is extremely important to understand this for yourself and follow this rule. You need to be completely confident in yourself and in the correctness of all your actions. However, in such a delicate situation as a starting or already completed refusal to breastfeed, you should not bend the paca either, you need to insist on your opinion and breastfeeding with a certain breast, since violence in terms of breastfeeding can turn the situation in the opposite direction to you.

How to start the process of overcoming the rejection of one breast? First of all, change the program - that is, feed your unloved baby in an unusual position for him or use non-standard places for feeding him, sometimes you can feed your unloved breast while walking, in the kitchen with the noise of working appliances, in the car while traveling on business. Do the same when feeding for falling asleep - always start feeding by offering the baby his favorite breast, and when the baby starts to fall asleep, quickly change the breast to the one that he doesn’t take well. Offer the same breasts at night. When the baby wakes up for feeding, half-asleep children are usually more willing to agree to their unloved breasts, just to quickly cling to their favorite milk again. You can use sources of white noise to persuade you to take your unloved chest - a hair dryer, noise or splash of water, sounds of nature or light music. Usually, breastfeeding does not last long, and if you quickly eliminate the cause of the discomfort and cope with your tension within yourself, then the baby will quickly again evenly apply to one and the other breast. If you let the situation take its course, you can get a categorical rejection of the breast because it will actually have less milk due to its low stimulation. Then the baby will be capricious when trying to suck and take offense at the lack of milk and, over time, will give up one breast altogether. Then you will have to breastfeed with one breast, which entails a chain of new problems, for example, the formation of different breast sizes.

Different breast size

As we have already said. Different breast sizes can be formed as a result of selective feeding by the mother of the baby with only one breast. At the same time, the second breast receives insufficient stimulation and lactation in it decreases, and sometimes completely collapses. A different breast size and a different amount of milk in it brings a pronounced inconvenience to mothers - babies are reluctant to take smaller breasts with a small amount of milk, a difference is often visually noticed and problems arise with underwear and a wardrobe. This leads mothers to the idea that something needs to be done with the breasts and the situation should be corrected. The difference in breast size can appear both at the very beginning of breastfeeding and after a year of breastfeeding - it all depends on the specific situation and the degree of difference in the intensity of breastfeeding between the left and right breast. Naturally, the smaller the age of the baby and the duration of uneven feeding. The easier it will be to correct this situation. But do not give up and with a feeding experience of six months or a year, the situation can always be corrected with some effort and effort. Then the size of the chest can be almost completely aligned.

Why can breasts become different sizes?

This question worries all mothers who are breastfeeding, without exception. The most important reason for this is the unequal stimulation of the breast by sucking and a different influx of milk into the breast, in other words, the baby sucks on one breast more actively and more willingly than the other, or the mother applies the baby to one breast more often and for a longer time than to the other, for certain reasons. This happens if the baby captures one breast correctly when latching on, and the other incorrectly. Breast asymmetry may also occur. If mom is pumping a lot and does it unevenly with different breasts, one breast is expressed better than the other. Different breast sizes arise. If a mother carries a baby in a sling on one shoulder and gives the same breast more often, it is more convenient for her to feed on one hand, in the same position. And the size of the mammary glands can also differ if the mother and baby sleep on the same side and the baby sucks on the same breast at night. And another reason for breast asymmetry can be lactostasis or mastitis with it with suppression of lactation for a time or forever by camphor compresses, breast ligation or surgery on it. Depending on what was the reason for the different breast size, the tactics for recovery in size will be slightly different.

How do you try to equalize the size of your breasts?

The easiest way is if you know the true causes of breast asymmetry. It becomes clear that now your main task will be a sharp change in the rhythm and organization of breastfeeding in order to direct the stimulation by sucking to your smaller breast, and to reduce the stimulation of the breast that you have larger in size. It will not be very difficult to do this if the reason for the asymmetry is caused by night feedings on one side or your convenience in feeding on one hand - then you just need to change the posture and position of the baby at the breast - change breasts and feed smaller breasts more and more often. Remember the following guidelines - always start breastfeeding with a smaller breast and allow your baby to empty completely. Then let's suck a big one. Also, for all short attachments - calm down, take a nap, pee - give the child a small breast. Large only after complete emptying of the smaller one. If the baby likes to sleep with the breast, there should always be a smaller breast in the baby's mouth. Try to feed the baby mostly from a smaller breast at night. If in larger breasts there is discomfort from overflow - briefly apply a crumb to it until it is relieved, and return it to a small breast.

Thus, the small breasts will be actively stimulated and emptied, which will lead to the fact that they will more actively produce milk. In larger breasts, the stimulation will decrease and, according to the principle of milk feedback, there will be less. This will gradually equalize the size of the breasts.

The child refuses to breast and cries - such a problem can arise even in the absence of any apparent reason for this. Let's try to figure out why this can happen and, most importantly, how to find a way out of such a situation, because the lactation period is very important both for a newborn baby and for the health of his mother.

Is the baby crying and refusing to breastfeed? We will learn how to solve the problem READ ALSO: why is the child crying?

What does breastfeeding look like?

If a baby refuses breast milk, it may look different. Of course, a mother who spends day and night with her baby will see alarming signs:

• the child does not want to breastfeed at all;
• eats from only one breast;
• agrees to eat only in a half-asleep or drowsy state;
• takes a breast, but badly - at first he sucks, then cries and stops, then he can eat again, but he freaks out again and ultimately remains hungry.

It is not entirely true to say that the baby is naughty. If at this age the baby roars and does not recognize breastfeeding, then there are objective reasons for this. Either he is sick or not comfortable. Talking about the so-called manifestation of character is inappropriate here. The sooner we determine the cause, the more successfully we will solve the problem.

First of all, you need to find out the reasons for the baby's anxiety.

Causes associated with the anatomical features of the maternal breast

The refusal of a child from natural feeding can happen due to the fact that the mother's breast has individual anatomical features complicating the process. It may be too flat or, conversely, elongated shape nipples, as well as too narrow channels through which milk flows.

What is created by nature is difficult, and sometimes impossible to change, so you need to try to adapt to the non-standard features of your body and help your baby do it. It is necessary to develop breasts, massage and express milk using a manual breast pump. Doing this regularly will keep the lactation going and help the baby. You can use special nursing pads available at the pharmacy. The main thing is to tackle the problem right away, since at first the baby is still very weak. After the first month, when he grows up a little and gets stronger, he will cope with tight breasts on his own.

READ MORE: Breastfeeding pads

Reasons related to the baby's health

Why does the baby refuse to breastfeed after taking it for some time without any problems? This often happens if the baby is sick. This must be taken very seriously, since the protracted nature of the disease not only badly affects overall health and slows down the healing process, but can also lead to the baby's refusal to breastfeed.

A possible cause of a baby's refusal to breastfeed is tummy problems.

What diseases and painful conditions need to be borne in mind:

1. Colds and other diseases accompanied by nasal congestion. In addition to the fact that viral diseases weaken the body and reduce appetite, it is difficult for a child to breastfeed simply because he practically cannot breathe through his nose. As a result, he either starts to eat or is interrupted. The problem is solved by instilling a saline solution, massage, humidifying the air in the room and regular ventilation, and in case of a complication in the form of an elevated temperature, compliance with all the recommendations of the attending physician.
2. Intestinal dysbiosis. This process is necessarily accompanied by colic and the accumulation of gas in the tummy, as a result of which the baby not only screams, but also jerks his legs. Dill water will help alleviate the baby's condition. In addition, discomfort can be created by air, which the baby inevitably swallows when feeding. Dysbacteriosis is eliminated by special drugs that restore the intestinal microflora, and a light tummy massage will help to relieve the child of gas.
3. Thrush. To cure inflammation of the oral cavity, you need to consult a doctor for competent recommendations, and while the treatment lasts, breastfeeding can be temporarily replaced by feeding with expressed milk from a spoon.
4. Teething period. Children react differently to this painful process - someone hangs on their chest for days, and someone flatly refuses it. Teethers or special gels can be used as sedatives.

READ IN DETAIL: Teething gels for children

If the first signs of any ailment are found, it is imperative to take action as quickly as possible. This will preserve lactation and help avoid complications.

https://youtu.be/PV4C-tvqejk

Other common causes

There are a number of other reasons a baby may refuse to breastfeed. It is easier to eliminate them, since they are all associated with non-observance of elementary rules. Most often these are:

1. Pungent smell coming from mom. Having a baby in your arms, you should temporarily stop using perfumes and strong-smelling deodorants. The child should be able to smell natural smells.
2. Abuse of nipples, pacifiers and bottles. Eating milk (or formula) from a bottle is easier than pulling it out of your breast. If you have to temporarily switch to this feeding method, you should give expressed milk or a mixture from a spoon, pipette or syringe without a needle. To prevent the baby from switching to the bottle at all, you need to apply it to the breast more often. A convenient moment for this is when the baby falls asleep or needs to wake up.
3. Haste or sudden change of scenery. If the mother is in a hurry and nervous, the baby will not be able to properly grip the nipple. Unaccustomed surroundings and any excessive excitement around can act in the same way. The feeding process should be quiet, calm and solitary.
4. Violation of the diet. The taste of breast milk can be influenced by garlic, onions, herbs and spices, and medications. A nursing mother needs to follow a diet so that her baby does not have digestive problems.
5. Not enough milk. Hypogalactia can be triggered by rare attachments of the child to the breast, chronic fatigue, lack of a daily regimen. Mom should follow the regimen, get enough sleep and rest, eat right and drink 2-2.5 liters of warm liquid a day. Milk-stimulating foods (such as aniseed or fennel tea) can be used.
6. Too much milk is also a common reason for refusal. You just need to express a small amount, then the breast will become softer and the baby can grab the nipple.

As you can see, all the problems in this category are not that difficult. Having correctly identified the cause, it can be eliminated simply and quickly.

Try drinking tea to restore lactation

Or is it a lactation crisis?

The so-called lactation crisis is actually a false breastfeeding. This breastfeeding crisis can be encountered when the baby is already 3-4 months old. At this time, the baby begins to show individual character traits. Naturally, he does it in his own way: he can scream and resist, turning away from his chest, cry, that is, refuse to eat by all available means.

It is equally important that the mother is constantly with the child - constant contact will help strengthen the spiritual connection between them. The period of the lactation crisis passes quite quickly, and soon the baby will again be happy to breastfeed.

How to overcome the GW crisis?

The main danger of false breast rejection is that it can become real. Such a risk exists when the mother was not immediately able to understand what was the matter, or if the feeding rules were violated from the very beginning. The physical discomfort of the child can also aggravate the problem.

Always be calm, it will strengthen your bond with your child.

To overcome the lactation crisis, the psychological factor is very important. Establishing contact between mom and baby is the basis for solving the problem. Some tricks will help with this:

1. Mom needs to stay calm, no matter what, because the child feels her very well state of mind and succumbs to it. You need to constantly talk to him, sing songs, stroke and smile.
2. For the baby to take the breast, he must be comfortable. You can try different breastfeeding positions and positions, even if the mother herself is not very comfortable. The main thing is that the child should not be bothered by anything.
3. Breasts need to be offered constantly and it is highly undesirable to use nipples, pacifiers, bottles. Complementary feeding must also be excluded. If there is no alternative, the baby will start breastfeeding again.
4. Do not give up night feeds. In the first months of life, children need this. The nutritional value of milk can be increased with appropriate foods added to the mother's diet.

If you follow all the rules, you can quickly and relatively easily solve the problem and teach your baby to breastfeed again. Lactation will not be disturbed, and the child will develop a sense of security and confidence.

https://youtu.be/p5LMczlmW6A

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Why does the child not take the breast freaks out and cries

Any mother found herself in a situation where the child does not take the breast, freaks out and cries. In primiparas, this immediately triggers a panic attack associated with the thought that the child may remain hungry. After all, mother's milk, as a valuable and irreplaceable product, should remain the prerogative at the age called breastfeeding. Women who have not had this first experience begin to look for the reason for this behavior, turn to special literature or ask for advice from those whose experience they trust. But even such a search for information may not give an idea of ​​the reasons for the anxiety of the infant.

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Breast refusal

Let's try to imagine what would happen if a baby mammal, for example, a bear, an elephant, a gorilla, suddenly takes it and decides to suck its mother? The answer is simple: such a baby will not survive in natural conditions. Therefore, he does not suck his mother only in two cases: either he himself is weak and unviable, or trouble happened to his mother, and mother is no longer there. In all other cases, the baby sucks its mother. This is the way Nature is arranged that giving up breast is an unnatural phenomenon. Refusal practically does not occur in nature, it does not occur in human communities that have preserved an archaic culture of raising children. In modern civilized society, the refusal of a baby from breastfeeding is a very common phenomenon. Let's try to understand why this is happening.

The main task of any population, including human, is to survive, to preserve offspring. In the course of natural selection for tens of millennia, traits have been fixed that allow the mother to provide best conditions to preserve offspring, optimal models of maternal behavior were formed. Maternal experience, knowledge, techniques of maternal art were the property of the entire community - clan, tribe, and were continuously passed on from generation to generation. In such a community, a young mother is never left to fend for herself.

She is ready for motherhood, because, firstly, she herself was fed and raised correctly, as all previous generations were fed and raised, in the best way to preserve the health of the offspring. Secondly, she knows how to deal with small children, because she saw how other mothers behave, and she herself nursed the babies. Third, she is always looked after and supported by more experienced mothers. They teach her how to feed and care for her own child, correct if mom does something wrong. By the birth of her fourth child, a woman becomes a sufficiently experienced mother to dispense with care, to pass on her experience to other mothers.

Unfortunately, it so happened that the chain of transmission of the mother's experience was interrupted. Most moms today are Spock-bred. In addition, they practically did not communicate with babies before the birth of their own children and never watched how experienced women breastfeed or take care of their children. Majority modern grandmothers they are not carriers of positive maternal experience, because it was they who raised their children “along the Sopka”. In addition, both mothers and grandmothers became entangled in conflicting information about how to properly feed, raise and educate. Instead of help and support, knowledge and experience tested by generations, modern society offers mothers various "substitutes", means for separating the child from the mother in the form of mixtures, nipple bottles, pacifiers, baby monitors, as well as many newfangled methods of upbringing and development that contradict the very human nature.

In these conditions, refusal, an essentially unnatural phenomenon, has long become commonplace. In the practice of breastfeeding counseling, the problem of refusal is in third place in terms of the number of visits after a suspicion of a lack of milk and lactostasis.

In today's situation, a child's refusal to breastfeed is a completely natural and only way for a child to say no to his mother, to declare his disagreement with her actions.

What a normal mom-baby relationship looks like

Numerous observations of the behavior of infants in natural conditions, as well as the behavior of those mothers who were lucky enough to get the same mothering experience, proven by generations, make it possible to understand how they behave normally infant what his relationship with his mother looks like.

If the mother offers a breast, the baby always starts to suckle. Even if at this moment he does not really want to, he will take the breast. Simply in this case, he will make several sucking movements and calmly release the breast. Why is this happening?

It is so arranged by nature that a newborn human cub is a helpless creature, completely dependent on its mother. Therefore, the relationship in a mother-child pair is asymmetrical: the mother is in charge, she plays a leading role. Mom is in charge, offers breast - so it is necessary, and the baby begins to suck.

Usually, the mother does not abuse her leadership and offers the baby a breast when he really needs to suck, or in an emergency situation where she herself needs help. For example, for some reason too much milk came in and mom is uncomfortable.

It is worth noting that the behavior described above is the norm throughout the entire period of breastfeeding. And the duration of this period in humans is, on average, three and a half years.

This happens if the relationship in a mother-child couple is normal. If they are violated, the baby may refuse to breast.

How relationships are broken

When a baby is born, he knows for sure that he has a mother. During the nine months of his intrauterine life, the baby got used to quite certain sensations: he was used to hearing the sounds of his mother’s body, her voice, the rhythm of her steps, he was used to a certain temperature and a comfortable position, to her mother’s smell. A newborn baby needs constant closeness with his mother, because it is in her arms, sucking on the breast, that he gets into the atmosphere of familiar sensations, into the atmosphere of peace and comfort. The child expects from the mother quite certain actions aimed at satisfying all his needs, he expects that the mother's behavior, in general, will not differ much from the behavior of a primitive woman or living in an Indian tribe isolated from civilization. These are innate genetic expectations, formed during evolution, that every newborn baby has. If the mother does not live up to the expectations of the child, the baby loses faith in her reliability, and this is always the foundation. possible failure.

For example, a child may be "offended" by childbirth. When the course of a natural process was interfered with, disrupting it. In such a situation, the baby can give up breast already in the first days of life. Such situations are rare, but they do occur.

Maybe the mother is trying to teach the child to swim and dive, does dynamic gymnastics with him, holds him awkwardly, takes care of him incorrectly, feeds him according to the regimen, rarely picks up, puts the baby to sleep in a separate bed ... In all these cases, the child experiences negative experiences. He does not expect his mother to behave this way, because thousands of previous generations of mothers behaved very differently.

What rejection behavior looks like

In response to the mother's proposal, the baby does not breastfeed. May turn away silently, may scream when trying to give a breast or as soon as the breast is in the mouth, or even at the sight of mom and breast, often arching. Meet different variants: 1. The baby does not pick up both breasts. 2. The baby does not take one breast, but sucks the other well. 3. Takes the breast, but after making a few sucking movements, throws it with a cry.

4. During periods of wakefulness, the baby does not take the breast or takes it and throws it screaming, but when sleeping, it takes the breast and sucks in a completely different way.

Types of rejection

Depending on the behavior of the child and the reasons that cause it, there are several types of refusal:

1) Seemingly or falsely rejecting behavior is similar to rejection, but it is not caused by a breakdown in the relationship, but by other reasons.

2. The cause of true rejection is always a relationship breakdown. Depending on the degree of impairment, the child's behavior may vary. In the case of a soft refusal, the child sometimes takes the breast, in the case of a hard refusal, he does not take it at all.

Seeming failure

Consider the most common cases of apparent refusal and the actions of the mother to correct the situation.

1) Some mothers get scared, mistaking for rejection behavior in which the newborn baby twirls its head at the breast. In the performance of a newborn, such a movement is not associated with denial. This is an instinctive behavior of the child, a manifestation of the search reflex, which helps the baby to navigate and find the nipple. In this case, the mother should learn how to properly attach the baby to the breast and control his behavior, then the reflex will soon die out as unnecessary. When applied correctly, the baby's mouth is wide open, the lips are relaxed and twisted, capture the areola almost completely, the tongue is placed on the lower gum. With proper attachment, the baby sucks silently, does not smack his lips, does not click the tongue, does not swallow air.

To control, the mother should always put her free hand on the baby's head, not allowing him to twist his head, slide on the nipple or pull it off.

2. The baby may start to worry at the breast, experiencing bodily discomfort. For example, because of the desire to pee or poop. Mom should treat this with understanding, soothe and stroke the child. In such a situation, the baby should be offered the breast again, because breast sucking helps the baby cope with such problems. By learning how to plant the child, the mother will be able to help him even better in such situations.

3. The baby may not breastfeed because it hurts to suckle. This happens if the child is sick, for example, he has a runny nose, stomatitis, tonsillitis, thrush.

If the child is sick, it should be treated. Your baby may suck better during sleep during illness.

The child may be bothered by the teeth.

To reduce the pain associated with teething, you can use a local anesthetic that is designed for this purpose. When the pain has passed, the baby will willingly breastfeed again.

Another case associated with soreness is colic. With colic, the baby regularly behaves restlessly in the evenings. The child can scream when changing the position of the body, at any tension, cannot suck. He draws his legs to his stomach, sharply straightens them, cries, so many people mistakenly believe that the child is worried about abdominal pain. Actually, Small child behaves in the same way for any pain, since he does not yet have localization of sensations. The real cause of colic is not digestive problems, but headache of vascular origin, infantile migraine. From stress, the pain intensifies, so the baby reacts painfully to everything that requires stress from him. If a child is prone to colic, he may be sensitive to geomagnetic phenomena, changes in pressure, the phase of the moon.

With colic, mom should be calm. Do not offer your baby to breast during an attack, he will not be able to suckle, as this requires him to strain and increases the pain. Hold the baby in your arms, try to find such a position of the baby's body, or the rhythm of motion sickness, in which he can calm down and fall asleep. If the child falls asleep, do not change the position of his body. It is important not to wake up the child, wait until he wakes up by himself. Try to make yourself comfortable and wait patiently for him to wake up. If the baby woke up by himself, then the attack has passed. Offer him the breast, now he can suck again. A child's tendency to colic is caused by mistakes in caring for him. If your baby has colic, try to establish care, learn the techniques of maternal art.

4. It can be difficult for a baby to suckle when the milk is flowing too much from the breast. While awake, your baby may have difficulty sucking. As a rule, these difficulties are temporary and by three to four months everything is getting better. React to the situation calmly, try to calm the baby, talk to him affectionately, stroke, shake. Try to adjust to the situation by choosing the best feeding position with the help of a counselor. In a dream, as a rule, the baby does not experience difficulties with sucking, try to use it.

5. There are cases of one-time breast refusal. If the mother is absent, leaving the baby, then upon her return she may find that the baby does not want to suckle. Try to behave calmly, do not outwardly react to what is happening. Rock your child. When he falls asleep, lie down with him in an embrace and try to give a breast at the first movement. As a rule, after sleep, everything is getting better. Remember that a nursing baby should only suckle at the breast. Nipples and pacifiers should not be given to him even in the absence of his mother. The person with whom you are leaving the child should be able, if necessary, to feed the baby from a spoon, cup or syringe without a needle.

A one-off rejection is intermediate between apparent and genuine rejection. A one-time refusal may not be accidental. If this happened, be sure to think about whether you are doing everything right, whether the child is sure that you are a reliable mother.

Genuine rejection

Genuine refusal arises if the relationship between the mother and the child is broken, when the actions of the mother have led to the fact that the baby has lost faith in her reliability. If the child has lost faith in the reliability of the mother, the slightest reason is enough to provoke a refusal. It can be the absence of a mother or a trip to the clinic, the arrival of guests or a course of massage ... As a rule, within two weeks before the start of the refusal behavior, some kind of event occurs, the last straw that overflows the bowl, and the baby starts a strike. A child's behavior is an expression of his relationship to his mother. Depending on the severity of the violations, the baby behaves differently. If he sometimes takes a breast, then this is a protest against the actions of the mother, an attempt to "re-educate" her. If the child does not breastfeed at all, this is an ultimatum, a real refusal from the mother. Most mothers have a hard time rejection, feel a deep sense of guilt in front of the child, confusion and helplessness.

What if the baby really refuses to breastfeed?

How to overcome genuine rejection

First of all, it is necessary to understand why the refusal occurred, to find its reasons. Note that this is not always easy to do, an inexperienced mother, as a rule, does not notice her mistakes. The consultant will help you find the reasons and reasons for the refusal and, if possible, eliminate them.

It happens that the reasons cannot be eliminated. After all, we cannot change the past, but, having realized our mistakes, we are able not to repeat them in the future. Remember that in each specific situation, a person chooses the best of all solutions available to him. Then you did not know how to do the right thing and there was no person around who could help, teach, correct you. Try not to blame yourself for past mistakes, look ahead.

First of all, your child needs your sympathy and understanding. He feels bad now. It's not easy for you either. Believe that if you act confidently, not doubting that you are doing the right thing, and follow all the recommendations, everything will definitely work out, and soon you and your baby will enjoy your newfound intimacy.

First stage (preparatory)

Rejection isn't easy to deal with, so try to finish urgent matters and get support. Ask your family to take over household chores for two to three weeks so you can devote all of your time to your child. Try to explain what and why you are going to do and ask not to interfere for at least three weeks. It will be good if there is a woman nearby who, after listening to all your complaints, can say something like: “But still, you are great. You are doing the right thing. Everything will work out for sure. " The preparation of rear services can take from several days to several weeks. Every day counts, so don't stretch it too long.

Second stage (main)

It is carried out by means of a small "siege". Mom locks herself from the world for 2-3 weeks, retires with the child and restores lost relationships, providing the baby with conditions that are most reminiscent of the state of intrauterine comfort.

All this time she spends a lot of time with the child in her arms and lying with him in an embrace. Often, the mother practically does not leave the room or even the sofa. When he leaves the room, he takes the baby with him. Everything that can distract the child from the mother is excluded: walks, visits, visits of guests, visits to the clinic, massage. You can not pass the child into the hands of other people. Only mom touches the baby for two or three weeks.

All sucking items are removed: pacifiers, nipples. They are removed forever. If you are bottle feeding your baby, learn to spoon feed. You can do this gradually, in 3-4 days. Then remove the pacifier. If the baby is under two months old, forget about it right away. If the child is older and is used to the pacifier, leave it for a few minutes before falling asleep, then remove it completely. In the future, you should ensure that the child always falls asleep with the breast.

If the child receives supplementary food, it is reduced. This should always be consulted with a consultant. The child's condition is monitored by the number of urinations.

Mom should undress to the maximum, ideally wear shorts and a light shirt with buttons, undress the child as much as possible. It is important that the baby touches mother's skin as often as possible, feels that the breast is near and always available.

The breast is offered to the child at a frequency depending on age, gender and type of refusal. Always offer the breast for sleep, when you wake up and whenever the baby is worried. When offering breasts, do not insist. If the attempt fails, reassure the baby. Sleep with your child day and night. In a dream, offer the breast as soon as the baby moves.

The baby should not be allowed to cry under the breast. If this happens, cover your chest, distract and calm him down.

If the baby is breastfeeding, do not lift the breast until he releases it himself.

The third stage (consolidation of the achieved results)

In order to consolidate what has been achieved, be vigilant until the child is eight months old. The kid, who at least once experienced doubts about the reliability of his mother, needs long-term rehabilitation. Most likely, he will more than once want to check you for reliability, will behave provocatively. Mom should arrange loyalty checks for the baby and offer breast on her own initiative 1-2 times a day. In case of recurrence of refusal, adhere to the above recommendations.

A stable attitude to the breast will be formed in a child only by eight months.

Here are the most general recommendations... If you fail, contact a consultant for help. After the rejection is overcome, you will have to learn to live differently. A nursing instructor will help you master all the intricacies and techniques of maternal art. If you do not have the opportunity to invite an instructor, ask an experienced mother for help. It is important that the woman with whom you are consulting has a positive experience of breastfeeding, that is, she breastfeed for at least one and a half years, and remembers this with pleasure.

In conclusion, it is worth noting the following:

1) Breast refusal is not a reason to stop breastfeeding, but a reason to think about whether you are doing everything right. This is also important in the case of a one-time refusal.

2.If a baby refuses to breastfeed, it is always worth fighting to continue breastfeeding, but after eight months it can be more difficult to cope with the refusal.

3. Coping with rejection is usually difficult. But your efforts will be justified. After all it comes about the continuation of breastfeeding - the basis of your relationship with your child, the basis of his relationship with the world and other people. The whole life is ahead, help the kid not to lose faith in you at the very beginning of the journey!

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Why does a child refuse to breastfeed, freaks out and cries

The first food the newborn receives from the mother. At first, it is literally a few drops of breast milk - colostrum, but then the breast produces full-fledged milk with numerous vitamins. Breastfeeding is also necessary for mom, it helps her to recover after childbirth, because when the baby sucks the breast, the mother's muscles of the uterine wall contract, health is restored faster. However, sometimes you can see that the child does not take the breast, freaks out and is capricious. Mom is upset, but she cannot understand why this is happening. And there can be at least three reasons: the condition of the baby himself, the behavior of the mother and the characteristics of the mammary glands.

Reasons for refusing breast in the first months

It is difficult to recognize why a baby refuses such a necessary procedure as breastfeeding in the first days of life. But experts have identified several reasons:

1. Early attachment to the breast. According to the WHO formulation, the baby should be applied to the mammary glands in the maternity ward in the first half hour after childbirth. However, sometimes the baby will not breastfeed. This happens when the baby is applied to the mother in the first 10 to 15 minutes of his life. The child needs at least a short, but a pause after going through the difficult path to birth. And here mom's patience and the ability to wait for the right moment will come in handy. After a while, the child will be active on his own, will begin to turn his head, push with his arms and legs, and open his mouth. At this point, you can begin to apply it to the mammary glands. The first attempts are awkward, the baby loses the nipple or is embarrassed to adjust to it. Loving mom be sure to be patient and deal with it, even if there were unsuccessful attempts. If the newborn does not want to take mother's food, you should consult a doctor while still in the hospital, understand why this is happening, and take action.
2. Helplessness. At first, the baby can clumsily twist its head, open and close its mouth, not stick to the chest or stick to another place on the mammary gland. Mom perceives these actions as the baby's refusal to breastfeed, but she needs to learn how to help the baby, because he is just learning to make the first movements.
3. Difficult childbirth. They can become a strong obstacle to feeding, especially after caesarean section... The baby can be very tired and exhausted to suckle right away. There is little strength in premature babies, as well as in babies who have undergone oxygen deficiency. Recovery takes several days. During this period, the mother needs to express herself and water the baby with expressed milk. However, attempts to latch on to the breast cannot be stopped. As soon as the baby gets stronger, he will take the breast. Taking medications during childbirth can also make your baby feel uncomfortable with the breast.
4. Short frenum of the tongue. This makes it difficult to capture the chest.

The nipple is an obstacle to feeding

When, after delivery, the first latch to the breast does not take place, and the mother and baby have been separated, there can be a serious obstacle to further breastfeeding, especially if at this time the baby was bottle fed. The bottle differs from the breasts both in shape, in smell, and in the way the milk flows out. Sucking from a bottle is easier, so the retraining process can be long and difficult. Lying on to the breast can cause the baby to cry and scream. If the baby needs to be fed, it is better to do it from a spoon, from a pipette or from a syringe without a needle.

It is often difficult for a child to break the habit of a convenient bottle and immediately get used to the breast, so the transition should be gradual and neat

If the baby does not pick up the breast or, on the contrary, picks up and sucks it, but quickly drops it, one of the reasons is incorrect attachment of the baby to the breast. As a result, the baby quickly sucks out the "front" milk, which flows easily, and does not want to exert any strength to suck out the "back" milk, which is thicker: it is harder to get it from the breast. However, it is fatter and healthier for the baby. It is wrong for a mother to give him another right after the baby spits out the breast. It is necessary to patiently repeat the attempts to attach to the first.

If the baby is not properly applied, it can swallow air, which will cause colic in its tummy, and the baby will spit out the breast. In addition, the baby does not want to breastfeed unless he is hungry. Mom needs to wait until the baby is hungry.

With an elevated body temperature and the presence of colds, the child will refuse to breast

The problem with breastfeeding can occur at an older age, but there are other reasons for this:

• Excessive activity. The child is actively looking for a breast, trying to take it and suck it, but cannot hold it. This happens most often due to the high activity of the child, who is constantly spinning, especially at the age of 3-4 months. In this case, mom needs to support the baby's head near the nipple.
• Fatigue. The child is simply tired and wants to sleep, and his mother is trying to feed him by all means. This causes a protest - the baby screams and freaks out. Take a closer look at the baby: if he rubs his eyes and yawns, it's time for him to sleep, you can feed him later. Although, it may be more comfortable for your baby to take the breast when he is almost asleep.
• Sensitivity to weather conditions. A sudden change in weather can affect the baby's behavior and, as a result, breastfeeding, especially if the baby is sensitive. Mom needs to see a doctor for advice.
• Colds... Mom must listen and look closely to the child. He may refuse to suck because of painful phenomena. If the spout is blocked, the baby has nothing to breathe when he starts to eat. Or an ear, tummy, head hurts, a painful general condition. The kid at this time cries, screams, is capricious. With a cold, the child's temperature rises, appetite decreases. He does not have the strength and desire to make efforts to suck. At such moments, you need to calm the baby, identify the cause of crying and eliminate it. You can try to feed him when he sleeps.
• Thrush. At an older age, a child may experience thrush in the mouth, which is accompanied by a white bloom and soreness, which prevents him from taking the breast without hindrance.
• Teething. At 3-4 months, the lack of desire to suck can be caused by teething. You can help your baby using special pastes and gels. They need to be applied to the gums, which will ease the suffering of the baby.
• Strong flow of milk. With an abundance of milk, it can flow strongly, and the child can choke. This causes discomfort, which is the reason for refusal to feed. Then mommy should choose the right position in which the milk will not flow with a strong stream. A pose in which the baby lies on top of the mother, or when they lie side by side, is fine.

Mother's behavior and characteristics of her body

A baby may refuse to breastfeed in the following cases:

1. Mom has flat or inverted nipples. Mom needs to learn how to help the baby, because with skillful attachment, the baby grabs the breast, and does not suck the nipple. With constant breastfeeding, the nipples are most often pulled out.
2. Mom has swelling of the nipple. Edema occurs due to lactostasis. Mom needs to devote maximum efforts to treatment, while drinking less fluid and carefully working out the flow passages, expressing a little milk before feeding. When the swelling subsides, feeding improves.
3. Lack of milk in the mother. The baby is malnourished, so he cries and stops sucking. An urgent need to find out the reasons for the decrease in milk production and take emergency measures to eliminate them. Most often, the baby is given one breast during feeding, but if milk is not enough, both are given. If there is enough milk, it is necessary to follow the sequence: first, they give the baby one breast, the next feeding - the other.
4. Too much milk. At the same time, it is difficult for the baby to hold the nipple, the mammary gland becomes hard. You can soften your breasts by pressing your fingers on the areola for a few seconds. It is better not to include foods with pungent odor and flavors such as onion and garlic. This will change the taste of the milk and may cause the baby to refuse to breastfeed.
5. The family has a difficult psychological environment. During this period, the mother is irritable and nervous, her mood is transmitted to the baby. He can start to be capricious, and all this worsens the nutrition process. All adult family members should be interested in eliminating psychological problems.

The baby does not breastfeed, and mommy thinks that he is naughty. This is wrong. Below are recipes from specialists and experienced mothers who know the ways and methods of solving the problem.

• Don't panic if your baby only occasionally refuses to feed. But if the baby has not received mother's milk within 24 hours after birth, you can feed him like this: express milk, mix with glucose and give from a spoon or from a finger. Finger feeding will help develop the sucking reflex in the crumbs.
• Carry the baby on a sling - this will accustom him to the mother's breast. Gradually notice how the baby will reach for her on his own.
• Discard the nipple. Yes, the cub will cry during retraining. Show patience and perseverance.
• Study your child in what position it is better for him to eat. Some babies like to suck when they are rocked on the go, while others are already almost asleep.
• If it was not possible to feed the baby during motion sickness, give him the opportunity to fall asleep, and then bring the nipple to his mouth. The child will gladly smack his lips in a dream.
• Use a pad if you haven't been breastfeeding for a long time. However, do not overuse it, otherwise feeding without it may become impossible.

Successful feeding requires a spirit of success. Enjoy pleasant moments with your child. Do not be nervous. Always feed in the same room. During feeding, do not be distracted by extraneous matters, do not keep problems in your head. You can turn on pleasant soft music, and drink warm tea before feeding.

Remember that a newborn child is defenseless in the adult world, he is completely dependent on his parents. Only by showing love and care can you eliminate all the reasons that interfere with feeding, and establish relationships with the baby.

One sided child

If your baby prefers one breast over the other, or only sucks on your favorite breast, don't be discouraged. The baby quickly learns which breast "works best" and stays on that side. Babies usually grow well with only one breast. It happens with twins. For several months, you may feel that one breast is lower than the other, but in any case, your body after the birth of the baby will never remain the same as it was before the birth of the baby.

Committed to the chest

Finally, to make the life of a nursing family even more difficult, there are bottle-ditching babies. You worry about what will happen when you return to work, and the little gourmet food lover waits for his favorite dish and refuses the second-rate one. Some babies refuse a bottle (even with breast milk) from a breastfeeding mother. It is as if you came to your favorite restaurant, sit at your favorite table, listen to pleasant music, a familiar waitress serves you - and they bring you the wrong menu. For a baby who is used to breastfeeding, any change may be undesirable. You should feel grateful that your child is so devoted to you!
We have discussed this issue frequently on our Live Ask About Your Child radio show. One day a dad called and gave advice on how to bottle-feed a baby. "I am a policeman and I love to stay with my baby when my wife is at work. I take off my shirt and let him cuddle and crawl over my hairy chest. Then I take the bottle, squeeze it with my forearm the way I usually hold a flashlight when I have to maneuver. in the dark. I take the baby in my arms much like my wife does during breastfeeding, and the baby drinks from a bottle sandwiched between my breast and forearm. We are both delighted with our invention. " Take note of this example of paternal intuition.
If you have followed all of the bottle feeding recommendations for a breast-accustomed baby on p. 300, but the child still refuses to accept the bottle, do not strain, there are other methods. Try feeding your baby with a small plastic container, such as a juice glass, medication cup, or rimmed soft cup. Giving the cup a curve that approaches the curve of the baby's lips can make it more attractive to the baby, and may be more interesting than the nipple. Pour milk into your baby's mouth in small portions and wait for him to swallow. At first, some of the milk will be spilled until the baby learns to coordinate movements. Be patient and let your baby pull the milk the way he sucks. Do not use spout cups. (See page 222 for more advice on how to give your baby a bottle.)
Fortunately, all the tricks that babies play during feeding will soon disappear. Children grow and develop, and soon you find yourself face to face with new problems. But that's how children are.

BREASTFEEDING SPECIAL CHILDREN IN SPECIAL CIRCUMSTANCES

Breastfeeding is even more important for children in need of special care, as well as for their parents. Breastfeeding provides more high level hormones of "motherhood", contributing to the development of intuition in communication with the child, readiness to meet all his needs. The physical, physiological and medical benefits of breastfeeding are even more significant for these babies. Over 25 years of medical practice, we have repeatedly observed a phenomenon that we would call "the principle of compliance with the level of needs." The baby needs special care. Parents do their best to meet his needs, and gradually they develop heightened intuition and sensitivity to meet the needs of the child. Let us consider the most common situations in which, in response to the child's special needs, special parenting behavior is developed.

Sexual sensations while breastfeeding

The hormones involved in the formation of milk and the formation of maternal feelings (prolactin and oxytocin) affect female sexuality. They contribute to relaxation, the emergence of a sense of pleasure and help the mother to be in continuous communication with the child. Breastfeeding should be fun. Humanity could not survive if breastfeeding was not associated with pleasure.
Some women are worried about the strength of the feelings they experience while the baby is breastfeeding. They are especially worried about this when the child grows up, they ask if this is normal? Yes, sure! This is what the International League of Nursing Mothers says about this: “Women experience physical feelings during breastfeeding. child. All these are normal components of a woman's relationship to her child. "

Cesarean section babies

After a caesarean section, a nursing mother has a double burden: she must heal and care for the baby. Here's what you can do in such a situation:
- Ask your counseling breastfeeding professional to show you which position you should take while lying on your side and how to hold your baby while breastfeeding. With the correct posture, the child will not bother the sore spot. (For a description of the postures of a nursing mother, see page 147-148.)
- Your husband needs to watch how the health workers help you get into the right posture and position the child correctly so that he can help you when you get home. Ask the professionals to instruct the dad on how to move the baby's jaw down and correct the curled lip, because it may be difficult for you to bend over and see if the baby has picked up the breast correctly.
- Take medications that relieve pain that suppresses milk production and interferes with milk flow. Medicines usually prescribed to relieve pain after surgery are not harmful to the baby, as they hardly pass into milk.
- If postoperative complications prevent you from breastfeeding your baby for 1 to 2 days, the father or nurse can feed the baby with formula, but not with a bottle. It is best to use a syringe or tube feeding device, or finger feed (for an explanation of this feeding technique, see pages 176-177), as bottle sucking may interfere with the baby's ability to breastfeed properly. If you are not bringing a baby, you need to start using breast pumps as soon as possible so that the baby can receive colostrum.
- You should reunite with your child as soon as possible. Since mothers need peace after a caesarean section, children are usually kept separately. We do advise, however, to place the baby with the mother if someone can be there to help with the child's care.
- Be patient. After surgery, you will need more time, support and persistence to master the science of successful breastfeeding. Some of the energy that you might otherwise use to achieve success in breastfeeding as soon as possible will have to be spent on your own treatment. You will eventually get the feeding going, but not so easily and quickly. (See the section on creating an unbreakable bond with your baby after a caesarean section on page 54.)

Premature baby

Premature babies require special care, good nutrition and comfort. Here's a case where breastfeeding moms are particularly beneficial. Recent advances in newborn care increase your chances of returning home with a healthy baby, but they are also moving the mother away from him to save the baby. You need to become one of the members of the medical care team.
Sue and her premature son Jonathan were under my supervision at the hospital. She spent most of the day at the box in which her child was placed. Since Sue was an active witness to the development of the baby all the time, she exclaimed: "It is as if the uterus is outside, and I can see how it grows."

Super milk!

In a premature baby, the need for mother's milk is even greater. He needs more protein and calories to grow faster. Researchers found that milk from mothers who gave birth ahead of time, contains more protein and is more nutritious - a vivid evidence of how mother's milk changes, ensuring the survival of the child. Super milk for a baby born prematurely - it's amazing!
In the past, it was customary for babies placed in intensive care units not to breastfeed until they gained strength. New research has shown that premature baby breastfeeding is easier than bottle feeding because the ability to suckle precedes the ability to feed from the bottle. The researchers found that during breastfeeding, the baby sucks and swallows at a rate that requires less energy than with less uniform bottle sucking; children, breast-sucking, grow better, have less respiratory arrest, and fatigue less than bottle feeding. More useful not only breast milk but also how it is consumed.

What can mom do

So that you can understand your huge role in nursing your premature baby, let's look at what it is like to routinely care for a premature baby who has stable breathing but needs to gain fat. Here's what you can do.
Kangaroo method. One of the opportunities for a nursing mother to provide her baby medical assistance provides an innovation that can be called the kangaroo method, as this method provides an opportunity to facilitate feeding, just like a kangaroo in its bag feeds its premature baby. A study by Dr. Gina Cranston Anderson at Florida State University found that premature babies gain weight faster with this method, they have fewer respiratory arrests, and the length of their hospital stay is reduced.
Using a special device - a sling, the mother carries the baby wrapped in diapers at the breast. The mother's body and warm blankets provide much-needed warmth. Due to insufficient body fat, these children often freeze. The closeness of the mother's breast encourages the baby to feed as soon as his small stomach demands it, a system known as "self-regulated feeding". Always stay at the box in which the baby is placed, sit in a rocking chair and hold the baby wrapped in diapers at your breast. If the child is not connected to any medical devices, carry it around the room. Rhythmic walking, even more than sitting with a baby in a rocking chair, helps him breathe regularly, because this is the environment around him before birth. (See page 309 for a description of the vestibular system.) A baby cared for by the kangaroo method cries less. Children who cry a lot grow worse, because when crying heavily, a lot of oxygen and energy is consumed.
If you are breastfeeding, kangaroo-caring, holding, sitting in a rocking chair with him, carrying him, he will cry less and grow faster.
The kangaroo method gives a lot not only to the child, but also to the mother. The closeness of the baby, nestled on the breast, stimulates the production of hormones that enhance maternal feelings and the formation of milk. Mothers who are attracted to kangaroo care are more likely to breastfeed their babies, they have more milk, and they breastfeed longer. They are very attached to their tiny children, are more confident in their abilities to do everything possible for the child and feel like active members of the team. medical professionals intensive care units for newborns.
Newborn specialists believe that one of the main reasons for the effectiveness of kangaroo care is that mothers give the rhythm of breathing to premature babies, so that babies develop better. Premature babies often experience respiratory arrest, which slows their growth, and they are often the reason for long hospital stays. It is unlikely that you have ever thought of yourself as a device that provides breathing, but the picture is exactly this: the baby is snug against your chest, his ear is at your heart. You breathe rhythmically, your heart rhythmically works, and the child perceives it. The rhythm of your breathing, the beating of your heart, your voice that the baby is used to hearing before birth, and even the stream of warm air from your nose that hits the baby's head with each exhalation, set the rhythm of breathing, as if reminding him to breathe. The child, inextricably linked with his parents, breathes with them.
Pump out milk. Rent an electric breast pump and start pumping milk as quickly as possible. Stock up and start giving as soon as medically necessary. Feed your baby in the way that works best.
Get help. Talk to a breastfeeding specialist who can teach you how to act to make it easier for your premature baby to pick up and suckle properly.
Try not to use a bottle. Instead of a bottle, use a feeding device and a method of using a syringe while sucking a finger (see description on page 176). Some premature babies move easily from bottle to breast and do not confuse nipple with nipple. Others, after the bottle, take the wrong breast, so if possible, try not to use it. When the baby is strong, move on to full breastfeeding, bypassing the bottle stage, or combine breastfeeding and bottle feeding, whichever is best for the baby and mom.

If the child does not take one breast and freaks out when the mother gives it, then the reason may be both in the baby itself and in the nursing woman. Hepatitis B counselors advise not to follow the lead of a baby who constantly wants to suck only the right or left side... Indeed, in the future, this can lead to the cessation of milk production in the other breast and tangible visual differences between the glands. By trick, the mother can correct the situation and make the baby take both breasts with the same desire.

The baby refuses one breast: the consequences

Many women during lactation face the same problem when the baby takes only one breast and completely refuses the other. In this situation, the mother has two ways: to retrain the baby or to obey his wishes.

If a mother wants to keep breastfeeding, then all the ways that can correct the child's behavior should be tried. When a nursing woman obeys the wishes of the baby and agrees to feed only the right or the left, then this is a step towards rejection.

If the baby refuses one breast and sucks the other, and the mother does not try to correct the situation, then the consequences will be as follows:

• Milk will stagnate in the "unloved" breast. This will lead to the appearance of bumps. If you feed the baby only on the right or only on the left, then the signs of lactostasis will not keep you waiting.
• In one breast, milk will be produced in the same volume, while in the other, milk production will decrease. Over time, the baby will lack food as the baby grows. The mother will be forced to supplement the baby with formula, since milk is not enough.
• "Favorite" hardware will be bigger size, since active lactation is maintained in it. Perhaps, after the abolition of HS, the size will be restored, but the skin will still remain more stretched. quite common.

Causes

Breast refusal on the one hand is triggered by the physiological characteristics of the mother or baby, as well as the behavior of both during latching. It is sometimes difficult for women to understand why a child is behaving this way.

It is important for mom to understand the reasons, but at the same time remain calm. After all, the baby feels even a little stress, and excitement can affect milk production. If you determine the cause accurately, then in most cases it is possible to solve the problem and establish GW.

More milk is produced on the right or left

If the baby is willing to suckle on one breast and refuses the other, then uneven milk production may be the cause. The female mammary gland contains the alveoli in which breast milk accumulates. Ducts depart from them, which are directed to the nipple.

Through the ducts, milk enters the baby's mouth during sucking. In one woman, the number of alveoli in different glands may differ, since there are no symmetrical people. There is nothing dangerous or unnatural about this. Each mother, having a different number of alveoli in the mammary glands, is able to feed.

In the gland where the alveoli are larger, more milk is collected. It starts flowing as soon as the baby begins to suckle. On the other hand, there are fewer alveoli and, accordingly, less milk accumulates. It is produced during the sucking process. Therefore, the baby has to work hard to get food.

From one side it pours more intensely

The baby can refuse one breast and suckle the other with pleasure due to the different strength of milk flow. Some babies like milk to flow into their mouths by itself. Others prefer to actively suck before this.

Nina Zaichenko, certified GW consultant and well-known blogger says:

- The baby sucks on one breast, from where the milk splashes directly, and he does not need to strain. And to get milk from another breast, you have to strain and he does not like it. And some children, on the contrary, do not like it when the jet hits him in the mouth as if from a cannon. Everything is very individual.

Mom puts the baby in different ways on both sides

If the baby eats only one breast calmly, and does not want to take the other, then the posture may be the reason. It would seem that the mother puts the baby on the right and left elbows in the same way. But the difference is still there, and for the little man it is palpable.

Infants often have increased muscle tone. If on one side it is stronger, then the baby will be uncomfortable lying on a certain side. Due to the fact that the shape of the breast is slightly different for all women, it may be uncomfortable for the baby to grasp the nipple.

The child does not like to lie on one side

The baby, although a newborn, is already a separate person. He shows dissatisfaction in certain cases, but the mother does not always manage to understand the reasons. Sometimes babies scandal on one breast and suckle from the other with pleasure.

Breastfeeding blogger and consultant Nina Zaichenko says:

- We are all born not symmetrical and at first it may be uncomfortable for a baby to turn in one direction. And then the baby gives priority to some one side and the corresponding breast.

Since the baby still cannot say that lying in this position is uncomfortable for him, he simply spits out the nipple and begins to scandal. At the same time, he is happy to calmly suck the opposite mammary gland.

Teeth are cut on one side

Babies after six months may give preference to one breast due to teething. The child may be uncomfortable lying on a certain side. Because of this, the infant refuses to suckle one breast, but takes the other.

Teething in babies usually occurs after six months, but for some, this process begins earlier.

What to do

The priority breast starts to produce more milk over time, and the woman may notice the difference in size. Therefore, it is necessary to take measures in time so that the baby sucks both mammary glands with the same desire.

• Attach the baby to the "unloved" breast at special moments. It is better to choose the time before bed, during sleep, or immediately after waking up. The kid will indiscriminately take his mother when he is hurt or offended. Indeed, while sucking, he calms down.
• Apply in an unusual and unusual situation for a child. You can feed your baby on the street, at a party. Many people are helped by feeding while swimming. Warm water expands the ducts, making it easier for the baby to cope with food. In addition, the water creates a calming environment, just like Mom used to be in her tummy.
• In the fight for HB, all means are good, and mom can use the method of deception. When the baby falls asleep with the "favorite" breast, it is necessary to immediately change it. It is important to do this carefully so that the baby does not detect the substitution and continues to suck.

If temporary discomfort or teething is causing your baby to be frustrated, choose a different feeding position. It is more convenient not to hold the baby in your arms at this moment, but to put it on the bed. If the baby categorically does not want to turn in the direction the mother needs, it is necessary to sit over him. In the new position, the baby can taste the "unloved" breast.