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Breast Engorgement

Breast engorgement occurs in the mammary glands due to expansion and pressure exerted by the synthesis and storage of breast milk.

Engorgement usually happens when the breasts switch from colostrum to mature milk often referred to as when the milk comes in. However, engorgement can also happen later if lactating women miss several nursings and not enough milk is expressed from the breasts. It can be exacerbated by insufficient breastfeeding and/or blocked milk ducts. When engorged the breasts may swell, throb, and cause mild to extreme pain.

Engorgement may lead to mastitis inflammation of the breast and untreated engorgement puts pressure on the milk ducts, often causing a plugged duct. The woman will often feel a lump in one part of the breast, and the skin in that area may be red and/or warm. If it continues unchecked, the plugged duct can become a breast infection, at which point she may have fever or flu-like symptoms.

Breast engorgement is caused by an imbalance between milk supply and infant demand. This condition is a common reason that mothers stop breast-feeding sooner than they had planned.

Breast engorgement can occur due to four main factors such as a suddenly increased milk production that is common during the first days after the baby is delivered or when the baby suddenly stops breastfeeding either because it is starting to eat solid foods or it is ill and has a poor appetite. Breast engorgement may also be caused when the mother does not nurse or pump the breast as much as usual.

After the first 3 to 4 postpartum days, the quantity of colostrum is quickly replaced by an increased milk production. When milk production increases rapidly, the volume of milk in the breast can exceed the capacity of the alveoli to store it and if the milk is not removed, the alveoli become over-distended which can lead to the rupture of the milk-secreting cells

Accumulation of milk and the resulting engorgement are a major trigger of apoptosis, or programmed cell death, that causes involution of the milk-secreting gland, milk resorption, collapse of the alveolar structures, and the cessation of milk production.

Severe breast engorgement can lead to the flattening of the nipples or, it can result in inverted nipples which make it impossible for the baby to suck out all the milk from the breast. This is one of the common causes of the stagnation of milk in the breast.

Not all women experience breast engorgement after they give birth and some degree of engorgement of the breast is however normal within the few postpartum days. Women with mild to moderate hypoplastic breasts with a wide intramammary space >1 inch and a tubular shape are at particular risk for producing less than 50 percent of the milk necessary for the first week. More concerning are the moderate to severe degrees of breast engorgement. In these cases, the condition can continue for up to ten days or more even though the patients will experience serious symptoms only during the first six days.

Overfilled breasts can lead to severe engorgement due to waiting too long to begin breastfeeding the baby, not feeding often enough or due to small feedings that do not empty the breast, very common in cases when the baby is fed formula or water. As women are naturally prone to suffer from some degree of breast engorgement, the main part of treatment is prevention. This means breastfeeding the baby whenever he or she seems hungry and making sure that the baby is latching on and feeding well. In cases when the baby is not hungry enough to empty the breasts, the breast should be nursed or pumped.

Avoiding caffeine and chocolate as well as wearing a well fitting maternity bra with wide straps that do not scratch and with a cup that comfortably holds the entire breast usually help in easing the discomfort and other symptoms.

As women are naturally prone to suffer from some degree of breast engorgement, the main part of treatment is prevention. This means breastfeeding the baby whenever he or she seems hungry and making sure that the baby is latching on and feeding well. In cases when the baby is not hungry enough to empty the breasts, the breast should be nursed or pumped.

Avoiding caffeine and chocolate as well as wearing a well fitting maternity bra with wide straps that do not scratch and with a cup that comfortably holds the entire breast usually help in easing the discomfort and other symptoms.

Actors

If you have thought about becoming an actor, or already are an actor and want more information about actors, visit actors to find out more. Actors are hired after they audition for a specific part. Most actors go on hundreds of auditions before their first big job. Actors usually play fictional characters. In the case of a true story (or a fictional story that portrays real people) an actor may play a real person (or a fictional version of the same). Occasionally, actors appear as themselves. Actors are people hired to perform a character written for stage or screen.

It is very important for any actor to have an agent in order to move his or her career forward. Don't wait to get discovered by an agent in a showcase or an independent film, go to acting agents to see how you can get an agent. Agents are the tools to gaining exposure and getting jobs for actors. With an agent attached to you, you will be put into a small pool of performers with representation. Hopefully your agent will respect your work and want to work for you. When you collect money as a performer, an agent usually collects ten percent. If an agency asks for money up front, they are not a reputable agency. A true agent gets paid when you do.

Dungeon

In BDSM bondage/discipline, Dominance/submission, sadism/masochism sexual play, a dungeon is any space set aside for scene activities. Private dungeons are often fabricated in residential basements or spare rooms. BDSM organizations sometimes secure space for their members to play; old warehouses and factory spaces are popular for this, especially in areas where zoning laws forbid clubs of this type in residential areas, or close to schools or churches. Some dungeons are open to the public on a membership basis or as a nightclub. These are called public dungeons even if they are only open to members. A professional dominant or dominatrix will often maintain his or her own dungeon, or several Pro-Doms may join together in a common facility often called a ProDom house, where they may share staff such as receptionists or cleaning staff. More recently, since the BDSM community has become more established, the emergence of specialist dungeons for hire has occurred, specifically for couples to explore their sexual activity more deeply without the need for a large up-front investment. It is common for a dungeon space to be fitted with attachments for shackles and cuffs, as well as numerous other forms of furniture for BDSM play including, but not limited to, stocks, cages, spanking benches, and so forth. Many are quite elaborately decorated, with expensive furnishings and appointments in styles from Bauhaus to Baroque— but even a simple closet or storage room is sometimes used as a dungeon. When clubs or organizations run a BDSM dungeon, one or more persons who have been trained in BDSM safety are usually appointed as dungeon monitors to ensure safe and responsible play.

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