The thumb and forefinger are placed on opposite sides of the breast just
behind the areola. The lactiferous sinuses (ampulla A) are compressed, and
milk is forced out.
(a) This is a common annoyance. A conditioned response will occur in
the mother when she sees or hears a baby that causes the milk to let down.
(b) The mother should fold her arms across her breasts and press
them firmly against her chest wall. This will stop the leaking. Advise her to place
absorbent pads in her bras.
Maternal anxiety. This will decrease milk production.
(a) An infant reacting to maternal anxiety will usually act in one of two
1 He will suck, stop, cry, suck, stop, cry, and then may
2 He will suck, stop, cry, refuse to nurse, and continue to cry.
(b) Teach the mother relaxation techniques. Tell her to feed her baby
in a quiet area.