Hot compresses before the suck ones facilitate the exit of milk. To suckle frequently, to manually extract milk or with suction bomb. To use analgesics, if necessary. Table 3 – Measures for Treatment of the Mammary Ingurgitamento. Source: Periodical of Pediatrics 1995 (GIUGLIANE) 2.3.2 TRAUMAS MAMILARES.
A time installed, the traumas mamilares are very painful and many times hinder the mothers to suckle. The predisponent factors of traumas mamilares would be the lubricant use during the prenatal one, excess of hygiene of the mamilos preceding or succeeding breast-feeding, the mammary ingurgitamento and defects of suction in the just-been born one (FREITAS, 2001). The attempt of preparation of the mamilos during the prenatal one with massages, lubricant and measures of hygiene provokes the removal of hidrolipdica membrane that protects the region, promoting the scalling off in the crnea layer of the skin, passing the pathogenic flora to dominate in substitution to the normal flora. ' ' suction not eficiente' ' also mamilares can be cause of traumas; the child suck during 24 hours per day, with interval very short (between 45 minutes and one hour). The complaints maternas are: hipersensveis mamilos, doloridos and ardidos, associates to the presence of petquias, vesicles and isquemia in the region mamilo to aureole. The behavior to space the schedule enters the suck ones for three or four hours are efficient in the recovery of the mamilos and correction of the habit of vicious suction in the child (SAINTS, 2000). Figures 5 and 6? Mamilares traumas. Source: access in 19/08/2009.
Useful measures in the treatment of the traumas mamilares include: Correction of the techniques of breast-feeding, whenever error of technique is detected. Positions alternated in the suck ones. Milk application in the mamilos after the suck ones. Although not to have given scientific that bases this behavior, to many they recommend it specialists. Maternal milk has many antiinfectious properties, what it diminishes the risk of secondary infection.