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BREAST CARE (During And After Pregnancy)

BREAST CARE DURING PREGNANCY

Why it is necessary:Proper education of mother and relatives is possible and mandatory during pregnancy. Flat or inverted nipples can lead to difficulties in breastfeeding for the child. Hence, during pregnancy women can become aware of it and take necessary steps.

Care of Flat and Inverted Nipples:Nipples can be flat, normal, long or inverted. Flat nipples cannot be gripped easily. Inverted nipples cannot be held by fingers. Both can cause feeding difficulties and get injured while giving breastfeeding.

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Steps of care:Following tip also can help:1) Try gentle pulling of nipples for flat nipples by fingers.

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2) Cut a 10ml syringe at the front-end, remove the plunger from hind end and insert it from the cut front end. Then press open hind end of the syringe lightly over the areola covering the nipple and withdraw the plunger (which is now at the front cut end) so that the nipple is pulled into the syringe. Maintain pull for 20 to 30 seconds and then release. Gently remove the syringe. Nipple will remain protruded. Then put the child for breast feeding.

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3) Use Nipple Shell chard plastic shell c holes worn over nipples) for flat and inverted nipples. If not available in the market. Make it at home from wood, plastic or cape of feeding bottle. Remember, to make it with smooth margins do file all sharp margins, as there can be injurious.

Breast discharging during pregnancy:From fourth to sixth month of pregnancy, thick, yellow fluid begin to form inside the breast. This may be or may not be expressed out. There is no definite advantage or disadvantage of expressing this milk. Take care, while expressing this milk, to avoid injury to the nipples.

Changes in breast during pregnancy;Pregnancy hormones play vital role here and bring a number of changes in the breast during pregnancy. These changes include, The breast get bigger and tender when touched.
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Due to increased blood flow in the breasts. They may feel swollen, sore and tingly. Darkening of nipples and areoles occur (the skin around your nipples). Darkened veins may appear along your breasts (due to increased blood supply to your breasts). The nipples will change in shapes and size. They will change and stick out more. As the breast start preparing themselves for lactation, the breast may start leaking a yellowish, thick substance known as Colostrum.

Points to Remembered During Pregnancy:Put the baby to breast immediately after delivery and allow it to suck for 10 to 15minutes. Colostrum (initial breast milk), should be given to the baby as it is nutritious and protects against diseases. Give nothing except breastfeeding. Allow child to suck for 8 to 10 times a day even if breast milk is loss. Breastfeeding decreases from uterus and help to decrease its size faster. Do not use pacifiers or artificial nipples. Breast milk is the best food for the new born its quality remain high unless mother is talking certain drugs for her serious disease.
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Ability to breast feed does not depend on size of the breast. Mother should always keep confidence in breastfeeding. It solves all the problems. There is no other milk as a complete substitute to breast milk. Do not start feeding as it causes nipple confusion and the baby thereby get used bottle as it requires no effort in comparison to breastfeeding.

BREAST CARE:It is the important to begin preparing the breast for breastfeeding during the prenatal period. 1) A well-fitting support bra should be worn at all times. This will provide good support for the enlarging the breast. As the breast enlarge, an increase in bra and cup size should be worn. 2) Pads may be worn inside the bra cups to absorb possible Colostrum leakage from the nipples. The pads should be changed if they become wet from leakage. Prolonged moisture against the nipples my lead to tenderness and cracking once the new born infant begins nursing. 3) The breast should be washed daily to remove dried Colostrum and to prevent irritation to the nipples. Landin may be applied to the nipples.

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Wet tea bags may be placed on the nipples, as the tea will release tannic acid, which will tougher the skin. The nipples should be air dried or blow dried after washing to help tougher them, especially if the patient plans to breastfeed.

BREAST CARE AFTER DELIVERY

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SORE NIPPLES:[Type the company name] | [Type the company address]

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Nipples can crack due to improper-latch on. It can also happen if the nipples are too dry, too wet or undergo too much friction. Ensure that the baby latches-on to the breast properly and most part of the areola is in the childs mouth. BREAST ENGORGEMENT:Immediately after delivery, the hormones released in the body start producing milk for lactation, whether you are breastfeeding or not. If unable to food well. The breasts may feed uncomfortably full. To minimize the engorgement try to nurse frequently or express out the extra amount of milk. Warm compresses or the expressing milk in a warm shower prove helpful. BREAST MILK LEAKAGE:Breast milk leakage can prolong for a few to a couple of months depending upon the milk production and the sucking capacity of the child. Wear breast pad whenever necessary and change it often. Also, keep the nipples and surrounding area clean and dry. SAGGING OF BREAST:Breast starts sagging and loosing their tautness after the delivery or during the period of breastfeeding when the breasts become larger.
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Irregular menstruation is also cause for breast sagging. Features;Red irregular marks then show up on the breast skins surface. These marks are worse to some women because the elasticity of skin varies from person to person. For most women after delivering their breasts return slowly to something close to their previous shape and size, but in some breasts become more slack and pendulous.

*There are one or two things to offset this

tendency of sagging during pregnancy. 1) Give your breasts maximum support with a good bra wearing it day and night. 2) A few minutes everyday to exercise your breasts muscles.

FIRM UP AND ENHANCEMENT OF BREAST:Should eat healthy amount of food.

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Eating at least three healthy and wellbalanced meals per day is the first step to healthy breast cellular growth. Avoid caffeine. Caffeine creates physiological effects on the body including the blood vessels in the head and brain. When you quit or lessen consuming coffee, the body goes through withdrawal, resulting symptoms such as headaches. This will only last for a few days and then the headaches will subside. Avoid any carbonated drinks:Such as beer, champangne or fizzy urine coolers. Also avoid any other soft drinks containing 7up, coke or any other soft drinks.

Get Enough sleep:Sleep at least seven hours per night and avoid extreme stress.
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Exercises:[Type the company name] | [Type the company address]

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Swimming is the best exercise for bust shape. It exercises the breast muscles considerably against resistance of water and breast requires maximum attention especially after delivery. Kneel down and press your palms in pose in the center of chest so that the tissues around the breasts are under full pressure exhale slowly and release the pressure.

BREAST CARE FOR BREASTFEEDING MOTHER Care of breast while breastfeeding:Avoid pressure on your breasts:Sleeping in a face down position may squeeze your breasts and block milk ducts. Do not
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wear under wise bras and avoid wearing bras, too tight and clothes that are tight over your breasts. Avoid wearing or carrying items that can squeeze or press on your breasts, baby carriers and slings and diaper bags. Breast Support:Wear a supportive bra. This can be a regular that you take off when u breastfeed or a nursing bra with breast flaps. Cotton bras are best. Cleaning the Breasts:Wash your breasts with warm water once every day. Do not use soap or other cleansing agents. This can irritate your nipples. Always wash your hands thoroughly for 15seconds before breastfeeding, expressing or pumping. Then dry them completely and always use a clean paper towel after every washing. Keep your nipples dry:Do not wear plastic nipples shells or plastic lined nursing pads. These can trap moisture and do not allow air flow to the nipples. Placing fabric
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breasts pads inside the bra will let air inside. Change breast pads often to prevent irritation. Nipple conditioning:Use breast milk or pure lanolin ointment on your nipples if needed to keep them from chapped and dried out. Some creams and lotion can cause an allergic reaction with irritation of skin. PROBLEMS WHEN BREAST FEEDING:Decreased nipple blood supply:*This can cause pain and blanching of nipple while breastfeeding. *Decrease the amount of caffeine you drink, such as in coffee, tea and soda to help prevent nipple blanching. *Do not smoke and avoid being in cold areas. Engagement:*Breast engagement is a condition where breasts are painful and very swollen from too much milk inside. *Breastfeeding the baby will help empty the milk and prevent engagement.
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Nipple Pains:Sore, cracked or bleeding nipples if baby is not latched on in a good position. To prevent this, need to be careful when, positioning your baby to feed. Make sure that baby has a mouthful of breasts when baby feeds. Plugged milk ducts:*Milk ducts are pathways where milk flows from milk producing areas in your breast down to your nipple. It can block the milk ducts include milk that get thicker, scar tissue on them. *The blockage can decrease or stop the flow of breast milk in one part of breast. I can make milk build up inside and cause breast to swell. *Plugged ducts can lead to getting a breast abscess or mastitis. *Always empty the breasts completely and do not let long periods of time pass between breastfeeding.

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*Breastfeeding will help prevent from plugged ducts again or getting a breast infection. PREVENTION OF PROBLEMS:Breastfeeding the suction from your babys sucking before taking him off your breast. Breastfeed or pump at least eight times a day and breastfeeds whenever the baby wants. Provide a comfortable position during breastfeeding. Learn how to get the baby to latch-on well.(to latch on means that the baby has taken all of the nipple and part of areola far into the mouth. Baby is latched-on well if *Breast or nipples does not hurt while feeding. *Baby is able to suckle milk right away after he latches on. Suckling should change from quick short sucks to slow deep sucks should be able to hear swallowing and see jaw move downward with each suck. Make sure you are relaxed during Breastfeeding.

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*Put a warm wet cloth on your breast or take a warm shower to increase milk flow. Make sure your baby is relaxed during breastfeeding. Use devices for breastfeeding correctly.

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