shows that the proportion of exclusive breastfeeding in my country in 2018 was 49.05%, which was a decrease from 52.4% 10 years ago.
For various reasons, many mothers have given up or stopped breastfeeding early. Studies have shown that breastfeeding can not only prevent newborns from being infected, but also help improve intelligence and reduce the probability of children becoming obese. At the same time, mothers who insist on breastfeeding can recover more quickly after giving birth and reduce the probability of breast cancer, ovarian cancer and uterine cancer.
In order to make breastfeeding smoother and more convenient, the role of breast pumps cannot be ignored.
May 20th is the 30th National Breastfeeding Promotion Day. The reporter interviewed medical staff in a confinement center and asked them to talk about breast pumps.
text / reporter from this newspaper Hou Jie
less milk? Try a breast pump
According to Dr. Zhang, a medical worker at a confinement center in Beijing, the existence of a breast pump is essential, especially for office workers. I need a breast pump for the baby's "ration". The reporter learned that breast milk is secreted regularly. In order to provide enough breast milk for the baby, we need the help of a breast pump.
“Breast milk is sometimes like a military expedition, following the rule of ‘suffering, dying, and exhausting’.” Dr. Zhang said that a newborn baby has little energy and eats less, and needs little breast milk. As the baby grows up, the baby needs more and more milk, and the mother has to constantly "suck out" breast milk to be able to provide enough "rations" for the baby. "In confinement, if there is not enough milk, we generally recommend using a breast pump to promote milk secretion. If there is too much milk, we still recommend using a breast pump to save the excess milk. Use breast pumping reasonably. In the case of a breast pump, many people can actually save the cost of a prolactinist. Of course, it is not to say that a prolactinist is unnecessary, because the wrong use of a breast pump causes a decrease in milk, or there are many mothers who have damaged nipples."
Working mothers are wary of "feeding milk addiction"
Dr. Zhang mentioned that, for working mothers, about 4 months of baby, and before the mother takes maternity leave and prepares to return to the workplace, she should consider the issue of "carrying milk". To this end, both mothers and babies need to prepare for the next new "eating pattern", and it is best to start adjustments and break-in 2 weeks in advance.
"Many working mothers are proud of their ability to easily grasp the timing of'carrying milk'. Indeed, this is an ideal state. For babies who have already formed a dietary pattern, they only need to adapt to the feeding method of the bottle. However, mothers can also continue to maintain a balanced state of lactation.” Dr. Zhang also suggested that most working mothers follow the 9 to 5 working hours, and can arrange to breastfeed themselves at 7 in the morning, and at around 11 and 15 after work. Suck the milk twice, bring it back from work at night, and feed it again at 19:00 before the baby goes to bed.
"Many mothers cannot meet their baby's needs in the first few months, and they will fall into the shadow of'fearing not enough milk'. This also causes the original'chasing milk' to become a situation of'tuning milk'. You will feel at ease when you have leftover milk in the refrigerator." Dr. Zhang said that mothers should pay attention to the time planning and milk volume management of pumping, and put an end to the mentality of "feeding milk". "When the baby is four or five months old, the number of night milks begins to decrease, growth and development are slowing down, and the milk demand is gradually capped. At this time, you can start to prepare for'reduction of production'." How should
breast pump choose? The reader’s mother told reporters that she would be very entangled when buying a breast pump. Some of my friends said that manual breast pumps should not be used, which is very laborious to use. Some said that electric breast pumps are a waste of money and did not buy. Necessary. In this regard, Dr. Zhang answered one by one.
Bilateral breast pump makes milk production a competition
Most people think that bilateral breast pump is nothing more than a straw and a bottle for receiving milk, but the price is almost twice that of unilateral breast pump. , It's not very cost-effective. Doctor Zhang said that bilateral breast pumps are actually more scientific.
"The breasts on both sides are the same, and sometimes they are synchronized. For example, when a baby is sucking, the other side usually swells and sometimes overflows. At this time, the working state of both breasts is the same. Use The situation of unilateral breast pump and baby suckingThe milk is the same, when only one side is sucked, the other side will also tick. Mothers have to hold the suction cup with one hand and prepare a tissue for wiping with the other hand. Many mothers have told me of this embarrassing situation. "Dr. Zhang also mentioned that using breast pumps on both sides at the same time can achieve the effect of stimulating the breasts on both sides, as if they are competing with each other. Normally, sucking on both sides at the same time is better than sucking on one side, and the milk yield is also higher. It will be 20% more than the latter.
"There is one more important thing. Moms in confinement fall asleep at 10pm and usually wake up at least 3 times to pump milk. If you use a single breast pump, a single breast pump may take more than half an hour, while a double breast pump generally does not exceed 15 minutes . Sleep quality and time are very important for mothers who recover. Postpartum depression is sometimes closely related to these small details. "Dr. Zhang said. The
electric breast pump also needs to be manually adjusted.
It is understood that most of the current electric breast pumps have dual or multi-stage adjustment functions for frequency and suction strength. The principle of the frequency adjustment function is to imitate. The baby’s sucking action is first a quick and light sucking to stimulate the milk burst, then a slow and deep sucking, with the milk ejection reflex to swallow the milk. The intensity adjustment function is well understood, and the user can adjust the sucking flexibly according to their own tolerance. The negative pressure value of milk.
"The intensity adjustment of some electric breast pumps is independent and frequency adjustment, regardless of the fast or slow suction frequency, the suction intensity can be adjusted separately; while some brands integrate the intensity adjustment into In the frequency adjustment, the intensity cannot be arbitrarily controlled. For example, once the suction intensity is increased, the frequency of breast pumping will decrease accordingly. "Dr. Zhang suggested that mothers choose breast pumps whose frequency and intensity can be adjusted independently, so as to avoid injury and pain during the breast pumping process. "Some breast pumps with more adjustable gears are actually unnecessary. Generally, there are'fast' breast pumps. 、Slow' two gear breast pumps can meet the needs of most people. "Is there a size for this "cover"
According to Dr. Zhang, whether the horn cover is suitable is closely related to the efficiency and comfort of breast pumping, and the choice of the horn cover is a blind spot for many mothers. "Many people asked me: Is there a size for the horn cover of the breast pump? How big should I choose for my own size cup? In fact, the horn cover of the breast pump should be the size of the nipple. "
It is understood that most women have different nipple sizes, such as large nipple size and asymmetrical size of the nipples on both sides. Using an inappropriate horn cover, just like a poor breast latch mouth shape, cannot effectively stimulate breast milk. Smooth discharge may also cause nipple damage.
"The inner diameter of a suitable horn tube mouth should be 2-3 mm larger than the nipple diameter. During the breast pumping process, the nipple can move freely in the tube without obstruction, and will not suck at the same time. Excessive areola tissue is pulled in," said Dr. Zhang, "compared to the use of a horn cover that is too small, the vast majority of cases where a horn cover is inappropriate is the use of an oversized horn cover. If the horn is too small, it will cause severe pain and even injury, and it will not be able to suck milk; but if the horn is too large, it will not bring immediate results. Instead, it will show low efficiency of sucking milk, edema and obvious pain of the nipple and areola. At this time, some mothers will mistakenly think that the breast pump is not suitable, but they did not expect that all this is not going smoothly. As long as it is replaced with a small-sized horn cover, there may be obvious improvement. "
Dr. Zhang said, under normal circumstances, if the nipple diameter is less than 20 mm, you must consider the adaptability of the horn cover when purchasing a breast pump. Most integrated horn covers are designed to be 24 mm or larger. For mothers with a small nipple diameter, too much areola tissue will be sucked into the mouth of the tube when sucking, which is likely to cause excessive edema.
Is an electric breast pump worth several thousand yuan?
reporter survey It is found that the sales price of electric bilateral breast pumps varies greatly, ranging from 300 yuan to 4,000 yuan. As to whether a few thousand yuan breast pump is worth the money, mothers are also confused when choosing.
Dr. Zhang said , The electric breast pump is 2,000 yuan as the watershed. The products below 2,000 yuan are generally more cost-effective products, and the ones above 2,000 yuan are mostly old brands in breast pumps.
"Many mothers let me recommend electric breast pumps. Someone also consulted me about the higher-priced breast pump, but doubted whether it was worth it. I usually settle accounts for them: the average price of ordinary milk powder is 250 yuan a can, and if the baby only drinks milk powder before 1 year old, it usually costs 4 cans a month, and it is 12,000 yuan a year. If reasonableWith a breast pump, there is no problem with the quality of breast milk, plus possible loss, such as a broken bottle, etc., how can it not exceed half of it. In addition, the time saved by using a breast pump, simple operation, etc., are much better than just drinking milk powder. Moreover, the nutritional content of breast milk is never achieved by milk powder. This account is actually pretty good. "Dr. Zhang said.
breast pump cleaning does not need to be too "hygienic"
In order to ensure the safety and hygiene of breast milk, the hygienic condition of the breast pump should be paid attention to. Dr. Zhang said that despite this, many mothers use it after every use. It is not advisable to clean the disinfection water from the inside out.
"Under normal circumstances, except for the environment where the breast pump is used, there will be a large number of bacteria growth, or contact with certain pollutants, and disinfect every time it is used up. It is actually unnecessary. "Dr. Zhang said that after using the breast pump, just disassemble the components of the breast pump in time, rinse it with running water, blanch it with boiling water, and let it dry naturally. But remember, you need it in a week or two. Use detergent to clean, especially the corners and corners of the breast pump. You also need a special small brush to help. If you use an electric breast pump, after a long time, some water vapor or breast milk may remain in the catheter, you can use it Ultra-fine catheter brush for cleaning. The copyright of
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