我懷孕了 ， 但還在餵母乳 -- 是否需要離乳 ？ I'm pregnant and still nursing my toddler -- Must I wean now?
目前，沒有確切醫學守則指示那些情 況不能孕期哺乳，而且不同醫師之間 也存在很大的差異。 "Currently, no specific medical guidelines exist that define in which situations it may be risky to continue breastfeeding during pregnancy, and prenatal caregivers vary widely in their recommendations.“ - La Leche League's Breastfeeding Answer Book, 3rd Edition 2003, page 408. - La Leche League's Breastfeeding Answer Book, 3rd Edition 2003, page 408.
許多母親選擇繼續餵母乳 ， 但是有的選擇離乳 。 Many mothers choose to continue breastfeeding throughout pregnancy, while others decide to wean.
孕期哺乳可得到額外的休息機會 Breastfeeding during your pregnancy may help you get extra rest if you breastfeed your toddler while lying down.
孕期哺乳導致乳頭疼痛 Some mothers develop tender nipples during pregnancy.
孕期哺乳導致子宮收縮 Uterine contractions are experienced during breastfeeding.
正常懷孕也會子宮收縮 ， 孕期性交也 導致子宮收縮 ， 但大多數夫妻也在孕 期性交 。 “Uterine contractions are a normal part of pregnancy. Uterine contractions also occur during sexual activity, which most couples continue during pregnancy. ” -- La Leche League's Breastfeeding Answer Book, 3rd Edition 2003, page 407.
世界衛生組織指出 哺乳學步兒仍然可提供 : 31% 每日所需能量 38% 每日所需蛋白質 45% 每日所需維生素 A 95% 每日所需維生素 C
孕期泌乳量可能減少 孕期哺乳的婦女會發現懷孕四個 月以後乳汁分泌開始減少，如果 嬰兒小於一歲，必須注意嬰兒體 重是否正常增加，異常就表示不 夠吃。 Women who breastfeed while pregnant often find their milk supply decreases around the fourth or fifth month. If your breastfeeding baby is less than a year old, watch his weight gain to be sure he is getting enough to eat. 傑克 紐曼 Jack Newman
孕期乳汁可能走味 孕期乳汁可能走味，導致學步 兒自然離乳。 It's also not uncommon for the flavor of your milk to change. These changes may prompt some older toddlers to nurse less often or to wean entirely.
假如妳想離乳 假如妳想離乳，最好採逐漸進行 ， 以 “ 不主動不拒絕 ” 的方法。 If you decide you want to wean your toddler, it's easiest to proceed gradually. The approach of "don't offer, don't refuse" is one that has worked for many mothers. 傑克 紐曼 Jack Newman
離乳小撇步 離乳有時比哺乳難 離乳有時比哺乳難 學步兒要奶時，可提供健康的代用品 學步兒要奶時，可提供健康的代用品 避免坐在哺乳椅上，多給予關懷 避免坐在哺乳椅上，多給予關懷 See if you can anticipate when your child is likely to ask to nurse and offer a distraction or a healthful snack instead. Avoid sitting in your favorite nursing chair. Be sure you give lots of extra hugs and attention. Remember that weaning a toddler can be hard work: continuing to nurse is sometimes easier for the mother.
當妳想繼續哺乳 假如整個孕期持續哺乳，妳可 能會 “ 連續 ” 哺乳。 If you continue breastfeeding through your pregnancy, you may find yourself breastfeeding both an infant and an older sibling. Many mothers have found this arrangement, called "tandem nursing," is a good way of meeting the needs of both children.
哺乳無月經法 ( LAM) 全母乳哺餵 全母乳哺餵 泌乳激素抑制促性腺激素 泌乳激素抑制促性腺激素 (gonadotropins) 分泌，因此 卵巢無法排卵 嬰兒小於六個月 嬰兒小於六個月 尚無月經來 尚無月經來 成功率 98 - 99% 成功率 98 - 99% -- Labbok, M. Breastfeeding and contraception. New Eng J Med 1983 308:51. 308:51. -- Kennedy, K., R. Rivera, and A. McNeilly. Consensus statement on the use of breastfeeding as a family planning method. the use of breastfeeding as a family planning method. Contraception1989; 39:477-96. Contraception1989; 39:477-96.