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Att amma lite längre
Amning eller flaska?
Smått och gott om amning
Amning och jämlikhet
Amning och graviditet
Att ge nappflaska

 

Amning och graviditet

Med barnledd avvänjning, som ju ofta tillämpas av AP mammor, är det inte helt ovanligt att bli gravid igen under pågående amning. Då uppstår speciella problem och speciella funderingar.

 

Rent allmänt kan man säga att en välnärd mamma inte har några problem att försörja foster, barn och sig själv med näring. Givetvis måste hon lyssna på sina hungerkänslor och äta en vettig kost.

 

Jag skulle också vilja säga att amningen rent allmänt underlättar livet med ett barn i koltåldern. Det ger tröst, vila och avspänning. Detta kan en gravid mamma behöva i högsta grad. För barnet blir ju amningen också ett tydligt tecken på att mamma fortfarande finns där även för det trots det lilla syskonet som är på väg.

 

Det finns egentligen ingen forskning om hur graviditeten påverkas av amningen och jag har bara hittat en studie om hur amningen påverkas av graviditeten. (Moscone SR, Moore MJ. Breastfeeding during pregnancy. J Hum Lact. 9(2), 1983) Den finns i korthet redovisad på Amningshjälpens sida vars länk finns här nedan.

 

Problem som kan uppstå är olika i olika delar av graviditeten och hur de påverkar amningen varierar också.

 

I början är det vanligt med mycket känsliga bröstvårtor. Detta kan sitta i en bra bit in i graviditeten. En del kvinnor väljer att sluta amma på grund av smärtan, andra ransonerar amningen och biter ihop som en kompromiss när amningen känns viktig.

 

När råmjölken börjar bildas kan dels mängden mjölk minska och dels ändras smaken. En del barn reagerar på detta genom att inte vilja amma längre och avvänjer sig själva. En del av dessa väljer dock att börja amma igen efter att syskonet kommer.

 

Sedan ändrar sig även mammans sinnesstämning och amningen kan kännas svårare, och i kombination med att amningen kanske gör ont, är det inte alls konstigt om mamman känner sig rastlös och kanske irriterad under amningarna. Blandade kännslor inför att amma det större syskonet är inte så ovanligt om man börjar fråga runt. Men givetvis känns det helt självklart för vissa. Jag tycker inte att man ska fortsätta amma om det inte känns bra.

 

Slutligen så kan man få livmodersammandragningar under amningen ofta börjar detta i vecka 20 eller senare. Anledningen är att livmodern då börjar bli så förberedd på förlossning att den är oxytocinkänslig och reagerar på det under amningen frisatta oxytocinet genom sammandragningar. Om dessa sammandragningar blir kännbara kan mamman vara tvungen att sluta amma eller i alla fall göra ett uppehåll, för att minska risken för att barnet föds förtidigt.

 

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