产前课程 W.5 - Part I b

挤 阿 挤 阿 挤······ 挤 阿 挤 阿 挤····· ·········
不知道那天的准爸爸们 对这个 " 挤阿挤阿挤" 是不是特别的感兴趣呢？
还是特别的感到兴奋呢？或是很好奇为什么女人的 (.)(.) 就这样很特别的呢？

Manual Expression of BreastMilk ( Marmet Technique )
The Marmet Technique of Manual Expression and assisting the milk ejection reflex ( sometimes called the let-down reflex ) has works of hundreds mothers - in a way that nothing has before.
Even experience breastfeeding mothers who have been previously been able to express only a small amount, or none at all, get excellent results with the technique.

Technique is Important
When watching manual expression the correct milking motion is difficult to see. In this case the hand is quicker than the eye.
Consequently, many mothers have found manual expressing difficult - even after watching a demonstration or reading a brief description.
Milk can be expressed when using less effective methods of hand expression.
When used, however, on a frequent and regular basis, these methods can easily lead to damaged breast tissue, bruised breasts, and even skin burns.

The Marmet technique of manual expression was developed by a mother who needed to express her milk over a extended period of time for medical reasons.
She found that her milk ejection reflex did not work as well as her baby breastfed, so she also developed a method of massage and stimulation to assist this reflex.

The key to the success of this technique is the combination of the method of expression and this massage.
This technique is effective and should not cause problems.
It can easily be learned by following this step by step guide. As with any manual skill, practice is important.

Advantages
The are many advantages to manual expression over mechanical methods of milking the breasts :
* Some mechanical pumps cause discomfort and are ineffective.
* Many mothers are more comfortable with manual expression of breast milk
* because it is more natural.
* Skin to skin contact is more stimulating than the feel of plastic shield.
* So manual expression usually allows for an easier milk ejection reflex.
* It's convenient.
* It's ecological superior.
* It's portable, how can a mother forget her hands ?
* Best of all it's Free !

How the Breast makes Milk ?
The milk is produced in milk producing cells ( Alveoli ).
A portion of the milk continuously comes down the ducts and collects in the milk reservoirs.
When the milk producing cells are stimulates, they expel additional milk into the ducts system ( Milk rejection reflex or let-down reflex )

Expressing the Milk
Draining the Milk Reservoirs
Use this measurement, which is not necessarily fingers outer edge of the areola, as a guide.
The areola varies in size from one woman to another.
* - Place the thumb above the nipple and the fingers below, in a 12 o'clock and
* - 6 o'clock position, as shown.
* - Note that the fingers are positioned so that the milk reservoirs lie beneath
* - them.
* - Avoid cupping the breast. The fingers should NOT be in 12 o'clock and 4
* - o'clock position.

* Position the thumb and first two fingers about 1" to 1 1/2" behind the nipple.

* Push straight into the chest wall. Avoid spreading the fingers the fingers
* apart. For large breast, first lift and then push into the chest wall.

* Roll thumb and fingers forward as if making thumb and fingers at the same
* time.

* Finish Roll - The rolling motion of the thumb and fingers compresses and
* empties the milk reservoirs without hurting sensitive breast tissue.

The arrows show the direction of the pressure the fingers apply.
See that the fingers under the breast start with the pressure on the back most finger in the " Push " and moves to the front most finger in the " Roll ".

Repeat Rhythmically to drain the reservoirs.
Position, Push, Roll, Position, Push, Roll ······ ········

* Rotate the thumb and finger position to milk the other reservoirs.
* Use both hands on each breast, the fingers will move from the 12 o'clock and
* 6 o'clock positions, to 11 and 5 o'clock, 2 and 8 o'clock, 3 and 9 o'clock.

Avoid These Motions
* Avoid Squeezing the breast. This can cause bruising.
* Avoid Pulling out the nipple and breast. this can cause tissue damage.
* Avoid Sliding on the breast. This can cause skin burns.

Assisting the Milk Ejection Reflex
This will help with relation and will help stimulate the milk ejection reflex.

Procedure
This procedure should be followed by mothers who are expressing in place of a full feeding and those who need to establish, increase or maintain their milk supply when the baby cannot breastfed.
* - Express each breast until the flow of milk slows down.
* - Assist the milk ejection reflex ( Massage, Stroke, Shake ) on the both breasts.
* - This can be done simultaneously.
* - Repeat the whole precess of expressing each breast and assisting the milk
* - ejection reflex once or twice more.
* - The flow of milk usually slows down sooner the second and third time as the
* - reservoirs are drained.

* Massage the milk producing cells and ducts. Start at the top of the breast.
* Press firmly into the chest wall.
* Move fingers in a circular motion on one spot on the skin.

* Stroke the breast area from the top of the breast to the nipple with a
* tickle-like stroke.

* Shake the breast while leaning forward so that gravity will help the milk eject.

Timing
The Entire Procedure should take approximately 20-30 minutes.
* Express each breast 5-7 minutes
* Massage, Stroke, Shake
* Express each breast 3-5 minutes
* Massage, Stroke, Shake
* Express each breast 2-3 minutes

Note : If the milk supply is established, use the times given only as a guide.
Note : Watch the flow of milk and change breasted when the flow gets small.
Note : If little of no milk is present yet, follow these suggested times closely.

老实说 其实对这个我没有很大的兴趣 因为是大家围着一起看 Demo ~
哎哟 ~ 我就是站到很不耐烦 有脚酸 、背酸 就是那种站不稳的感觉啦······
我比较期待快快完成这个 Part 然后······ 去看看产房！

~ 文接下篇