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가슴축소수술후의모유수유 Breastfeeding after Breast Reduction Surgery (Korean) 모유수유가가능한가요? Can I breastfeed? 수술을어떤방법으로했느냐에따라차이가있지만, 가슴축소수술후의모유수유는 가능합니다. 수술을집도한의사가세심한주의를기울여신경과유선조직을보존한경우라면, 모유수유를할수있는가능성은더높아집니다.

If the surgeon was careful to preserve the nerves and the milk duct system, your chances for breastfeeding success are higher. 잠재적문제점이있다면무엇인가요? What are some of the potential problems?

1 가슴축소수술후의모유수유 Breastfeeding after Breast Reduction Surgery (Korean) 모유수유가가능한가요? Can I breastfeed? 수술을어떤방법으로했느냐에따라차이가있지만, 가슴축소수술후의모유수유는 가능합니다. 수술을집도한의사가세심한주의를기울여신경과유선조직을보존한경우라면, 모유수유를할수있는가능성은더높아집니다. Breastfeeding after breast reduction surgery is possible, depending on the way the surgery was performed. If the surgeon was careful to preserve the nerves and the milk duct system, your chances for breastfeeding success are higher. 잠재적문제점이있다면무엇인가요? What are some of the potential problems? 유두의민감도 Nipple Sensitivity 유두가평상시보다다소민감할수있습니다. 신경이제대로기능을하지못할경우에는, 모유를짜내기가더어려울수있습니다. 모유분비를늘리는방법에대해수유상담가와 상의하십시요. Your nipples may be more or less sensitive than normal. When the nerves are not functioning properly, it can be more difficult to express milk. Talk to your lactation consultant about techniques to increase milk release. 모유분비감소의위험도 Risk for Decreased Milk Production 가슴축소술을받은대부분의산모들은어느정도의모유분비가가능합니다. 일부의 산모들은모유분비량이적어서, 분유수유를추가로하지않으면아기에게충분한영양 공급을할수없습니다. 소아과의사와수유상담가는아기에게가장알맞은수유계획을 세울수있도록도움을줄수있습니다. Most mothers are able to produce some milk after breast reduction surgery. Some mothers do not have an adequate milk supply to fully nourish their baby without additional supplementation. Your pediatrician and lactation consultant can help you determine a feeding plan that is best for your baby. 수술의종류가산모의모유수유능력에영향을끼치나요?

2 Does the type of surgery I had affect my ability to breastfeed? 유선조직에손상이없다면, 모유수유를할수있는가능성이높아집니다. 유방아래접히는 부분이나겨드랑이를통해서절개를한경우에는, 모유수유를하는데어려움을겪을가능성이 더적습니다. 유륜주위를절개한경우에는문제를일으킬수있는위험요소가있습니다. Your chances of breastfeeding improve if your milk duct system is intact. Incisions made under the fold of the breast or through the armpit are less likely to cause difficulty. Incisions made around the areola can increase the risk for problems. 신경은젖분비에영향을주는두종류의호르몬인프로락틴과옥시토신이방출되도록뇌를자극하기때문에, 모유수유에매우중요한역할을합니다. 수술중, 유륜주위의신경이절단되었거나손상되었을경우, 모유분비량이적어질위험이있습니다. 모유수유를시도해보기전까지는, 신경손상이있다해도, 어느정도인지를알수가없습니다. Nerves are vital to breastfeeding since they trigger the brain to release prolactin and oxytocin, two hormones that affect milk production. If the nerves around the areola were cut or damaged during surgery, you have an increased risk for low milk production. You won't know the full extent of nerve damage, if any, until you try to breastfeed. 출산후, 모유분비량을늘리려면어떤조치를취해야합니까? What steps can I take to increase my milk supply after delivery? 출산후바로그리고자주아기에게젖을물리십시요. Feed your baby at the breast early and often. 출산후최대한빨리, 가급적이면한시간이내에, 아기에게모유수유를시도하십시요. 아기가깨어있을때그리고혀를내밀거나입술을빨거나, 손을입에갖다대거나, 아기의볼에손을대면고개를돌리며젖을찾는등의행동으로배고픔을표현할때는, 가능한자주모유수유를계속하십시요. Attempt to feed your baby at the breast as soon as possible after birth, preferably in the first hour of life. Continue to breastfeed your baby as often as possible when they are awake and demonstrating hunger cues: thrusting tongue, licking lips, bringing hands to the mouth, rooting. 가능한한많은양의젖을짜내십시요. Remove as much milk as possible. 출산후첫 2 주가수유기간중가장 중요한 시기입니다. 이기간중에젖을많이짜내면짜낼수록, 모유분비량이더욱더늘어납니다. 아기에게젖을물리고자주빨게할수록모유분비를촉진하여모유분비량을늘릴수있습니다. -2-

3 The first 2 weeks postpartum are a critical time in lactation. The more milk you remove during this time, the more milk-making capacity your breasts will have. Frequent feedings at the breast will provide excellent stimulation to increase your milk-making capacity 유축기사용을고려해보십시요. Consider using a breast pump 만약아기가최소한 2-3 시간마다효율적으로젖을물지못하며, 최소한 분간힘차게 젖을빨지못한다면, 모유분비를추가로촉진시키기위해양쪽전기유축기를사용하여 모유를증량하는것이매우중요합니다. If your baby is not able to latch effectively at least every 2-3 hours and maintain a vigorous feeding for at least minutes, then it is vital that you use a double electric breast pump to provide the additional stimulation your body needs to make milk. 고무젖꼭지사용은피하십시요. Avoid pacifiers 아기들은원래자주먹게되어있습니다. 만약아기가배고파하는표시를보이면, 고무 젖꼭지대신젖을물려이에응하는것이중요합니다. 이는모유분비량이확립되는첫 2 주 동안에특히중요합니다. Your baby is designed to eat frequently. If your baby is showing any signs of hunger, it is important to respond to those cues by offering the breast instead of a pacifier. This is especially important during the first 2 weeks when your milk supply is being established. 아기가모유를충분히섭취하고있는지어떻게알수있나요? How will I know that my baby is getting enough at the breast? 대부분의신생아들은출산직후에매우효율적인모유수유를한번하고나서는, 몇시간동안 계속잠을잡니다. 아기들이다시잠에서깨어나면, 모유수유를하는아기들은자주수유를 하는것이정상입니다. 첫 24 시간이지난후에는, 아기가적어도 2-3 시간마다수유를해야 합니다. Most newborns have a very effective feeding at the breast immediately after delivery and then sleep for several hours. As they begin waking up again, it is normal for a breastfed baby to eat frequently. After the first 24 hours, it is expected that your baby will need to eat at least every 2-3 hours. 적절한수유를하고있다는표시 : 젖을물고있는아기를잘관찰하면, 초유혹은모유가유선을 통해서잘나오고있는지를알수가있습니다. 아기가잘먹고있다면, 느리고리듬감있게턱을 -3-

4 깊게움직이며젖을빠는모습을볼수있을것입니다. 진한초유가나오는첫며칠간은 아기가젖을삼키는소리를듣기가어려울수있습니다. 그러나수유후아기의표정이 만족스러워보여야하고, 적절한양의소변및대변기저귀가나와야합니다. Signs of an adequate feeding: You can determine if colostrum or breast milk is coming through the milk ducts by observing your baby on the breast. If your baby is getting milk, you will notice slow and rhythmic sucking with deep jaw movements. During the first few days when you are producing thick colostrum, it can be difficult to hear your baby swallow, but they should look satisfied after a feeding with adequate wet and dirty diapers. 기저귀총수 : 출산후대략 3-5 일후부터는초유가모유로바뀌기시작합니다. 그때부터는 모유수유중에아기가젖을삼키는소리를듣게될것입니다. 아기가충분한양의모유를 섭취하고있다면, 대변기저귀가하루에 3 개혹은그이상, 그리고소변기저귀가 6 개또는그 이상으로늘어날것입니다. 아기의변도진하고검정색인태변에서씨앗같은작은덩어리가 섞인노란색변으로바뀌기시작할것입니다. Diaper counts: Approximately 3 to 5 days after delivery, your colostrum starts transitioning to breast milk. You should start to hear your baby swallow while breastfeeding. If your baby is getting enough milk at the breast, you will notice an increase in diapers with 3 or more soiled diapers and 6 or more wet diapers per day. Your baby s stools should also begin changing from the thick, black meconium stools to seedy, yellow stools. 체중감소 : 많은신생아들은생후첫 2-4 일즈음에출생시체중의 7-10% 정도가줄어듭니다. 산모의젖이돌기시작하면, 아기들의체중도늘어나게될것입니다. 초기의체중감소이후 부터는, 아기의체중이곧산모의모유분비량을지속적으로나타내주는척도가될것입니다. Weight loss: Many babies lose 7 to 10% of their birth weight in the first 2-4 days of life. As your milk starts coming in, your baby should start gaining weight. After the initial weight loss, your baby's weight will offer an ongoing indication of your milk production. 젖몸살 : 젖이돌기시작하면, 유방이단단해지고젖몸살이생길수있습니다. 아기가젖을먹은 후에도없어지지않는단단한덩어리가생겼다면, 선상조직부위가젖꼭지관과연결이 되어있지않기때문일수있습니다. 유방의이런부위들은점차적으로모유분비가중단되고 며칠후면정상으로돌아옵니다. Engorgement: When your milk starts coming in, your breasts will become firm, and you may have some engorgement. If you develop some hard lumps that do not soften after the baby has fed, it may be due to areas of glandular tissue that are not -4-

5 connected to the nipple ducts. These areas of the breast should gradually stop making milk and return to normal in a few days. 아기에게분유를보충해줘야할필요가있을까요? Will my baby need to be supplemented with formula? 이런결정은소아과의사가내려야하기때문에, 의사가아기의체중을주시할수있도록, 산모가받은수술에관해의료진에게알리는것이중요합니다. This decision should be made by your pediatrician, so it s very important to let them know about your surgery so they can keep a close eye on your baby's weight. 만약젖이아기에게필요한모유량보다적게나온다면, 분유로추가보충을해줘야할것입니다. 하지만, 적은양이더라도모유를먹어야아기에게좋다는점을기억하십시요. 수유상담가에게모유분비량을늘리는방법에대한상담도할수있습니다. If you are only able to produce a portion of the breast milk your baby needs, you will have to supplement with additional formula. But remember, your baby will benefit from any amount of breast milk you produce. You can talk to your lactation consultant about options for increasing milk production as well. 어디에서모유수유에관해더배울수있나요? Where can I learn more? 유방및유두수술후의모유수유에관한정보와도움 Breastfeeding after Breast and Nipple Surgeries, Information and Support: 책임의한계와법적고지 : 본문서는미시간대학병원 (UMHS) 에서만든정보및 / 또는지침서류로, 여러분과동일한상태의일반적인환자를위해만들어졌습니다. 여기에는미시간대학교가직접창안하지않은온라인내용에관한링크가포함될수있는데, 이에대한책임은미시간대학교에서지지않습니다. 본문서, 건강상태혹은치료계획에대한질문이있다면, 반드시담당의료진과상담하십시요. 본문서가이를대체할수는없습니다. Disclaimer: This document contains information and/or instructional materials developed by the University of Michigan Health system (UMHS) for the typical patient with your condition. It may include links to online content that was not created by UMHS and for which UMHS does not assume responsibility. It does not replace medical advice from your healthcare provider if you have any questions about this document, your condition or your treatment plan. 저자 Author: UMHS Lactation Program 번역 Translation: UMHS Interpreter Services 미시간대학병원의환자교육은 Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License 를통해인가받았습니다. 최종수정 07/2015 Patient Education by University of Michigan Health System is licensed under a Creative Commons Attribution- NonCommercial-ShareAlike 3.0 Unported License. Last Revised 07/

Title should be centered HERE in point Verdana

Title should be centered HERE in point Verdana 가슴확대수술 ( 보형물삽입 ) 후의모유수유 Breastfeeding after Breast Augmentation Surgery (Implants) (Korean) 모유수유가가능한가요? Can I breastfeed? 수술의종류와수술전의원래가슴상태에따라다소차이는있지만, 가슴확대수술후의 모유수유는가능합니다. 대부분의경우보형물을삽입한후에도여전히모유수유가 가능하긴하지만,