Thanks for coming back. I'm Maya Bunik. Milk supply concerns are a common reason why mothers stop breastfeeding early. Breast is indeed best for mom and baby, but over 80 percent of moms report difficulties in the first few weeks. Let's find out some reasons why. Breastfeeding support in the first few weeks is key. Mother's breast milk supply is established by four weeks postpartum. The breastfeed relation is often complicated and in the first weeks of life. In any complications really are challenging for the busy provider to deal with in their setting. Moreover, the information that's posted on the internet via blogs and other places often adds to the confusion for new parents. They're looking for help and guidance, and they need some guidance with navigating early infant feeding and behaviors. All mothers worried about milk supply. Is my baby getting enough? Many mothers precede the human milk coming from the breast is not enough to exclusively feed or satisfying infant. At first, human milk comes in small volumes, such as colostrum, and at three to four days, milk comes more white and watery in appearance. Most women have a hard time believing that all the nutrition of baby needs can come from her breasts. When there is maternal doubt about all of this, formula is already available option. The use of formula can further affect milk supply. So, it is crucial to address milk supply issues as soon as possible, so as to avoid disrupting the path towards exclusive breastfeeding. I will discuss this a bit more in the Frequently Asked Questions video. Sometimes, this necessitates having them other hand express milk, or get a pumped to mechanically express milk. There are medical causes for irreversible low milk production. These include: primary glandular insufficiency, which means the mom doesn't have the glands or tissues to produce milk. This occurs very rarely and only in less than five percent of women. Other reasons include: breast surgery such as biopsies or implants or scarring from those surgeries that can interfere with milk supply. Another reason can be complications after birth such as hypertension or high blood pressure or blood loss by the mother. There's some reversible milk supply issues, lactation specialist, the pediatrician, and breastfeeding specialists can all help identify reversible milk supply issues. Evaluation of the mother and baby should include observing for poor latch, at is in how the baby takes the mother's nipple, sleepy behavior at the breast, and inadequate milk removal from the breast by the baby. These will help identify the most likely reversible causes of milk supply concerns. There are also other causes. Occasionally, oral contraceptives or birth control or pseudoephedrine, which is a decongestant can cause a decrease in milk supply. Frequent weight checks in the office, or getting a pre and post-test feeding weigh on us really sensitive scale which means a scale that's made to weigh the baby to the nearest Graham, and an early morning pumping session are several ways to assess and reassure mothers about their milk supply. It Is critical is to address all these milk supply issues to avoid disrupting the path towards exclusive breastfeeding. Sore nipples are another common reason for moms stopping breastfeeding early. Sore nipples are current about one-third of mothers. To avoid pain and trauma, it is best to ensure proper latching by encouraging the baby to open the mouth wide, tickling his or her lips with the finger or nipple. The mother should pull the baby and close to the mother's abdomen support the back so that the baby's chin dives into the breast, and the newborns nose touches the breasts and the nipple. Once the baby's latched, the baby's lips should be untacked and flared like fish lips. Although, newborns may spend up to 45-60 minutes nursing at a time, some of the time may not be nutritive or providing nourishment, and is referred to as sleepy or flutter feeding. So, there's not a very efficient suckling that's happening. Prolonged time at the breast suckling can result in nipple soreness in the early days of breastfeeding. So, limiting the time to 30 minutes total while keeping the newborn on task, tickling, keeping their arm up in the air helps. The mother should break the newborns suction in their mouth by putting a finger in the corner of the baby's mouth. If the mother has redness or cracks, you should apply some lanolin or use some hydrogel or soothing paths. Most post-partum nipple discomfort usually improves by day seven to 10. Thank you for joining me. I'll see you soon in the next video about breastfeeding problems.
