MASSAGEM PARA AMAMENTAR: COMO FAZER? | Pediatria Descomplicada

Summary

In this video, the presenter demonstrates how to perform a massage on the breast to ease discomfort caused by engorgement, particularly after milk comes in. The video explains when to do the massage, typically in the first few days after lactation begins, and the importance of improving milk flow for both comfort and effective breastfeeding. The presenter teaches techniques such as the 'milkshake' massage and how to gently massage the breast to release milk, preventing pain and potential complications like mastitis. She also emphasizes the importance of seeking help if necessary.

Takeaways

• 😀 Breast massage is particularly helpful during the first days after milk letdown (typically around day 3) when the breasts are engorged and painful.
• 😀 Massage helps improve milk flow and prevents the breast from becoming too hard or difficult to express, which can cause further problems.
• 😀 Engorgement can cause pain and difficulty in breastfeeding, leading to issues like improper latch, nipple pain, and even mastitis.
• 😀 One effective massage technique is called 'sheik' (milkshake), which involves shaking and gently massaging the breast to stimulate milk flow.
• 😀 To perform the 'milkshake' massage, hold the breast with both hands and move upward, downward, and laterally in different directions, as well as in circular motions.
• 😀 The massage helps to loosen the milk lobes and can help reduce the feeling of tightness in the breast, making it easier to express milk.
• 😀 Another massage technique involves using 2–3 fingers near the nipple to feel and break up any lumps (like clusters of grapes) that indicate engorgement.
• 😀 Massaging around the entire breast, especially towards the outer areas, can help release trapped milk and improve milk flow.
• 😀 If the breast is very hard and the milk is difficult to express, consider hand expressing to relieve pressure and aid the baby in getting a better latch.
• 😀 Proper hand expression technique involves using the thumb and index finger in a 'C' shape to gently press and pull milk from the breast, never directly squeezing the nipple.
• 😀 If the massage or expression becomes too painful, seek help from a partner, lactation consultant, or breastfeeding support professional.

Q & A

When is it recommended to perform breast massage?

Breast massage is recommended especially during the first few days after childbirth, particularly when you experience engorgement and pain, which usually occurs after milk 'letdown' around the third day postpartum.

Why is breast massage important during the early days of breastfeeding?

Breast massage is important because it helps to improve milk flow, reduces engorgement, and prevents the breast from becoming too hard, which can make it difficult for the baby to latch correctly.

What are some problems that can arise from improper breastfeeding due to hard breasts?

Improper breastfeeding caused by hard breasts can lead to poor latch, nipple pain, cracked nipples, and even serious issues like mastitis (breast infection).

What is the 'milkshake' technique for breast massage?

The 'milkshake' technique involves holding the breast with both hands and gently shaking it to stimulate the milk glands. This is done by lifting the breast up, down, and sideways several times to help loosen the milk.

How should you massage the breast to break up milk clogs?

To massage the breast, use your fingers close to the nipple to gently press and break up any clogs. You may feel small lumps or nodules that resemble grape clusters, and you should massage these areas to help release the milk.

What should you do if you experience pain or have trouble performing the breast massage on your own?

If you're in pain or find it difficult to perform the breast massage on your own, it's recommended to seek assistance from a partner, a lactation consultant, or a healthcare provider.

How can breast massage help with nipple issues during breastfeeding?

Breast massage can help alleviate nipple issues by ensuring the milk flows more easily, reducing engorgement and preventing the baby from having a poor latch, which can lead to nipple pain or injury.

What is the proper technique for manual breast expression (hand expression)?

The proper technique for hand expression involves using the thumb and index finger to form a 'C' shape around the areola and gently compressing while moving the fingers backward and forward, not directly squeezing the nipple.

What should you do if your breast becomes very full and painful?

If your breast becomes very full and painful, it is helpful to perform massage and hand expression to relieve the pressure. If needed, you can also pump or express milk to reduce engorgement and help with milk flow.

Can a partner or someone else assist with the breast massage if it's too painful to do alone?

Yes, a partner or someone else can assist with the breast massage, especially if it’s too painful to do alone. A lactation consultant can also provide professional support and guidance.