Pregnancy preparation for patients with hyperprolactinemia

Prolactin is a polypeptide hormone, also called prolactin (PRL), which is one of the hormones secreted by the pituitary gland. Women secrete prolactin vigorously in the late pregnancy and lactation period to promote breast development and lactation. Is there any relationship between high prolactin before pregnancy and the amount of milk produced after delivery? Judging from your symptoms, there is no relationship. If prolactin is high before pregnancy, you should pay attention to the possibility of overdue pregnancy. You should pay attention to hospitalization for observation at the due date, or take necessary measures. How to ensure smooth breastfeeding?

1. Start breastfeeding as soon as possible after delivery

When a baby sucks the nipple after childbirth, it can stimulate the secretion of prolactin and oxytocin, which is beneficial to increase lactation. The earlier the milk is started, the more prolactin and oxytocin are secreted, and the more lactation is produced. The traditional practice of hospitals is to separate mothers and newborns after childbirth. Delaying the start of milk production is not conducive to postpartum lactation, which may be one of the reasons for postpartum milk deficiency in modern women. In recent years, some hospitals have implemented a family-oriented postpartum life, allowing newborns and mothers to live in the same room and start milk production as soon as possible after childbirth. Practice has shown that the milk production of mothers has increased significantly.

2. Empty the breast milk each time

When feeding a baby, a mother should first empty one breast, then the other. If the baby cannot suck all the milk, she should use a breast pump to suck out all the milk. When the breasts feel full, even if the baby does not want to drink milk, the milk should be sucked out, otherwise it will be detrimental to the secretion of the breasts and easily block the breast ducts and cause mastitis. Moreover, breast milk is different from other things. It does not accumulate more and more. Instead, it must be completely sucked out each time to secrete more milk.

3. Increase maternal nutrition

The secretion of breast milk requires sufficient nutrition and water, otherwise it will affect the quality and quantity of breast milk, so mothers should pay special attention to dietary nutrition. In particular, it is necessary to ensure that the food has high-quality protein, sufficient heat energy, rich vitamins, and minerals such as calcium and iron. Mothers should not be picky or partial eaters. They should eat more fish, meat, poultry, eggs, dairy products and soy products, as well as fresh vegetables and fruits. Drink more soup, especially breastfeeding women who engage in physical labor in summer, should pay more attention to replenishing water, otherwise the breast milk is too thick and is not conducive to the digestion and absorption of the baby. Do not drink a lot of malted milk, because it contains malt, which has the effect of stopping milk. Fatty meat and foods with a lot of fat should not be eaten too much. Eating more foods with a lot of fat will make mothers gain weight easily, but the milk will decrease. In places where conditions permit, mothers can buy fresh milk every day.

4. The real-life encounter between breastfeeding and the elderly

Sometimes mothers have tried their best to breastfeed their babies, but often due to some external factors, their determination is suppressed. The biggest interference and pressure comes from some family members who have a deep misunderstanding of breastfeeding or doctors with outdated knowledge. China has a tradition of the elderly helping to take care of the third generation. For the care of newborns, feeding is the most important activity. But if the mother chooses to breastfeed, each feeding only requires the participation of the baby's mother, and others are bound to be excluded. Some elderly people will feel that they are "heroes without a place to use their skills", feel uneasy and anxious, and therefore will seize the difficulties and problems that will arise at the beginning of breastfeeding, intentionally or unintentionally exaggerate them, and try to prevent mothers from making efforts in breastfeeding.

In addition, new mothers are prone to listen to some old ideas because they have no experience. For example, a mother told me that she didn't want to add milk powder to her child, and the elderly at home accused her of "starving the child's intestines". This is a statement that makes no scientific sense, but it will create enough pressure to make the mother succumb. The elderly's gossip will make the mother anxious. The hormones produced by this anxiety will cause the mother's body to not secrete even if there is abundant milk. The more worried, anxious, and guilty the mother is, the more difficult it is to secrete milk. Breast milk is the most innocent, but also the most wronged. People have a deep prejudice against breast milk. No matter what problems the child has, people will first blame breast milk.