Postpartum hypogalactia can develop both immediately after childbirth (primary hypogalactia) and some time after the onset of lactation (secondary). Primary hypogalactia usually develops in women giving birth for the first time, if they have neurohormonal disorders, against which there is an underdevelopment of the mammary glands, a decrease in their secretory and motor function, and lactation failure. More often in medical practice, secondary hypogalactia occurs, which is accompanied by a decrease or cessation of lactation for some reason. What causes hypogalactia?
What causes hypogalactia?
Functional failure of the mammary glands is observed with developmental anomalies, infantilism, due to toxicosis in late pregnancy, postpartum hemorrhage and traumatic childbirth. This contributes to primary hypogalactia. Since in most cases hypogalactia is secondary, let's consider the causes of secondary hypogalactia.
Causes of secondary hypogalactia:
- mastitis;
- cracked nipples;
- infectious diseases of the mother during pregnancy (flu, tonsillitis);
- poor nutrition;
- nervous shock, overwork;
- violation of the duration and mode of sleep;
- taking certain drugs - progestogens, diuretics, ergot preparations.
How does hypogalactia develop? Symptoms of hypogalactia
Primary hypogalactia develops in the first 10 days after birth. Hypogalactia that develops later is called secondary. At the same time, women in labor do not have engorgement of the mammary glands, when pressing on them, milk is excreted with difficulty, in insufficient quantities. On palpation, undeveloped glandular tissue is determined. The child, receiving an insufficient amount of milk, does not eat up, often cries when weaning, does not gain weight. The complete absence of milk occurs with congenital underdevelopment of the mammary glands.
Premature and slow-sucking babies contribute to the development of hypogalactia by insufficient stimulation of the mammary glands during sucking.
The development of secondary hypogalactia is facilitated by a violation of the feeding regimen of the child. This refers to irregular attachment of the baby to the breast and long breaks between feedings.
Most women during normal lactation experience hypogalactic crises that develop once a month, which is associated with cyclical changes in hormonal activity processes.
Recommendations for preventing hypogalactia in breastfeeding women
Secondary hypogalactia is eliminated by correcting the feeding technique, which consists in attaching the baby to each breast in turn, the intervals between feedings must be strictly observed. All this against the background of sufficient fluid intake by a woman will help restore normal lactation.
In case of primary hypogalactia, it is advisable to prescribe lactogenic agents (deaminooxytocin and lactin), as well as general strengthening therapy. A course of electrophoresis with nicotinic acid, massage, ultraviolet radiation and psychotherapy are shown.
Lactation is stimulated by some bee products - apilac, apilactin, herbal teas (lemon balm, thyme, nettle, oregano, dill, fennel, cumin) and homeopathic remedies.
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