Do you have enough milk?

insufficiency of lacteous secretion can have various causes. Often, a late setting with the centre is responsible. The point on this problem and means of solving it. Do you have enough milk? Only criteria allowing d’ to affirm l’ insufficiency of lacteous secretion prove to be the curve of weight and the number of layers wet per day. Indeed, certain babies seem to be satisfied with malnutrition and present any disorder neither of the sleep nor of the intestinal transit time. D’ others, on the other hand, sufficiently nourished, howl with energy after tétée and claim ” rab” …!  insufficiency of lacteous secretion knows multiple causes of which most important are the late setting with the centre, l’ incomplete evacuation of the centres, the concern and the tiredness of the often depressed mother, genetic factors etc Miracle cures… One finds in l’ history of l’ humanity a whole series of practices being supposed to increase lactation. Infusions of various plants, invocations with holy-Agathe, the wearing of jewels d’ agate, the beer of nurse had each one their hours of glory. Actually, like always, the good sense indicates the procedure to follow. Mixed feeding If the baby continues to lose weight after the 5th day of life, or s’ he does not grow bigger, the pediatrist goes l’ to examine to seek an infection (urinary, pulmonary etc) or digestive disorders (diarrhoea, vomiting…). If l’ clinical examination and the complementary examinations are normal, l’ insufficiency of lacteous secretion is possible. In certain cases, the pediatrist can decide d’ a mixed feeding. This medical decision must be taken with prudence because the feeding-bottle additional has many disadvantages: * It increases the d’ risk; allergy to cow’s milk proteins; * It increases the risk of diarrhoea; * It increases the risk of confusion centre-tétine; * It disturbs the starting of l’ breast feeding; * It increases the d’ risk; clogging; * It decreases the confidence of the mother in her capacity to be nursed; * It decreases the duration of l’ breast feeding. The principle of the feeding-bottle additional is to give to each meal a cow’s milk feeding-bottle after tétée with the centre. It is paramount that the centre is completely emptied milk remaining by manual expression or breast-pump. This concept too often forgotten is essential. Indeed, lorsqu’ it uses feeding-bottles additional, the mother is likely not to completely empty her centres and the secretion of milk still will decrease. The method which consists in alternating according to the hours breast feeding with the centre and bottle-feeding is anti-physiological if the desire of the mother is to start again her lacteous secretion. Indeed, the best d’ means; to have milk is to put l’ child with the centre very often. Certain drugs are sometimes used to stimulate lactation: Galactogil, vitamin E (Ephynal), Primpéran… To envisage the return to the house The return to residence at the time of the exit of maternity is a d’ source; distresses, d’ concern and of tiredness (depression of the postpartum or ” baby blues”) and it is frequent that the milk rise slows down on this occasion. The mother, warned this possibility, may find it very beneficial to be made help for the pieces of housework by her husband, a relative or assistance-family. Abundant drinks, the rest and the suction of the two nipples with each tétée are the most effective simple means to start again lactation.