Breast crawl

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Breast crawl is the instinctive movement of a newborn mammal toward the nipple of its mother for the purpose of latching on to initiate breastfeeding. [1] In humans, if the newborn is laid on its mother's abdomen, movements commence at 12 to 44 minutes after birth, with spontaneous suckling being achieved roughly 27 to 71 minutes after birth. [2]

Contents

Background

The Baby Friendly Hospital Initiative, developed by the World Health Organization and UNICEF, recommends that all babies have access to immediate skin-to-skin contact (SSC) following vaginal or Caesarean section birth. Immediate SSC after a Caesarean that used spinal or epidural anesthesia is achievable because the mother remains alert; however, after the use of general anesthesia, the newborn should be placed skin to skin as soon as the mother becomes alert and responsive.

If the mother is not immediately able to begin SSC, her partner or other helper can assist or place the infant SSC on their chest or breast. It is recommended that SSC be facilitated immediately after birth, as this is the time when the newborn is most likely to follow its natural instincts to find and attach to the breast and then breastfeed.

To find the nipple, the newborn uses a variety of sensory stimuli: visual (the sight of the mother's face and areola); auditory (the sound of its mother's voice); [2] and olfactory (the scent of the areola, which resembles that of amniotic fluid). [1]

Nine stages of breast crawl

Newborn babies go through nine distinct stages after birth within the first hour or so:

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Breast Region of the torso of a primate containing the mammary gland

The breast is one of two prominences located on the upper ventral region of a primate's torso. In females, it serves as the mammary gland, which produces and secretes milk to feed infants. Both females and males develop breasts from the same embryological tissues. At puberty, estrogens, in conjunction with growth hormone, cause breast development in female humans and to a much lesser extent in other primates. Breast development in other primate females generally only occurs with pregnancy.

Infant Very young offspring of humans

An infant is the more formal or specialised synonym for the common term baby, meaning the very young offspring of human beings. The term may also be used to refer to juveniles of other organisms. A newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, newborn or neonate refers to an infant in the first 28 days after birth; the term applies to premature, full term, and postmature infants.

Nipple Part of the breast

The nipple is a raised region of tissue on the surface of the breast from which, in females, milk leaves the breast through the lactiferous ducts to feed an infant. The milk can flow through the nipple passively or it can be ejected by smooth muscle contractions that occur along with the ductal system. The nipple is surrounded by the areola, which is often a darker colour than the surrounding skin. A nipple is often called a teat when referring to non-humans. Nipple or teat can also be used to describe the flexible mouthpiece of a baby bottle. In humans, the nipples of both males and females can be stimulated as part of sexual arousal. In many cultures, human female nipples are sexualized, or "regarded as sex objects and evaluated in terms of their physical characteristics and sexiness."

Areola

The human areola is the pigmented area on the breast around the nipple. Areola, more generally, is a small circular area on the body with a different histology from the surrounding tissue, or other small circular areas such as an inflamed region of skin.

Kangaroo care

Kangaroo care also called skin-to-skin contact (SSC), is a technique of newborn care where babies are kept chest-to-chest and skin-to-skin with a parent, typically their mother.

Inverted nipple Medical condition

An inverted nipple is a condition where the nipple, instead of pointing outward, is retracted into the breast. In some cases, the nipple will be temporarily protruded if stimulated. Both women and men can have inverted nipples.

Supplemental nursing system

A supplemental nursing system (SNS), also known as a lactation aid, is a device that consists of a container and a capillary tube. It is used to provide additional nutrients to a baby whose mother has low milk supply. During breastfeeding, the end of the tube is placed alongside the mother's nipple so that both the tube and the breast are in the infant's mouth.

Lactational amenorrhea Post-partum infertility due to breast feeding

Lactational amenorrhea, also called postpartum infertility, is the temporary postnatal infertility that occurs when a person is amenorrheic and fully breastfeeding.

Nipple shield (breastfeeding)

A nipple shield is a nipple-shaped sheath worn over the areola and nipple during breastfeeding. Modern nipple shields are made of soft, thin, flexible silicone and have holes at the end of the nipple section to allow the breast milk to pass through.

Erotic lactation Sexual activity involving the stimulation of womans breast

Erotic lactation is sexual arousal by breastfeeding on a woman's breast. Depending on the context, the practice can also be referred to as adult suckling, adult nursing, and adult breastfeeding. Practitioners sometimes refer to themselves as being in an adult nursing relationship (ANR). Two people in an exclusive relationship can be called a nursing couple.

Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the frontal lobes as a child transitions normally into child development. These primitive reflexes are also called infantile, infant or newborn reflexes.

Breastfeeding difficulties Medical condition

Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts. Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances, contraindicated.

Breastfeeding Feeding of babies or young children with milk from a womans breast

Breastfeeding, or nursing, is the process by which human breast milk is fed to an infant. Human breast milk may be fed to infants directly from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months of life. The baby should be given the opportunity to breastfeed as early as possible within the first hour of life, termed the Golden Hour, and breastfeeding should occur at least 8-12 times per day, or more frequently as desired by the infant. Feedings may last as long as 30–45 minutes each as milk supply develops and the infant learns the Suck-Swallow-Breathe pattern. However, as milk supply increases and the infant becomes more efficient at feeding, duration of feeds may shorten. Older children may feed less often. Mothers should hand express or pump breastmilk when breastfeeding is not possible for many reasons, including emptying the breasts to prevent plugged milk ducts and breast infection, maintaining milk supply, resolving engorgement and so milk can be fed to infant at a later time.

Lactation The regulated release of milk from the mammary glands and the period of time that a mother lactates to feed her young

Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. The process naturally occurs with all post-pregnancy female mammals, although it may predate mammals. The process of feeding milk in all animals is called nursing, and in humans it is also called breastfeeding. Newborn infants often produce some milk from their own breast tissue, known colloquially as witch's milk.

Childbirth in Haiti follows a system of behavior determined by local beliefs, traditions and attitudes, and is also affected by economic conditions and limitations of available health care facilities.

Cracked nipple is a condition that can occur in breastfeeding women as a result of a number of possible causes. Developing a cracked nipple can result in soreness, dryness or irritation to, or bleeding of, one or both nipples during breastfeeding. The mother with a cracked nipple can have severe nipple pain when the baby is nursing. This severe pain is a disincentive for continued breastfeeding. The crack can appear as a cut across the tip of the nipple and may extend to its base. Cracked nipple develop after the birth of the infant and is managed with pharmacological and nonpharmacological treatment.

Latch (breastfeeding) the way a baby fastens onto the breast while breastfeeding

Latch refers to how the baby fastens onto the breast while breastfeeding. A good latch promotes high milk flow and minimizes nipple discomfort for the mother, whereas poor latch results in poor milk transfer to the baby and can quickly lead to sore and cracked nipples. In a good latch, both the nipple and a large portion of the areola are in the baby's mouth.

In breastfeeding women, low milk supply, also known as lactation insufficiency, insufficient milk syndrome, agalactia, agalactorrhea, hypogalactia or hypogalactorrhea, is the production of breast milk in daily volumes that do not fully meet the nutritional needs of her infant.

Delayed onset of lactation

Delayed onset of lactation (DOL) describes the absence of copious milk secretion within the first 72 hours following childbirth. It affects around 20-40% of lactating women, the prevalence differs among distinct populations.

Nipple pain is a common symptom of pain at the nipple that occurs in women during breastfeeding after childbirth. The pain shows the highest intensity during the third to the seventh day postpartum and becomes most severe on the third day postpartum.

References

  1. 1 2 Marchlewska-Koj, Anna; Lepri, John J.; Müller-Schwarze, Dietland (2012-12-06). Chemical Signals in Vertebrates 9. Springer Science & Business Media. p. 419. ISBN   9781461506713.
  2. 1 2 Desai, Daftary & (2008-01-01). Selected Topics in Obstetrics and Gynaecology-4: For Postgraudate and Practitioners. BI Publications Pvt Ltd. p. 281. ISBN   9788172253066.
  3. "Breastfeeding After Cesarean Birth". Le Leche League.