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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.

Top

In BDSM, a top or dominant is the partner in a BDSM relationship or in a BDSM scene who takes the active or controlling role over that of the bottom or submissive partners. A person who submits control of a large percentage of his or her day-to-day life to a dominant partner, or who submits within a formal set of rules and rituals, is the slave, and the person who assumes power over the slave is the master or mistress. Agreement on the exact meanings of the following terms is far from universal. For example, the function of tops and dominants is similar, and, in many cases, overlaps, but while the terms are used interchangeably in some discussions, there are differences between the two. The top is the actor within the BDSM context who applies to the bottom partners the techniques of a sexual, sensual, and psychological activity: flogging, bondage, servitude, or humiliation. The dominant controls the BDSM scene or relationship, exercising authority over the submissive partners. A dominant, who exercises control over a large percentage of a submissives day-to-day life, or within a formal framework of rules and rituals, is a master or mistress. The functions of top and dominant often intersect, where the top is the dominant, but this is not always the case. Someone who is topping may be doing so at the request, or even the direction, of a bottom partner; in this case, the bottom is the dominant partner. A top who acts within this kind of relationship dynamic is sometimes called a service top. A bottom that has dominance over the activities or the relationship is said to be topping from the bottom, even though he or she is really exercising dominance from the bottom. Another possibility is that the top and bottom are acting at the direction of a third, directing person. Within communities of lifestyle BDSM devotees, there exists a widespread prejudice against both those who act as service tops and those who top from the bottom. Both are considered by many to be failing to achieve a proper BDSM relationship dynamic, especially, if the partners are purported to be trying to achieve a dominant-top/submissive-bottom relationship. While it is possible that a dominant would not act as a top and thus have no expression of his or her control through kink- or fetish-based activities, it may be argued that such a relationship, lacking any erotic aspect to the exercise of control, would fall outside of the BDSM context. Tops or dominants who also assume a bottom or submissive role are referred to as switches. Master or Mistress is one of the honorifics some people use to describe the dominant partner or owner in a Master/slave relationship. Because it is an honorific of the dominant form it is usual for it to be written with a capital letter. It might also be used by the submissive partner as an honorific term in a D/s relationship. This can cause confusion when trying to understand BDSM terminology as both Master or Mistress and slave might be used - as terms of endearment - even though neither considers himself to be owned nor owner. Some people enjoy the connotations of servitude or submission in calling their partner Master, or being called Master. To others the ritual of such a formal mode of address may be appealing. It may also be useful in building roles in which one partner or the other may indulge in sadistic or masochistic desires, although people living as Master and slave are not necessarily sadomasochistic. Usage of Master or Mistress in most BDSM environments does not imply any specific expertise, abilities, or formal training. To successfully maintain a Master or Mistress/slave relationship takes abilities and skills beyond or apart from normal relationship skills. The term Master can be gender-independent but is mostly used only in reference to males. There is otherwise no male-specific equivalent. The female equivalent is Mistress or possibly dominatrix. Although the Master is understood to have authority over the slave in some sense, this never extends to ones legal rights and thus there must always be an implicit element of consent involved.

Acting game

To learn more about acting games, visit games and start to look at your career from a different perspective. Actors are always looking for ways to improve their acting skills and by participating in acting games; actors can gain new perspective on their craft. Some examples of acting games are: role-playing; sense memory games or exercises; lost object games; waiting games; and self-observation games. All of these can improve any actor's career. The main thing an actor should focus on when participating in such games, is to remember to have an open mind - this will ensure that the full benefit of the exercise is gained. An acting game is an exercise/s that helps to improve an actor's acting ability.

Both fields are very exciting and challenging. If you're interested in either one, log on to acting and modeling to find out more. Acting is the act or work of an actor. A person in theatre, film, or any other storytelling medium who tells the story by portraying a character and, usually, speaking or singing the written text or play. A model is a person whose occupation is to display products through television, and photography advertisements and/or fashion shows and campaigns. The display of objects for others to see, especially in regard to wearing clothing while performing the role of a fashion model.

Erotic Asphyxiation

Erotic asphyxiation or breath control play is the intentional restriction of oxygen to the brain for sexual arousal. The sexual preference for that behavior is variously called asphyxiophilia, autoerotic asphyxia, hypoxyphilia. Colloquially, a person engaging in the activity is sometimes called a gasper. The erotic interest in asphyxiation is classified as a paraphilia in the Diagnostic and Statistical Manual of the American Psychiatric Association. The carotid arteries on either side of the neck carry oxygen-rich blood from the heart to the brain. When these are compressed, as in strangulation or hanging, the sudden loss of oxygen to the brain and the accumulation of carbon dioxide can increase feelings of giddiness, light-headness, and pleasure, all of which will heighten masturbatory sensations. Various methods are used to achieve the level of oxygen depletion needed, such as a hanging, suffocation with a plastic bag over the head, self-strangulation such as with a ligature, gas or volatile solvents, chest compression, or some combination of these. Sometimes, complicated devices are used to produce the desired effects. The practice can be dangerous even if performed with care and has resulted in a significant number of accidental deaths.