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Blood with milk | 74.ru

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“Girls who have had this: breast milk turns pink, as if mixed with blood. My chest hurts, it feels like a bruise inside, ”JuliGreen writes on the mommy forum. Experienced mothers give her different advice - to apply a cabbage leaf, to do alcohol compresses, and to decant to exhaustion. But only one or two people were advised to see a doctor.

In fact, the problem of getting blood into breast milk is not so rare, it most often occurs in nulliparous women at any stage of lactation. However, the causes of such an unpleasant phenomenon can be different, and only a doctor can determine how dangerous they are for the health of both the mother and the baby, and prescribe adequate treatment.

Everything on the surface

One of the most common causes of bloody milk is a cracked nipple. They are characterized by soreness of the nipples during feeding, which decreases three to seven minutes after it begins. Often such sensations occur in women who have become mothers for the first time, or in those who are breastfeeding for the first time (for example, if the first baby was bottle-fed). The reason is that the skin of the nipples has not yet experienced such an aggressive effect, and now the pain receptors signal an increased load. However, cracked nipples can also occur in women who have been breastfeeding for several months. “Most often this happens due to improper breast care, as a result of which the water-fat balance in the skin is disturbed,” explains dermatologist Irina Aleksandrenko . - It used to be that before each feeding, you should wash your breasts with soap or treat with an alcohol solution, for example, brilliant green. This contributes to the drying of the skin and the appearance of cracks. Today, doctors believe that to maintain a hygienic condition of the breast, it is enough to take a shower once a day, change a bra daily and, in a timely manner, absorb milk pads. If these measures are not enough, then you can moisturize the skin with special creams containing lanolin. “During the first feeding, I suffered terribly from cracked nipples,” shares the experience of a mother of two children Oksana Khorunzhiy . – My mother advised me to use my own milk for breast treatment. After feeding, I squeezed out a few drops of milk and rubbed them on the skin of the chest and left to air dry. At first, this procedure had to be done not only after feeding, but also between them, and then, when the skin was sufficiently moistened, I limited myself to processing once a day - before going to bed.

Delicate vessels

The second reason for the appearance of blood in the milk is an older baby. As a rule, this is observed in mothers who continue to breastfeed their children after a year. “I started weaning my son from the breast at a year and two months, because it became impossible to feed him,” says mom 9 on the forum0089 Ludmila Selivanova . - Milk became less and less, the child sucked more and more. After each feeding, I had the feeling that he pulled all the juices out of the chest. ” With such a strong impact, the capillaries in the milk ducts may not withstand the pressure and burst. As a result, the blood passes into the milk.

It happens that children, on the contrary, refuse to breastfeed early, switching to regular food, and then mothers have to express themselves. An incorrectly adjusted breast pump or excessive finger pressure on the chest also provokes rupture of capillaries and the formation of a hematoma. “Run immediately to the mammologist is not worth it,” advises obstetrician-gynecologist Albina Khaffazova . “You can contact a local gynecologist, a therapist, and even better, pre-make an ultrasound of the mammary glands so that the doctor can immediately prescribe treatment if the need arises.”

A bright distress signal

But if bright red blood comes out of the nipple and there is no soreness or cracks in the nipples, then the woman needs to urgently contact a mammologist or surgeon. Typically, such bleeding occurs with intraductal papilloma - a small benign formation resembling a wart that appears on the inner surface of the milk duct. This papilloma bleeds as it grows or decays. “Usually, there is no palpation or swelling in the chest, sometimes there are no uncomfortable sensations,” comments surgeon Lyubov Trubetskaya . “Most often, with intraductal papilloma, bleeding comes from only one breast and can stop without any treatment, but a woman should still consult a specialist to rule out a much more terrible disease - an intraductal malignant tumor.”

Doctors usually order mammography, ultrasound, and cytology to exclude such a diagnosis. If it shows the need for surgical intervention, then it is better not to delay it. Modern methods of surgery make it possible to remove papillomas and formations in the mammary glands in a minimally invasive way. Until the doctor has made a diagnosis, it is contraindicated to breastfeed the baby, from which blood comes, in order to avoid infection of the child. Milk from this breast must be expressed to maintain lactation, while it is advisable to prefer manual gentle pumping to a breast pump so as not to aggravate the problem.

Inna Miller

Breast is breastfeeding

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Blood in breast milk - what could it be?

Sometimes breastfeeding mothers notice unusual discharge from the breast during lactation. Such discharge may have a reddish, pinkish, or rusty tint. You should always pay close attention to such secretions, because. they can be a sign of the presence of blood in the milk.

Most often, blood enters the milk from external injuries of the nipple and areola, for example, with deep cracks or abrasions in the nipple area blood often mixes with milk and turns it pink. Sometimes mothers can watch a crack in the nipple bleed and the baby spit up milk with blood.

In this case, the cause of the presence of blood in the milk lies on the surface and usually does not raise questions, but only requires correction of the attachment of the child to the breast and additional treatment of the nipples for the speedy healing of cracks.

However, there are less obvious causes of blood in the milk when there are no visible lesions on the breast. Different studies of this problem describe different clinical cases, for example, one mother with severely inverted nipples had painless bleeding from the chest after wearing the milk collection pads in late pregnancy. After she reduced the time she wore the braces, the bleeding stopped [2].

Another reason for the appearance of blood in milk can be damage to the capillaries inside the breast tissues due to inaccurate manual expression or improper use of the breast pump [4].

There is also a study that says that the milk of some breastfeeding mothers during the first weeks after childbirth can be similar to rusty water, which can be observed in water pipes that have not been used for a long time. This phenomenon is called "rusty pipe syndrome" . According to researchers, this syndrome occurs more often in primiparous mothers during the early stages of lactogenesis and is most often not associated with any discomfort [3]. In addition, dairy farmers report "rusty" milk from cows that calve for the first time. It is assumed that the reason for this is a slight internal bleeding from edema during the first flush of milk in a cow [4].

O'Callaghan, also a researcher of Rusty Pipe Syndrome, reports 37 clinical cases of its manifestation [5]. The earliest manifestation of the syndrome was noted during the fourth month of pregnancy and in most cases was associated with mechanical compression of the breast during the prenatal period. With this syndrome, blood in the milk may appear in both breasts and disappear, as a rule, within 3-7 days after the start of lactation.

Bright red breast bleeding without sore or cracked nipples indicates that the nursing mother needs to see a doctor (mammologist or surgeon) as soon as possible. First of all, the study is carried out on the subject of intraductal papilloma.

Intraductal papilloma is a small, benign, wart-like growth on the inner surface of the milk duct that may bleed as it grows or decays. Usually, in this case, neither compaction nor swelling is palpated in the chest, and discomfort may be absent. Usually, with intraductal papilloma, bleeding is observed from only one breast. Often, bleeding stops spontaneously without any treatment [2], but nevertheless, a nursing mother should still consult a doctor to identify its causes.

Cytology, mammography, and ultrasound may be helpful in identifying the cause of blood in the milk in the absence of sore or cracked nipples [1]. If, according to the results of the study, there is a need for surgical intervention, the doctor will remove the formation inside the duct. The mass will then be histologically examined to confirm that it is an intraductal papilloma and not something more serious such as intraductal malignancy .

In a situation of breast bleeding of unknown origin, a breastfeeding mother can gently pump her breast to maintain lactation until the cause of the bleeding is identified. It is advisable to opt for manual pumping and carefully follow the correct gentle pumping technique, as rough pumping or pumping can exacerbate the problem.

In any case, if a mother notices that a child has accidentally received milk with a small amount of blood, do not panic - the baby will not be harmed by small amounts of serous-hemorrhagic discharge [2]. A relatively large amount of blood in the milk can lead to regurgitation of milk with blood in the baby.

Call a consultant Have questions? +7 (812) 956-3-954

Literature:

Literature:

1. Berens P.D. , Prenatal, intrapartum, and postpartum support of the lactating mother. In: Schanler, RJ, ed. Breastfeeding, Part II: the management of breastfeeding, Pediatric Clin No Americal 48:365–75, 2002.
2. Breastfeeding and Human Lactation (Jones and Bartlett Series in Breastfeeding/Human Lactation) by Jan Riordan Publisher: Jones and Bartlett Publishers, 3rd Edition, 2004.

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