Breast milk is the baby’s natural breadbasket, and the lack of supply of baby breadbaskets is undoubtedly the biggest concern for postpartum mothers. For a nursing baby, food problems can be a major roadblock on the road to growth, which makes breastfeeding “problem mothers” distressed. Breastfeeding is the period when the breast gland is most fully developed and functional, and it is also the period when the breast is prone to various problems, such as lack of milk and milk accumulation after delivery. What should I do now that my baby is cut off from food? The key to smooth breastfeeding is to master the correct method of breastfeeding and to carry out appropriate care. A, postpartum breastfeeding needs to be good to start and finish In addition to mammary gland dysplasia, congenital sunken nipples or other systemic diseases of maternal breast milk synthesis or discharge disorders, incorrect postpartum breastfeeding method is also one of the main reasons for postpartum lack of milk. The postpartum breastfeeding also needs to start well and end well. The earlier you start breastfeeding after childbirth, the better. This is because the lactation reflex is fully established 3-4 days after delivery, and mothers with successfully established lactation reflex can generally obtain 90-270 ml of milk 1-3 days after delivery, and the daily milk secretion reaches more than 750-850 ml after three months. Therefore, it is generally necessary to start breastfeeding within 1-3 days, otherwise the function of milk secretion will be affected. Hospice: It means that the mother should also be careful to stop breastfeeding during the weaning period. During this period, the mother should eat less food containing soup and gradually reduce the number of breastfeeding. If there is more breast milk, use 30 grams of raw hawthorn and 30 grams of raw malt decoction with water, and at the same time take 120-150 grams of skin nitrate and grind it into small pieces, put it in a cloth bag, put it on the breasts externally and bind it tightly, remove it after the skin nitrate dissolves, and use it 3-4 times a day, or add estrogen or bromelain if necessary. For those who have congenital nipple depression deformity that makes it difficult to discharge milk, or those who have mastitis that has been treated and become inflamed, passive weaning should be performed if necessary. The first step is to help the patient to adopt the correct method of breastfeeding, increase the intake of protein-containing food in the diet, as well as to use tonics to benefit the vital energy and nourish the blood, and to promote lactation. In addition, mental anxiety and emotional instability can also affect growth hormones leading to reduced milk production or even depletion. Therefore, the mother should maintain a happy mood and sufficient sleep during breastfeeding. It is mostly caused by short and sunken nipples, poor milk ducts or improper breastfeeding methods. According to Chinese medicine, the main cause of this disease is inaccessibility of the milk channels. The treatment can be a combination of internal and external treatment, internal consumption of liver and stomach dredging, lactation and swelling Chinese medicine, external use of massage to open up the breast complex. Massage the mother to take a sitting or lying position, the operator to the thumb and index finger lightly press the areola along the nipple direction pushing, and then use the thumb and the remaining four fingers to gradually massage the breast, the direction of the nipple for radial extrusion, if necessary, both hands together. When massaging, pay attention to moderate force, do not rub the skin of the breast to avoid damage. For short nipples, congenitally poor development to massage treatment, the specific massage method as described previously, the operation should pay attention to the order of massage, should first unblock the breast ducts around the lump, and then massage the lump site. In addition, for the pain and swelling is obvious, you can ask them to take internal medicine first, and then massage treatment. For some breast lumps that do not dissipate, ultrasound examination is usually performed. If a cystic mass is indicated, aspiration of the fluid can be performed by puncture, followed by internal administration of herbs to invigorate blood circulation and disperse nodules, and the lump will eventually disappear. Common breast problems and coping strategies during lactation 1. Milk comes out of the breast after delivery, which is the natural flow of milk from the nipple during lactation without sucking by the baby, mostly due to the weakness of Qi and blood in the postpartum period. The treatment is decoction of soup and herbs to benefit the qi and consolidate the milk. The company’s main business is the development of a new product, a new product for the company. For treatment, watermelon cream spray with sesame oil can be used to make a paste and applied to the affected area and washed off before each breastfeeding. For those who have obvious nipple pain, you can also add Chinese herbs to clear the liver and heat. 3, acute mastitis The accumulation of milk for a long time or the invasion of bacteria into the breast can cause purulent infection of the breast. If the pus has not yet formed, the main treatment is to take internal tonics to clear the liver and heat to pass through the breast and reduce swelling, one dose daily. For those with obvious local redness, swelling and heat pain in the breast, apply golden ointment externally, paying attention to covering an area larger than the redness and swelling while exposing the nipple, once a day. For abscess formation, surgery should be performed immediately to drain the abscess and change the medicine after surgery. Weaning should be considered only in special cases. 4. Breast care during breastfeeding Breast care during breastfeeding mainly includes three aspects, prenatal care, postnatal feeding and weaning. The prenatal maintenance starts in May of pregnancy, and every week a cotton swab dipped in 75% alcohol can be used to gently wipe the nipple and areola area to prepare for breastfeeding. Since the mammary gland has a branching duct system, all ducts eventually converge at the nipple, so the development of the nipple may affect postpartum breastfeeding. For patients with congenital short nipples, the nipples need to be pulled several times a day starting in the fifth month of pregnancy. The first thing you need to do is to wash your hands before breastfeeding, scrub your nipples and areola with warm water, gently pull the nipples several times, then play the nipples up and down several times, then pinch the areola with your thumb, index finger, middle finger, and push the large duct under the areola in the direction of the nipple with your thumb, so as to expand and unblock the milk ducts around the nipple opening, which can be seen after unblocking. After the opening of the nipple, the milk can be seen to gush out from each hole of the nipple or even ejected, at which time the infant is given to suck, rotating the two sides of the breast, for about 15 minutes on each side, and it is not easy to nurse for too long each time, and it is not advisable to develop the bad habit of the infant to sleep with the breast. This process not only reduces the accumulation of milk and prevents the occurrence of infection, but also ensures that the milk secretion is sufficient for the next breastfeeding. For mothers with more milk, in addition to sucking out the excess milk with a breast pump, it is also necessary to use massage to help squeeze out the milk.2. A balanced diet Research shows that the body needs 85 kilocalories of energy for every 100 milliliters of breast milk. The Nutrition Society of China recommends that the daily energy intake of lactating mothers should be increased by 500 kcal compared to that of non-pregnant women. The daily fat intake should account for 20%-25% of the total energy, and the daily protein intake should reach 90 grams, and more than 50% should be high-quality protein. Therefore, the maternal diet during breastfeeding should increase the intake of protein, it is appropriate to eat eggs, milk, fish, lean meat, seafood and other foods to increase the nutritional content of milk. At the same time, the intake of water should be increased appropriately to replenish the water consumed by the mother’s body. But avoid drinking too fatty and greasy soup, so as not to impede the function of the spleen and stomach, but also easy to cause the accumulation of breast milk. 3, reasonable breastfeeding time 1-2 months after childbirth can be nursed at any time according to the needs of the baby, from 3 months after childbirth gradually establish the feeding interval, 5-10 times during the day, 2-3 times at night. The duration of breastfeeding should not exceed one year in general, and 6-12 months is appropriate. Too long a breastfeeding period can lead to excessive atrophy of the mother’s mammary glands and other reproductive organs.