29.08.2014

During pregnancy milk comes

Having a discharge or drainage from your nipples when you are not pregnant is not always suggestive of serious illness.
If the discharge appears, milky colored and you are not breast-feeding or pregnant, you may have a hormone imbalance.
Your pregnant body is making sure all systems are a go, including your milk production system. Usually only a few drops of leak at once — but if the flow is more than you're comfortable with, wear nursing pads inside your bra.
Milk production normally begins to increase (biochemically) between 30 and 40 hours after delivery of the placenta, but it may take a little while for the changes to become apparent to the mother. First time mothers – tend to have milk come in about a day later than mothers with more than one child. Research suggests that instead of a true DOL, the increased risk may be due to a slower increase in production because of less than optimal breastfeeding management, a decreased prolactin response to breastfeeding, or increased body mass affecting breast development during puberty.
Any medication that decreases milk production in the early days, including hormonal birth control.
Optimize breastfeeding management to make sure the breast is being emptied frequently and thoroughly; skin-to-skin contact with baby can also help with milk production.
Schedule a visit with a local board-certified lactation consultant to make a plan to increase your milk production and monitor baby’s progress. If a cause can be determined for the delay, there may be further measures that you can take to remedy the situation (for example, if retained placental fragments are the issue, the milk usually comes in normally once the placental fragments are removed). The process starts during pregnancyIf you're pregnant, you've probably noticed big changes in your bra cups. They become tender to the touch, fuller in girth and there are changes in color and appearance.These changes represent the onset of milk production.


Gearing up for the big day, it's going through many changes in anticipation of labor — some you're aware of (such as your baby dropping into your pelvis around week 38 of pregnancy, which makes for more pelvic pressure) and others that you probably are not aware of (such as cervical dilation and effacement).
Colostrum, the first milk your baby will get, contains more protein but less fat and sugar than mature breast milk, making it easier for baby to digest in the first few days after birth. If none comes out don't worry, it will when the time is right (when baby's doing the milking). But best to get used to it: This is just a foreshadowing of increasingly leaky breasts (and wet bras, nightgowns and shirts) to come.
For most mothers, milk will “come in” (increase in quantity and begin the change from colostrum to mature milk) between days 2 and 5. Colostrum is being produced from about 16-22 weeks of pregnancy, although many mothers are not aware that the milk is there since it may not be leaking or easy to express. If there is a retained placenta, the milk will typically come in normally once the placental fragments are removed. This usually happens within 48 to 96 hours of delivery your first baby, with subsequent pregnancies, less time than that.
Colostrum is the early, concentrated milk that is full of nutrients and disease-fighting antibodies — it provides everything that your baby needs in the early days after birth. When you are pregnant, you have another flood of hormones that increase not only the size of the breasts but the number and size of ducts and canals. In either scenario, you will need a complete checkup and to follow the recommendations of your physician. Your breasts become swollen and tender due to the blood vessels engorgement and the milk supply is reaching its peak. The developing placenta stimulates the release of the hormones estrogen and progesterone, which in turn stimulate the complex biological system that makes milk production possible.Before pregnancy, supportive tissue, milk glands, and protective fat make up a large portion of your breasts.


The amount of fatty tissue varies among women, which is why breasts come in such a variety of sizes and shapes.Your newly tender, swollen breasts have been preparing for your pregnancy since you were a 6-week-old embryo in your own mother's womb. Establishment of this structure is complete during the second trimester, so even if your delivery is premature, the body is ready to provide nutrients. During pregnancy, those glands shift into high gear.By the time your baby is born, your glandular tissue will have expanded significantly, which accounts for your bigger-than-ever breasts. Pregnancy hormones cause the milk ducts to grow in number and size.The ducts branch off into smaller channels near the chest wall called ductules. Each breast contains between 15 and 20 lobes, with one milk duct for every lobe.Prompted by the hormone prolactin, the alveoli take proteins, sugars, and fat from your blood supply and make breast milk. A network of cells surrounding the alveoli squeeze the glands and push the milk out into the ductules, which lead to a bigger duct. Second-time moms will find their milk surge comes earlier than it did the first time around.Once you expel your hormone-producing placenta, the estrogen and progesterone levels in your body suddenly drop.
You may have leaked a few drops of this thick, yellowish substance during the final weeks of your pregnancy. These are signs that your baby is stimulating the breast appropriately.As your milk flow increases, the contraction of the milk-filled alveoli may create a tingling, stinging, burning, or prickling sensation in your breasts.



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