NUTR 2050 Chapter 7: Chapter 7
12 Dec 2011
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Document Summary
The best prevention of nipple pain and soreness is proper positioning on the baby on the breast: flat or inverted nipples (should not impact breastfeeding if the latch is correct, letdown failure. Stress may inhibit oxytocin as well as alcohol and distractions. When letdown is overactive milk streams from the breast as feeding begins(may also leak) Infant may be overwhelmed by the volume (may choke, cough, gulp) Infant therefore might take in air and develop gas pain and become fussy: hyperlactation. Milk volume far exceeds the intake of the baby. Breasts that are not drained entirely, chronic plugged ducts, leaking and pain with letdown: engorgement. Occurs when breasts are overfilled with milk (common in first time mothers) Supply and demand process is not yet establishes (infrequent or ineffective removal of milk from the breast: plugged duct. Obstructed or plugged duct is localized blockage of milk resulting from milk stasis (milk remaining in the ducts)
