哺乳期怀孕和避孕.ppt

哺乳期懷孕與避孕 北屯區四民衛生所主任 中國醫藥大學副教授 孕期哺乳Breastfeeding during pregnancy 泌乳的生理 乳房 腦下垂體 腦下垂體前葉 – 泌乳激素 泌乳激素 – 製造乳汁 腦下垂體後葉 – 催產素 催產素 – 釋出乳汁 泌乳激素、催產素 我懷孕了，但還在餵母乳-- 是否需要離乳？ Im pregnant and still nursing my toddler -- Must I wean now? 許多母親選擇繼續餵母乳，但是有的選擇離乳。 Many mothers choose to continue breastfeeding throughout pregnancy, while others decide to wean. 孕期哺乳可得到額外的休息機會 Breastfeeding during your pregnancy may help you get extra rest if you breastfeed your toddler while lying down. 孕期哺乳導致乳頭疼痛 Some mothers develop tender nipples during pregnancy. 孕期哺乳導致子宮收縮 Uterine contractions are experienced during breastfeeding. 正常懷孕也會子宮收縮，孕期性交也導致子宮收縮，但大多數夫妻也在孕期性交。 “Uterine contractions are a normal part of pregnancy. Uterine contractions also occur during sexual activity, which most couples continue during pregnancy. ” -- La Leche Leagues Breastfeeding Answer Book, 3rd Edition 2003, page 407. 世界衛生組織指出 哺乳學步兒仍然可提供: 31% 每日所需能量 38% 每日所需蛋白質 45% 每日所需維生素 A 95% 每日所需維生素 C 孕期泌乳量可能減少 孕期哺乳的婦女會發現懷孕四個月以後乳汁分泌開始減少，如果嬰兒小於一歲，必須注意嬰兒體重是否正常增加，異常就表示不夠吃。 Women who breastfeed while pregnant often find their milk supply decreases around the fourth or fifth month. If your breastfeeding baby is less than a year old, watch his weight gain to be sure he is getting enough to eat. 孕期乳汁可能走味 孕期乳汁可能走味，導致學步兒自然離乳。 Its also not uncommon for the flavor of your milk to change. These changes may prompt some older toddlers to nurse less often or to wean entirely. 假如妳想離乳 假如妳想離乳，最好採逐漸進行，以 “不主動不拒絕” 的方法。 If you decide you want to wean your toddler, its easiest to proceed gradually. The approach of dont offer, dont refuse is one that has worked for many mothers. 離乳小撇步 離乳有時比哺乳難 學步兒要奶時，可提供健康的代用品 避免坐在哺乳椅上，多給予關懷 See if you can anticipate when your child is likely to ask to nurse and offer a distraction or a healthful snack instead. Avoid sitting in your favorite nursing chair. Be sure you give lots of extra hugs and attention. Remember that weaning a toddler can be hard work: continuing to nurse is sometimes easier for the mother.