Microsoft Word _Breastfeeding_Problems-CHS_Final.doc

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1 Breastfeeding Problems Breastfeeding problems are common, but they last a short time. These tips may help. If you find that the problems persist, call your doctor, nurse or lactation specialist. Engorgement Engorgement is when the breasts become full, firm, tender and sometimes painful as your breast starts to produce milk. This often occurs 3-5 days after delivery. Signs of engorgement often last hours. Signs include: Larger, heavier and tender breasts Breasts that are hard, painful and warm to the touch Swelling of the breasts Firm nipples and areola Ways to Prevent Engorgement Feed your baby at least 8 to 12 times each day. Wear a support bra 24 hours a day while your breasts are heavy. Use a sport or comfort style bra without under wires. Some mothers find more comfort without a bra. If your breasts become engorged: Place a clean, hot, damp cloth over each breast for 3-5 minutes before nursing or get into a warm shower and let very warm water flow over your shoulders. Heating the breasts will help your milk flow easily to your baby. After heating the breasts, massage them in a circular motion towards the areola and the nipple. Massaging will move the milk down. Massage under the arms and the collarbone area if this area is firm and uncomfortable. Soften the breast using hand expression or a breast pump. Express enough breast milk to soften the areola so that baby can easily attach. Breastfeed right away. Gently massage your breasts while nursing. If the breasts are still painful, full and swollen after a breastfeeding, or refill within a half hour after feeding, you may pump to soften the breasts. Apply cold packs to the breasts for 20 minutes after nursing. 1

Signs of engorgement often last 24-48 hours.

2 母乳喂养问题母乳喂养问题是常见现象, 但持续时间很短这里介绍一些可能有帮助的常识若问题持续存在, 请打电话给医生护士或哺乳专家乳房肿胀乳房开始分泌乳汁时, 会充盈变硬有触痛感, 有时候会感到疼痛, 即乳房肿胀, 往往在产后 3 至 5 天时发生乳房肿胀的迹象往往持续 24 至 48 小时迹象包括 : 乳房变大变重有触痛感乳房坚硬疼痛, 并且对触摸非常敏感乳房肿胀乳头和乳晕变硬如何防止乳房肿胀每天至少给宝宝喂奶 8 至 12 次因乳房沉重, 须 24 小时戴乳罩使用不带钢丝的支持型或舒适型乳罩有些母亲感觉不戴乳罩更舒服如果乳房肿胀 : 喂奶前用干净的布沾热水, 对每个乳房热敷 3 至 5 分钟, 或洗一个热水淋浴, 让非常热的水流过肩部热敷乳房, 有助乳汁流到宝宝嘴里热敷乳房后, 用手握住乳房, 向乳晕和乳头方向按摩乳房按摩可使乳汁流下来若腋下和锁骨区坚硬, 有不适感, 则按摩这个区域用手挤出乳汁或用吸奶器吸出乳汁, 使乳房变软挤出足够的乳汁, 使乳晕变软, 让宝宝能很容易吸住按摩后立即喂奶喂奶时轻轻按摩乳房若喂奶后乳房依然疼痛充盈并且肿胀, 或喂奶后半小时内恢复充盈, 可用吸奶器吸出乳汁, 使乳房变软哺乳后, 用冰袋冷敷乳房 20 分钟 Breastfeeding Problems. Simplified Chinese. 1

乳罩使用不带钢丝的支持型或舒适型乳罩有些母亲感觉不戴乳罩更舒服如果乳房肿胀 : 喂奶前用干净的布沾热水, 对每个乳房热敷 3 至 5 分钟, 或洗一个热水淋浴, 让非常热的水流过肩部热敷乳房, 有助乳汁流到宝宝嘴里热敷乳房

3 Nipple Soreness Nipple soreness often occurs when the baby is not attached well to the breast or positioned correctly. Make sure your baby s jaws are deeply over your areola and about 1/2 inch behind the base of your nipple. Your nipple should be rounded and erect after the baby detaches. Ways to Prevent Nipple Soreness If you feel pinching, rubbing or biting pain during the feeding, check the baby s position and attachment. Air-dry your nipples by leaving your bra flaps down for a couple of minutes after a feeding. Express a small amount of colostrum or milk and spread it around the nipple and areola after air-drying. Avoid the use of soap, alcohol and extra water on the breast. Clean your breasts by allowing water to flow over them when showering. If You Have Nipple Soreness: Feed your baby more often for shorter periods of time. Do not allow your baby to become too hungry. Do not use an artificial nipple shield over the breast for feeding. They can cause damage to your nipple and interfere with milk flow. Use a purified lanolin product or gel pad to heal cracked or open areas. Begin feeding on the least sore nipple. Be sure to break suction carefully by sliding your finger inside your baby s mouth. If it remains painful when your baby first latches on, remove your baby and try again. A fast deep latch will put your baby s jaws behind the nipple and tender areas. Plugged Duct A plugged duct is a tender or painful lump in the breast. If left untreated, it may lead to an infection. Plugs often occur from changes in the baby s feeding pattern or pressure on the breast. Check your breast for pressure points that occur from a bra that is too tight or from bunched clothing on the breast. 2

Ways to Prevent Nipple Soreness If you feel pinching, rubbing or biting pain during the feeding, check the baby s position and attachment.

4 乳头疼痛宝宝没有吸牢乳头或宝宝的吃奶姿势不正确时, 往往会发生乳头疼痛确保宝宝的上下颚深深包住乳晕, 大约包住乳头根部向外 1/2 吋的范围宝宝放开乳头后, 乳头应为圆形挺立状防止乳头疼痛的方法若喂奶时感到乳头被掐痛磨痛或咬痛, 检查宝宝的姿势是否正确, 以及宝宝是否吸正乳头喂奶后, 暂时不要扣上乳罩, 让乳头自然晾干几分钟自然晾干后, 挤出少量初乳或乳汁, 抹在乳头和乳晕处避免使用香皂酒精和过量的水洗乳房要清洁乳房, 淋浴时让水流过乳房即可如果乳头疼痛 : 增加给宝宝喂奶的次数, 缩短每次喂奶的时间不要让宝宝太饥饿喂奶时, 不要用人工乳头罩乳头罩可能伤害乳头, 干扰乳汁流动用纯羊酯或凝胶块涂抹乳头的裂口或破皮处先用最不疼痛的乳头喂奶要让宝宝停止吮吸, 务必要小心操作, 将手指在宝宝的嘴巴里滑动, 让宝宝松开乳头若宝宝一吸上乳头就很痛, 从宝宝嘴中拔出乳头, 再试一次如果宝宝的上下颚一下子将乳头包得很深, 可避开乳头部位的触痛区乳管堵塞乳管堵塞, 会在乳房内形成有触痛或疼痛感的肿块如果不加以治疗, 可导致感染宝宝的吃奶姿势或对乳房的压力发生变化时, 往往会导致乳管堵塞检查过紧的乳罩或束身衣在乳房上形成的压力点 Breastfeeding Problems. Simplified Chinese. 2

流过乳房即可如果乳头疼痛 : 增加给宝宝喂奶的次数, 缩短每次喂奶的时间不要让宝宝太饥饿喂奶时, 不要用人工乳头罩乳头罩可能伤害乳头, 干扰乳汁流动用纯羊酯或凝胶块涂抹乳头的裂口或破皮处先用最不疼痛的乳头喂奶要让

5 If You Have a Plugged Duct: Apply moist heat to the breast minutes before each feeding. Massage the breast from the area behind the discomfort toward the nipple. Change positions lining-up the baby s chin and jaw toward the plug. Let the baby nurse first on the affected breast. The stronger suck will help relieve the plug. Breast Infection A breast infection occurs from a blocked duct or from bacteria that has entered the breast, often through a cracked nipple. Even though the breast tissue is inflamed, the baby will not become ill from feeding on the infected breast. Signs of breast infection may include: A headache, aching joints, fever or chills A hard, red and painful breast A fussy or unwilling to nurse baby when using the infected breast Call your doctor right away if you think you may have a breast infection. Your doctor may order medicine to treat the infection. Take the medicine for the full time ordered. Do not stop taking your medicine, even if you feel better, without first talking to your doctor. Continue to breastfeed your baby often to drain the infected breast. If your breast is too painful to breastfeed, you may need to use a breast pump until you are able to breastfeed your baby again. Rest often and drink a lot of fluids. Talk to your doctor or nurse if you have any questions or concerns. 8/2007. Developed through a partnership of Mount Carmel Health, Ohio State University Medical Center, and OhioHealth, Columbus, Ohio. Available for use as a public service without copyright restrictions at 3

Breast Infection A breast infection occurs from a blocked duct or from bacteria that has entered the breast, often through a cracked nipple.

6 如果乳管堵塞 : 每次喂奶前, 热敷乳房分钟按摩乳房, 自不适区外开始, 向乳头部位按摩改变喂奶姿势, 让宝宝的下巴和颚部对准乳管堵塞部位让宝宝先吃乳管堵塞一侧的乳房开始的吮吸较有力, 有助缓解堵塞乳房感染乳管堵塞或细菌进入乳房 ( 往往是透过乳头的裂口进入 ) 会导致乳房感染即使乳房发炎, 宝宝也不会因为吃发炎乳房的奶而生病乳房发炎的迹象可包括 : 头痛关节疼痛发烧或畏寒乳房坚硬发红和疼痛用发炎的乳房喂宝宝时, 宝宝烦躁不安或不肯吃奶若您认为自己可能发生了乳房感染, 请立即打电话给医生医生可能会开消炎药严格遵医嘱用药即使感觉好转, 事先未咨询医生, 不得擅自停止用药继续给宝宝喂奶, 增加喂奶次数, 让宝宝吸干发炎的乳房如果乳房过于疼痛, 不能喂奶, 则可能需要使用吸奶器, 直至可以恢复喂奶多休息, 大量饮用液体如有任何疑问或担心, 请向医生或护士提出 8/2007. Developed through a partnership of Mount Carmel Health, Ohio State University Medical Center, and OhioHealth, Columbus, Ohio. Available for use as a public service without copyright restrictions at Breastfeeding Problems. Simplified Chinese. 3

或不肯吃奶若您认为自己可能发生了乳房感染, 请立即打电话给医生医生可能会开消炎药严格遵医嘱用药即使感觉好转, 事先未咨询医生, 不得擅自停止用药继续给宝宝喂奶, 增加喂奶次数, 让宝宝吸干发炎的乳房如果乳房过于疼痛,

Breastfeeding Problems - Simplified Chinese

Breastfeeding Problems - Simplified Chinese Breastfeeding Problems Breastfeeding problems are common, but they last a short time. These tips may help. If you find that the problems persist, call your doctor, nurse or lactation specialist. Engorgement