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母乳喂養(yǎng)中必須知道的十件事

出處：網(wǎng)絡(luò)收集 日期：2024-07-18 10:56:49 編輯：胖虎愛撩妹
　　一、早早吸吮
 
　　嬰兒娩出后，產(chǎn)婦適當(dāng)休息調(diào)整，即應(yīng)擔(dān)當(dāng)起養(yǎng)育嬰兒的重任，及時(shí)讓嬰兒吸吮乳頭，這對產(chǎn)婦和乳房充盈都是十分重要的。分娩之后盡快給寶寶喂奶，最好是在分娩后第一個小時(shí)之內(nèi)，之后每當(dāng)寶寶出現(xiàn)餓的跡象就給他喂一次奶。寶寶餓的表現(xiàn)有努嘴、用鼻子拱乳頭等。如果想試探寶寶是不是餓了，可以把手放在他的臉頰上，如果寶寶張著嘴扭過頭來找你的手，那就說明他已經(jīng)嗷嗷待哺了。
 
　　除白天讓嬰兒有足夠的哺乳次數(shù)外，還應(yīng)注意夜間喂養(yǎng)。夜間泌乳素的產(chǎn)生是白天的50倍。通過頻繁的乳頭刺激，既有利于反射地引起子宮收縮，減少出血，又有利于泌乳系統(tǒng)分泌更多的泌乳素，有利于增加乳汁，乳母康復(fù)，也有利于增進(jìn)母子感情。據(jù)臨床對比觀察，早吸吮比晚吸吮的泌乳狀況要好得多。??
 
　　二、母嬰同室
 
　　有人曾認(rèn)為，嬰兒剛剛娩出，那頻繁的哭鬧聲會影響乳母休息，故采取母嬰分離的辦法，只是在喂奶時(shí)才讓嬰兒回到母親身邊。其實(shí)，這樣做對乳母、嬰兒均不利。母子觸摸、嬰兒哭鬧、母子對視、嬰兒氣味等，不僅可以增進(jìn)母嬰感情，而且還是一個個良好的刺激信號，可有效地刺激泌乳系統(tǒng)，解除下丘腦的抑制，導(dǎo)致泌乳素增高，乳汁分泌自然，狀如涌泉。
 
　　三、產(chǎn)婦對母乳喂養(yǎng)重要性的認(rèn)識程度尤其重要
 
　　據(jù)臨床觀察，凡是產(chǎn)婦重視母乳喂養(yǎng)者，多是積極配合醫(yī)護(hù)人員，主動設(shè)法盡快喂養(yǎng)，飲食狀況良好，情緒較為穩(wěn)定，心情舒暢。
 
　　有些母親擔(dān)心身材走樣而不愿意給孩子哺乳，其實(shí)這種想法是不科學(xué)的，哺乳是不會引起乳房下垂的，相反哺乳能夠促進(jìn)母體催產(chǎn)素的分泌，而催產(chǎn)素會增強(qiáng)乳房懸韌帶的彈性。女性在妊娠時(shí)期乳房仍繼續(xù)發(fā)育，乳房張大后如果護(hù)理不當(dāng)，極易松馳。因此孕婦應(yīng)從懷孕后就開始注意乳房的護(hù)理，使用寬帶乳罩支撐乳房，同時(shí)注意按摩或局部使用特殊油脂增加皮膚及皮下組織的彈性，就會減少發(fā)生乳房下垂的可能，哺乳后乳房是否下垂與哺乳前乳房的情況有關(guān)。不愿意哺乳者，常常不能及時(shí)排空乳房內(nèi)的乳汁，缺乏足夠的吸吮刺激，使反射性泌乳素及催產(chǎn)素釋放終止，乳汁形成及分泌減少。
 
　　四、不定時(shí)喂奶，按需供給好處多
 
　　初生幾天內(nèi)，母乳分泌量較少，不宜刻板固定時(shí)間喂奶，可根據(jù)需要調(diào)節(jié)喂奶次數(shù)。因?yàn)槟赣H乳汁較少時(shí)，給小兒吃奶的次數(shù)相應(yīng)增加，這樣一方面可以滿足小兒的生理需要。另一方面通過小兒吸吮的刺激，也有助于泌乳素的分泌，繼而乳汁量也會增加，到此時(shí)吃奶間隔就可以相應(yīng)延長。假如固定喂奶，小兒因饑餓哭鬧，時(shí)間長了小兒哭累了，等到了喂奶時(shí)間小兒也因困乏疲勞，吃奶也不會多，且哭鬧使小兒胃內(nèi)進(jìn)入許多氣體，吃奶后也會引起嘔吐。足月兒大致隔三四小時(shí)喂奶一次。至于每次喂奶的時(shí)間，第一天每次每側(cè)奶約2分鐘，第二天約4分鐘，第三天約6分鐘，以后大約為8至10分鐘，即一次喂兩側(cè)共約15至20分鐘。吸奶時(shí)間過久，會咽入過多空氣，易引起嘔吐，而且也會養(yǎng)成日后吸吮乳頭的壞習(xí)慣?！?/div>
　　??
　　五、保持乳房健康有利于泌乳
 
　　健康的乳房乳腺，是泌乳的基本條件。保持乳房（特別是乳頭）衛(wèi)生，防止乳房擠壓、損傷，對有效地提高泌乳質(zhì)量極其重要。產(chǎn)后宜經(jīng)常用開水清洗，切忌使用肥皂、酒精、洗滌劑等，以免造成乳頭干燥皸裂。對于乳汁分泌不足或乳房脹痛不適者，可輕輕按摩，以促進(jìn)乳房血液循環(huán)和乳汁分泌。一旦出現(xiàn)乳頭感染，應(yīng)及時(shí)采取積極措施，防止乳腺炎的發(fā)生。乳母內(nèi)上衣應(yīng)該穿著軟布料衣衫，不宜衣著化纖、粗糙之衣，謹(jǐn)防對乳頭的不良刺激。
 
　　六、適當(dāng)增加乳母營養(yǎng)，是乳汁充盈的重要保證
 
　　產(chǎn)后，媽媽要攝取營養(yǎng)豐富、水分充足的食物以滿足月子里對營養(yǎng)的需要，一般要注意以下幾個飲食方法?！?/div>
 
　　增加餐次：　
　　每日以5-6餐為宜，有利于胃腸功能的恢復(fù)，減輕胃腸負(fù)坦?！?/div>
 
　　食物應(yīng)干稀搭配：　
　　干的能保證營養(yǎng)的供給，稀的能保證水分的供應(yīng)?！?/div>
 
　　葷素搭配，避免偏食：　
　　不同食物所含的營養(yǎng)成分種類及數(shù)量不同，而人體需要的營養(yǎng)是多方面的，只有全面攝取食物，才能滿足身體的需要?！?/div>
 
　　清淡適宜：　
　　一般認(rèn)為，月子里應(yīng)該吃清淡適宜的食物。清淡適宜，就是蔥、大蒜、花椒、酒、辣椒等應(yīng)少于一般人的量，食鹽也應(yīng)少放?！?/div>
 
　　注意調(diào)理脾胃：　
　　月子里應(yīng)該吃一些健脾、開胃、促進(jìn)消化、增進(jìn)食欲的食物。如山楂、大棗、蕃茄等。山楂可以開胃助消化，還有促進(jìn)子宮恢復(fù)等作用?！?/div>
 
　　七、充分排空乳房，可促進(jìn)乳汁分泌
 
　　在以往，很多產(chǎn)婦認(rèn)為，乳房排空了，乳汁就會越產(chǎn)越少。其實(shí)這種觀點(diǎn)是錯誤的。充分排空乳房，會有效刺激泌乳素大量分泌，可以產(chǎn)生更多的乳汁。在一般情況下，可以用手?jǐn)D奶或使用吸奶器吸奶，這樣可以充分排空乳房中的乳汁。當(dāng)然，也可以使用優(yōu)良品牌的電動吸奶器，這種吸奶器能科學(xué)地模擬嬰兒的吸吮頻率和吸力，能更有效地達(dá)到刺激乳汁分泌的目的，效果會更好一些。
 
　　八、正確的哺乳方法也是非常重要的
 
　　每次喂哺先讓嬰兒的唇觸及乳頭，誘發(fā)覓食反射，使寶寶的嘴張得足夠大，含住乳頭和大部分浮暈。當(dāng)嬰兒嘴張大，舌向下的瞬間，即將嬰兒靠向母親，使其能大口地把乳暈也吸入口內(nèi)，吸吮時(shí)嬰兒兩頰向外鼓起，嘴唇凸起，兩側(cè)乳房應(yīng)交替哺乳，以免兩側(cè)乳房不對稱，影響將來的美觀。對于乳頭凹陷或較短者，應(yīng)避免在口腔負(fù)壓下拉出乳頭，以防止引起乳頭疼痛和損傷。哺乳結(jié)束后，可擠少量的乳汁均勻地涂抹在乳頭上，以保護(hù)乳頭表皮。喂飽嬰兒后，乳頭應(yīng)及時(shí)脫離嬰兒口腔。
 
　　九、注意哺乳細(xì)節(jié)
 
　　哪怕嬰兒有吸奶問題時(shí)，也千萬不能給他喂奶嘴。一旦吃了奶瓶，嬰兒就很難再學(xué)會正確的吸奶頭的方式了。而且吸橡皮奶嘴比較省力，也會使嬰兒不愿意吃母乳。實(shí)際上，即使嬰兒沒有吃奶問題，在一個月以內(nèi)，也應(yīng)該盡量避免喂奶瓶。開始引入奶瓶時(shí)，每天只喂一次，觀察嬰兒吃母乳不受影響，再逐漸增加吃奶瓶的次數(shù)?！?/div>
 
　　在嬰兒吮吸乳頭的時(shí)候，應(yīng)該含住大部分乳暈，因?yàn)閴浩热闀炗幸嬗诖碳と橹置诩傲鞒?。同時(shí)，還應(yīng)該注意兩個乳房輪流喂哺，以保證營養(yǎng)全面均衡。雙側(cè)乳房輪流喂哺，嬰兒在一天內(nèi)可以從兩邊的乳房獲得大致等量的奶水，既能吃到前奶，也可吃到后奶，營養(yǎng)全面，不僅利于嬰兒的生長發(fā)育，也有利于乳汁的正常分泌與“休整”。??
 
　　十、注意防止嬰兒吐奶
 
　　嬰兒吐奶現(xiàn)象較為常見。如果吐奶嚴(yán)重，往往影響嬰兒的吃奶“興趣”。由于嬰兒的胃呈水平位，容量小，連接食管處的賁門較寬，不容易關(guān)閉，而且連接小腸處的幽門較緊，嬰兒吃奶時(shí)如果吸入較多空氣，奶液容易倒流入口腔，引起吐奶。其實(shí)，只要注意哺乳方法，吐奶是完全可以避免的。
 
　　下列的步驟可以減輕溢奶的情況：
 
　　·喂奶時(shí)要平靜緩慢。
　　·在喂奶中避免突然地中斷，有聲響或亮光的刺激，或存在其他容易分神的事物。
　　·在喂奶后讓嬰兒采直立姿勢。
　　·喂奶后不要和嬰兒劇烈的玩耍。
　　·在嬰兒很餓之前就喂奶（別讓嬰兒哭的很厲害）。
　　·如果喂奶瓶，確定奶洞沒有過大或過小。
　　·睡覺時(shí)整個小床頭部墊高，讓嬰兒的頭比肚子高或右睡。
 
　　所吐的奶如果是豆腐渣狀，屬于奶與胃酸起作用的結(jié)果，為正?，F(xiàn)象。假如嬰兒嘔吐頻繁，且吐出呈黃綠色、咖啡色液體，或伴有發(fā)燒、腹瀉等癥狀，屬于病態(tài)，應(yīng)該去醫(yī)院及時(shí)就診。

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