Kelas : Tingkat II Reguler A NIM : PO.71.24.1.17.022 Definition of ASI Dam ASI dams are damaging milk because of narrowing of the lactic duct or by glands not emptied completely or because of nipple abnormalities. Etiology ASI Dem Milk dams can occur on the second or third day when the breast has produced milk. Dams are caused by the outflow of milk that is not smooth, because babies do not suckle often enough, production increases, late breastfeeding, relationship with the baby (bonding) is not good and can also be due to restrictions on breastfeeding time. Several factors can cause ASI dams: 1. Emptying imperfect mamae 2. Factors of inactive baby suction 3. Position Factors 4. The nipple sticks 5. The milk nipples are too long Signs and symptoms of ASI dams 1. Mamae is hot and hard during touch and pain. 2. Putting milk can be flat so that the baby is difficult to suckle. 3. Exposure of milk is sometimes blocked by narrowed lactic ducts. 4. Breasts are swollen, hard, hot. 5. Pain when pressed. 6. The color is reddish. 7. Body temperature up to 38oc Prevention of the occurrence of ASI dams
1. Use the correct breastfeeding technique
2. Mommy's nipples and areola should always be dry after finishing breastfeeding 3. Don't wear a bra that can't absorb sweat 4. Early breastfeeding, breastfeed the baby as soon as possible (after 30 minutes) after birth 5. Follow baby without schedule or (on demand) 6. Remove breast milk by hand or pump, if the production exceeds the baby's needs 7. Post breast care (oblivious to pathology 169) 8. Frequent breastfeeding 9. Avoid local pressure on the breast Management Management for breastfeeding mothers: 1. Before breastfeeding, massage the breast gently, start from the outside then slowly move towards the nipple and be more careful in the hardened area 2. Breastfeeding as often as possible for as long as possible, breastfeed the baby with sore breasts if the mother is strong enough to hold it, because the baby will breastfeed vigorously at the beginning of the session to suckle, so that it can dry it effectively 3. Continue to remove the milk from the breast every time you finish breastfeeding if the baby has not completely consumed the contents of the affected breast 4. Paste a soft towel that has been moistened with warm water on the affected breast several times a day (or take a bath with warm water several times), gently massage around the area that has a blockage of the mammary gland 5. And slowly go down to the nipple THANK YOU