Christina Koresh, on the reasons that discourage mothers from breastfeeding

The first week of August of every year is dedicated to breastfeeding babies all over the world and is an opportunity to encourage this natural habit critical to children’s health and well-being. With the long-term beneficial effects, specialists around the world recommend that you breastfeed your baby for at least six months.

However, in the age of speed, which has undergone significant changes in the social status of women, many mothers give up breastfeeding for professional reasons or because of social pressure. Misinformation or a lack of documentation also frustrates new mothers. Christina Koresh, a pediatrician and certified breastfeeding consultant, interviewed GdS about the most common reasons that discourage women from breastfeeding and how they can be managed for the benefit of mother and baby.

GdS: Can we prepare before birth to start breastfeeding properly?

Christina Korich: A mother can prepare with information, and there are online specialist groups, support groups, online conferences, and resources there. And it is advisable to do this because mothers generally think that everything is ‘milk and honey’. it’s not like that. It is your responsibility as a future mother to document yourself. Some mothers feel disoriented after childbirth due to pain and hormonal imbalance.

GdS: Can we prevent the horrific fury of milk or clogged bronchial ducts?

CK: Milk of anger does not appear immediately after birth, but appears on the third or fourth day. And then the mother would do anything to escape and let the mother, aunt, the neighbor milk her. This is the first mistake. Go to the milking side. To prevent this, it is a good idea to deliver in a maternity ward where you can reach the baby at any time. If the mother separates from the baby, it is necessary to use a milking pump to replace the sucking of the baby. When she is separated from her child, a mother cannot do the same stimulation that she would when she had a child by her side. If the baby also received powdered milk supplements, he will sleep for three hours, will not breastfeed, and again risk being breastfed.

The first way to prevent a rash is to drain the breast, either by sucking only or by suction.
Then help compresses with warm water on the breast, which contributes to the expansion of the vessels in the ducts so that the milk flows more easily.
It is not recommended to let anyone milk us, because micro-lesions can occur in the ducts and the congestion worsens.

GdS: Why does milk rage appear?

CK: Many moms feel their breasts after giving birth, see that they are limp, and then sit and wait, thinking they don’t have milk yet. I finally pump a little and then wait, but the plant is working in her breast and within 3-4 days when the breast is not draining, 300-400ml of milk accumulates. When colostrum is changed, because this is milk from the first days, with transitional milk, a much larger volume comes in, and the ducts are not clogged, but inflamed. It is difficult to get this milk out at this point. If there are also micro-injuries due to milking, it will be much more difficult. The crowding protocol is done gently.

Mothers do not think that early colostrum is milk, although this is perhaps the most important thing. It’s the milk that your baby no longer meets, a mix of immunity and antibodies, and that you’re missing out on waiting for the milk to come in… which is, in fact, the second stage, transitional milk. Colostrum in a very small amount, it is very dense. It is very important that the child receives it.

GdS: In the maternity wardAnd Many mothers undergo painful maneuvers on their breasts to “unblock their ducts”. How accurate is this information, are these actions really helpful?

CK: When your breasts are rocky and it hurts until you stop breathing, you’ll let almost anyone have milk if they promise to get rid of that pain. However, these maneuvers are not approved by doctors, and they are performed by people who, even if they have initial medical training, do not have studies related to breastfeeding. It is a procedure that can have long-term consequences, and can give diseases for which no one is responsible then. Nodules may form due to microscopic lesions. Nurses cannot open these channels, but only the mouth of the child sticking out correctly, which sucks repeatedly and effectively, and not just “sucks” for a minute or two, and then falls asleep. Or a breast pump used before the milk agitation occurs may help.

GdS: What are the main things that discourage mothers from breastfeeding in your experience?

CK: In my experience, the main reason is a lack of prenatal education. Mom does not expect trouble. In general, they set their expectations by others, with children sucking the clock, at work, and sleeping at night. When the mother gives birth and is still separated from the child, ruptures arise in the natural, instinctive sequence between mother and child. A mother separated from her baby in the maternity ward arrives home and only then discovers the baby’s true needs.
Unfortunately, I have also met fathers who do not encourage their mothers to breastfeed. Some of them see that their partner is suffering and because they care about it they think it is better to give up, some out of ignorance, others out of selfishness, because they do not want breastfeeding to affect the aesthetics of the breast. .

There are also older relatives who come up with outdated legends – to give the child tea, give him powdered milk because he is not full, with ideas of diversification from 3-4 months.

In general, the opinions of others influence new mothers, including those of mothers who have not breastfed and who are misled based on their own experience, which is often very subjective.

Unfortunately, the medical system is also a deterrent. In the maternity ward, breastfeeding is not recommended due to lack of staff. Nurses do not have time to sit with every mother. There are no training sessions with the medical staff, and mothers are not referred to certified consultants.
And one more important thing. In the maternity ward, the baby often receives the powdered milk, with or without the mother’s will, and when the mother arrives home, motivated only by the desire to breastfeed, she abruptly removes the powdered milk. Baby crying, uneaten, arrives after 2-3 days to introduce formula, when the regime must be reversed. Powdered milk at home should be removed gradually.

GdS: Mothers are also frustrated with the fact that the baby refuses the breast.

CK: Yes, there is another reason why they should not breastfeed. Here I would like to mention something common in the hospital. Mothers are often told they “don’t have good nipples”. It is another way to demoralize a mother and make her feel bad about her child. A silicone nipple is recommended, which is not always useful, but is only given in certain situations. What the mother needs to know is that the child does not reject you, and he has a reason not to relate – he does not want or cannot. When it is installed incorrectly, it will cause injury, which is not normal. The first sign that the baby is not latching on properly at the breast is pain and mastitis. A child who cannot latch properly will not eat effectively.

GdS: Are nutritional supplements to stimulate lactation effective?

CK: The plants can be bad or bad, and they can be effective or ineffective depending on the dosage and potential diseases of the mother. For example, thyroid disorders, which are very common, should be considered. In addition to the fact that they may lead to thyroid imbalance, these supplements can have the opposite effect, decreasing lactation. Therefore, I will sound the alarm about them. It is not for everyone, and the dosage must be customized. Personally, when I recommend the breastfeeding regimen, I recommend some tests to mothers beforehand.
And tea does not solve the problem.

Leave a Comment