No milk secretion after childbirth

Introduction Lactation is a physiological process that primarily involves trilogy. One is the formation of milk. This is controlled by the hypothalamus and the anterior pituitary. The anterior pituitary gland secretes a hormone called pituitary prolactin, which is the basis of milk secretion. The second is milk secretion. Breast cells produce milk that is secreted into the acinus. The third is the discharge of milk. Prolactin (PRL) is reduced in secretion, and no milk secretion or secretion is reduced after delivery. It is generally believed that symptoms of anterior pituitary tissue destruction occur more than 60%, more than 75% of symptoms are more obvious, and more than 95% of symptoms are severe. According to the degree of pituitary involvement, it can be divided into the anterior pituitary dysfunction and the partial anterior pituitary dysfunction.

Cause

Traditional Chinese medicine summarizes the complex causes of lack of milk into two major types:

First, the qi and blood deficiency type: mainly the lack of milk production: the performance is less milk and thin, no breast pain.

The second is liver qi stagnation: mainly milk secretion disorders. The performance is: milk circulation is not smooth, breasts are hard and painful.

an examination

Related inspection

Progesterone breast self-examination postpartum examination obstetric examination

Postpartum liver qi stagnation is characterized by very little milk secretion, accompanied by chest rib swelling, breast pain, depression, or depression, or low heat, thin yellow tongue coating. After the baby has finished breastfeeding, she is still crying. The small mouth is still looking for it, and she needs to feed the milk powder.

Differential diagnosis

Postpartum milk deficiency is a common disease in women. Clinically, the common classification of Chinese medicine has two types: qi and blood weakness and liver qi stagnation. The qi and blood are weak, and the pathogenesis is weak in the body and blood. Because of blood loss during labor, qi and blood deficiency or spleen and stomach weakness, qi and blood biochemical deficiency, no milk, then little or no postpartum milk. Liver qi stagnation type, the pathogenesis of depression or postpartum injury, liver loss, poor air, qi and blood disorders, resulting in meridian stasis, hindering the operation of milk, and thus lack of milk.

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