Baby sucking - How long ? / Suptul bebelusului - cat dureaza? (part III)

In majoritatea tarilor neindustrializate, acolo unde alaptarea la san reprezinta unicul mod de hranire a sugarilor, unde mamele isi poarta bebelusii cu ele in timp ce muncesc si unde problema orarului alaptarii este necunoscuta, sugarii se trezesc frecvent si sunt pusi la san la fel de des. Ei sug relativ putin, la un singur san, apoi adorm la loc. In societatea noastra, in care orarele sunt la mare pret si in care multi dintre bebelusi sunt pusi intr-un patut intr-o camera linistita dupa ce au terminat de supt, tendinta este de a le oferi mese mai rare si mai consistente. Daca mama produce cantitati mari de lapte, sugarul poate fi destul de satisfacul sugand la un singur san la o masa. Fiecare dintre sani primeste stimulii unei goliri complete, chiar daca acesta se intampla o data la fiecare 4 sau chiar 8 ore.

Totusi, in multe cazuri, cantitatea de lapte dintr-un singur san nu este suficienta pentru sugar, astfel incat la un singur supt trebuie oferiti ambii sani, incepand cu cel stang la una dintre mese si apoi cu cel drept la urmatoarea. Unele mame si unii dintre medici recomanda oferirea ambilor sani la o masa indiferent de situatie. Pentru a asigura o secretie lactata adecvata, sugarul trebuie tinut la unul dintre sani timp de 12 - 15 minute, daca accepta, si apoi mutat la celalalt pentru cat timp mai doreste sa suga. In mod normal un sugar suge cea mai mare parte a laptelui din san in 5 - 6 minute (oricum sanii produc in continuare lapte intr-un ritm redus, deci sugarul  va avea tot timpul ceva de supt si dupa golirea sanului). In consecinta nu este nevoie ca mama sa prelungesca suptul mai mult de 20 - 40 de minute in total, in functie de apetitul sugarului si de cat timp are mama la dispozitie. Opriti-va dupa o jumatate de ora daca si bebelusul este de acord.

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In most non-industrialized countries, where breastfeeding is the only way of feeding infants, where mothers carry their babies with them while working and feeding schedule where the problem is unknown, babies wake up frequently and are put to the breast as often. They suck quite a bit in one breast, then fall asleep again. In our society, where schedules are at high price and that many babies are put in a cot in a quiet room after they finished sucking, the tendency is to offer fewer and more substantial meals. If the mother produces large quantities of milk, a baby may be quite satisfied with sucking on one breast at a table. Each of breasts gets a complete emptying stimulation, even if it happens once every 4 or 8 hours.



However, in many cases, the amount of milk from one breast for baby is not enough, so the one sucking should offer both breasts, from the left on one table and then right at the next. Some mothers and some doctors recommend offering both breasts at a table regardless of the situation. To ensure adequate nipple, the baby should be held in one breast for 12-15 minutes, if accepted, and then moved to the other for while it wants to suck. Normally a baby sucks most of the breast milk in 5-6 minutes (however breast still produces milk in a reduced rate, so baby will always have something sucked and after emptying the breast). Therefore it is not necessary for mother to extend sucking more than 20-40 minutes total, depending on baby's appetite and how much time has mom available. Stop after half an hour if the baby agrees.

source:sfatulmedicului.ro

Baby sucking - How long ? / Suptul bebelusului - cat dureaza? (part II)

Sugarii nu trebuie alaptati de fiecare data cand plang. O pot face si din alte motive cum ar fi: colici abdominale, alte forme de indigestie, episoade de nervozitate pe care noi nu le intelegem, oboseala care dintr-un motiv sau altul nu le aduce somnul. O mama anxioasa si fara experienta poate ajunge la culmea extenuarii daca toata ziua si jumatate din noapte alapteaza si-si face griji continuu. Aceasta stare de ingrijorare permanenta poate sa conduca la diminuarea secretiei lactate si sa interfere cu reflexul de eliberare a laptelui.

Deci, pe de o parte raspunsul la intrebare este "alaptati cat de des doriti", dar pe de alta parte este indicat un termen de doua ore intre supturi. Daca sugarul se trezeste mai repede lasati-l sa se agite un pic in speranta ca poate adoarme la loc sau dati-i o suzeta; incercati sa-l leganati pentru cateva minute sau sa-l plimbati in brate. Daca totusi credeti ca ii este foame puneti-l la san, dar nu mai mult de 20 de minute. Cand aveti de-a face cu un sugar care pare ca vrea sa suga prea des, limitati fiecare masa la 20 sau  - cel mult - 30 de minute.

In cazul in care mameloanele dumneavoastra se dovedesc rezistente la asalturile sugarului si daca aveti incredere in secretia lactata a sanilor dumneavoastra si in abilitatea de a aprecia corect foamea si celalalte probleme ale bebelusului, alaptati copilul cat de des si cat de mult considerati ca este cazul.

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Infants should not be breastfed every time they cry. They can do it for other various reasons such as abdominal colic, other forms of indigestion, episodes of nervousness that we do not understand, the fatigue that for some reason do not let them fall asleep. An anxious mother, without experience can reach exhaustion if she spend all day and half the night worrying about nursing. This state of constant worry can lead to lower milk secretion and interfere with reflex elberare milk.

So on one hand the answer is "how often you nurse," but on the other hand indicated a period of two hours between sucking. If the baby wakes up soon let it fret a bit  hoping he falls asleep or give him a pacifier, try to swing it for a few minutes or walk him in your arms. If you still think he's/she's hungry nurse him/her, but not less than 20 minutes. When you are dealing with a baby who seems to want to nurse too often, limit each meal to 20 or - at most - 30 minutes.

If your nipples are proving resistant to the baby assaults and if you trust your breast nipple discharge and the ability to appreciate the problems of hunger and the other baby, breastfed baby as often and as much as you think appropriate.

source:sfatulmedicului.ro

Baby sucking - How long ? / Suptul bebelusului - cat dureaza? (part I)

Pentru ca ieri  am deschis o discutie pe aceasta tema, ne-am propus sa venim cu informatii de gen.
Asadar iata:

Se obisnuia sa se creada, deoarece in unele cazuri apareau iritatii ale mameloanelor,  este mai bine ca mama sa limiteze durata alaptarii la inceput, crescand-o apoi treptat pe masura ce mameloanele se adapteaza suptului. Dar practica a aratat ca este mai bine ca decizia sa fie lasata de la bun inceput sugarilor. Daca sunt lasati intotdeauna sa suga de indata ce li se face foame si atat timp cat doresc, ei nu ajung niciodata sa fie atat de inebuniti de foame incat sa provoace iritatii ale mameloanelor pentru ca nu au rabdare sa fie pusi corect la san.

Durata prelungita a supturilor inca de la debutul alaptarii la sin favorizeaza reflexul de eliberare a laptelui, care initial actioneaza mai lent, pentru ca mai apoi sa intre pe deplin in actiune.

Dintr-un anumit punct de vedere raspunsul este: "De fiecare data cand bebelusului dumneavoastra ii e foame si cat de des simtiti ca sunteti in stare sa va adaptati cerintelor acestuia." In societatile mai putin dezvoltate mamele alapteaza uneori  la intervale de o jumatate de ora, desi probabil bebelusul va suge foarte putin la una sau alta din aceste mese. In societatea noastra, mama care a avut ocazia sa  alapteze cu succes un copil si are deplina incredere in sine, s-ar putea sa nu ezite de a-l alapta chiar si din ora in ora, daca i se pare ca exista un motiv pentru  care sugarului ii este foame.

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Because yesterday we've opened a topic on this subject, we established that is time to come with information about it.
So, here:
They used to believe, because in some cases, nipple irritation, it's best for mother to limit the duration of breast-feeding  at first, then gradually increasing it as sucking nipples adapt. But practice has shown that the decision is to be left from the beginning to infants. If they are always left to suck as soon as they get hungry and as long as they want, they never get so crazy be hungry enough to cause irritation of the nipples because they do not have the patience to be put right position for breast-feeding.

Prolonged duration of breast-feeding since the begining promotes milk release reflex, which acts more slowly initially, because then enter fully into action.
From a certain standpoint the answer is: "Every time your baby is hungry and how often you feel that you are able to adapt its requirements." In less developed societies mothers often are breastfeeding every evrey half an hour, although probably little baby will suck less on one or other of these tables. In our society, the mother had the opportunity to successfully breastfeed a child and has full confidence in itself, might not hesitate to the nurse every hour  if it seems that there is a reason for infant hungry.
source:sfatulmedicului.ro