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Isolation of colostrum in pregnant women

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Molozive

The appearance of secretions from the mammary glands long before delivery makes a woman worry about the normal course of pregnancy.It is necessary to know that this physiological state does not represent any danger, because a white translucent liquid that is secreted by the breast is colostrum.

Table of contents: What is colostrum and how it is formed? Colostrum allocation in pregnant women: norm or pathology Colostrum differences and maternal milk Useful properties of colostrum Pathological secretion of mammary glands during pregnancy How to behave to a woman when colostrum occurs during pregnancy

What?Such colostrum, and how it is formed

Pregnancy carries with it a serious hormonal reorganization.The foreground is the increase in the levels of estrogen, progesterone and prolactin.Under their action with the mammary gland of a woman there is a whole series of metamorphoses: estrogens provoke the growth of milk ducts, under the action of progesterone, the available ducts begin to branch strongly.Well, prolactin promotes the development of glandular lobes, alveoli and cells producing milk - lactocytes.

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Change-in-chest-when-pregnancy

Colostrum is a kind of "prototype" of milk.The main hormone responsible for the production of both milk and colostrum is prolactin.But promotes them along the ducts - another active hormone of pregnancy, which is sometimes called the "hormone of love" - ​​oxytocin.Swelling of the chest, a feeling of crawling, a rush of milk - this is all due to the action of oxytocin.

Colostrum consists of :

  • proteins - albumin, globulins;
  • fats;
  • carbohydrate - lactose;
  • vitamins - A, B, PP, C and E;
  • microelements and water;
  • microorganisms - bifidobacteria, lactobacilli;
  • mother hormones.

Please note! The basis of colostrum is protein albumin, which plays a major role in adapting the baby in a new environment!

Thanks to the chemical composition, the baby is adapted to the new conditions of life and the nature of nutrition, after 9 months the fetus receives all the necessary substances for growth and development exclusively from the mother's body.

Isolation of colostrum in pregnant women: norm or pathology

As mentioned above, the preparation of the breast for feeding the baby begins literally from the first days of pregnancy.As a rule, the process of producing colostrum( and then milk) is started after delivery.This is facilitated by the expulsion of the placenta, the presence of which in the body inhibits the production of prolactin.The birth leads to the fact that the prolactin level in the blood increases several times, and lactocytes are accepted for mass synthesis of the first portions of the colostrum.

However, in some future mothers, the development of colostrum may be observed already in the first days after conception. The discharge of the liquid is so minimal that the pregnant woman does not notice such changes.

In the second trimester, a more active secretion of the milk-like liquid occurs, resulting in yellow, sticky spots on the bra, the volume of excretions can be from a few drops to 5 ml.

The third semester of pregnancy is noteworthy because the qualitative composition of the colostrum varies, but its quantity does not change significantly.

Important: secretion of milky drops during pregnancy, as well as its absence should not scare the expectant mother.These manifestations depend only on the individual characteristics of the organism.The main thing is that the release of colostrum during pregnancy is not accompanied by pain.

It is noteworthy that there are a number of factors that can stimulate the release of colostrum.These include:

  1. Psychoemotional stress( stress, excess of positive emotions).
  2. Hot shower.
  3. Active and prolonged sexual intercourse.
  4. Stimulation of the nipples( breast massage).
  5. Drinking hot drinks.

Differences in Colostrum and Maternal Milk

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Below in the table, we presented the properties of colostrum, which differ from the properties of breast milk:

Properties

Breastmilk

Colostrum

Home secretion

inferiority properties begins to produce milk in 2-3 days after birth, And mature breast - after 1,5 weeks.

During pregnancy and up to 3 days after the birth of the baby.

Energy value 100 mL

100 kcal

200 kcal

color

White with blue or various shades of yellow.

Yellowish-white

Taste

Sweet

Salty

Water

Up to 90%

Up to 85%

Proteins

not more than 1%

Up to 5%

Immunoglobulins

In small quantities

High level aSD131ASD

Fats

Up to 5%

Up to 4%

Carbohydrates

Up to 8%

Up to 7%

It's interesting to know! The composition of colostrum fully corresponds to the needs of the newborn baby in proteins, fats, carbohydrates and trace elements.

Useful properties of colostrum

The value of colostrum for a baby is difficult to overestimate, because the translucent secret of the mammary glands performs the following functions:

  1. Immune - in a fluid that is secreted by the breast, there is a significant amount of proteins that provide protective mechanisms against infectious agents.
  2. Forming - provides the colon colonization with useful bacteria, which will help in the assimilation of food, the formation of normal defecation and prevent the proliferation of pathogenic bacteria.
  3. Conjugating - colostrum binds excessive amounts of bilirubin, which prevents the development of jaundice in a newborn.
  4. Nutritious - provides the body with not only the necessary nutrients, but also stimulates the division of cells of the epithelial layer of the intestine, which is so important for the further full-fledged existence of the child.

Pathological secretion of the mammary glands during pregnancy

The amount of isolated colostrum does not affect the secretion of breast milk in the future, because these are completely two different processes that do not depend on each other, have different factors of influence and even the hormonal ratio.

Feeling of itching, mild pressure and bursting inside during the third trimester of pregnancy should not cause fear from the future mother.

But, there are changes that should alert a pregnant woman and become an excuse for an emergency appointment with a doctor:

  1. Grud-v-tretiem-trimestre Secretion of colostrum with only one breast.
  2. Pain in the chest - may indicate an inflammatory process.
  3. Isolation of colostrum, accompanied by drawing pain in the lower abdomen or in the lumbar region.
  4. Copious bleeding from the chest that accompanies poor health can increase the risk of premature birth or inflammation in the mammary gland, the uterus or the placenta.
  5. Unpleasant smell of colostrum always indicates the development of pathogenic microflora, which requires immediate antibacterial treatment, in order to reduce the possibility of spreading the infectious process.
  6. The secretion of fluid from the mammary glands of non-pregnant women can be associated with hyperproduction of hormones oxytocin and prolactin, which is provoked by inflammation or swelling.

How to behave to a woman with the appearance of colostrum during pregnancy

Changes in the body of a woman should not affect her daily life, because there are no special strict instructions that are difficult to carry out.

The main goal at this stage is regular breast support in cleanliness and observance of several simple rules:

  1. Wear a bra made from natural soft tissues that will not damage the nipple and compress the breast.The best choice, in this case, is a special underwear for nursing moms, properly sized.
  2. Daily rinse the mammary glands with warm, boiled water, without the use of soap, which will prevent the proliferation of harmful bacteria, the formation of cracks and the development of inflammatory processes.
  3. Wipe the breast with a soft towel, avoiding rough, hardened movements.
  4. Place between the fabric of the bra and the nipple padded discs or special pads that will absorb the drops of colostrum and not increase the moisture of the skin.This will help reduce the likelihood of the multiplication of pathogenic microorganisms.
  5. Do not express colostrum or massage the mammary glands( such procedures increase the secretions and increase the muscular tone of the uterus, which does not always have a positive effect on the condition of the baby's future).
  6. Enjoy the upcoming birth of a child and fill your life with positive moments that will only improve the quality of breastfeeding in the future.

Olga Dolyuk, family doctor


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