By Linda Dahl
Medical literature for health and wellbeing care practitioners at the assessment and remedy of breastfeeding matters has been disjointed, conflicting, and hard to discover. the sphere of breastfeeding medication itself is nonexistent—there aren't any "breastfeeding medical professionals" who're in particular educated to appreciate this advanced and interactive strategy. whereas a lot of the literature approximately breastfeeding describes the way it "should" paintings, there's at present not anything to be had to give an explanation for why it frequently fails and the way to regard it.
Clinician’s advisor to Breastfeeding: Evidence-based assessment and Management is written for health and wellbeing care practitioners who paintings with breastfeeding moms; physicians, nurses, nurse practitioners, and lactation experts. It offers transparent info and clinically proven suggestions to aid pros advisor new moms to breastfeed effectively. the 1st of its type to contemplate everything of the breastfeeding experience,Clinician’s consultant to Breastfeeding is written via Dr. Linda D. Dahl, a number one specialist at the topic. it's a entire overview of breastfeeding, overlaying goal analyses of perfect or “normal” nursing, in addition to the overview and therapy of irregular nursing, together with case reviews to demonstrate the therapy decision-making process.
Read or Download Clinician’s Guide to Breastfeeding: Evidenced-based Evaluation and Management PDF
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Additional info for Clinician’s Guide to Breastfeeding: Evidenced-based Evaluation and Management
J Pediatr. 1984;104(2): 187–95. Butte NF, Wills C, Jean CA, Smith EO, Garza C. Feeding patterns of exclusively breast-fed infants during the first four months of life. Early Hum Dev. 1985;12(3):291–300. Cox DB, Owens RA, Hartmann PE. Blood and milk prolactin and the rate of milk synthesis in women. Exp Physiol. 1996;81(6):1007–20. Cregan MD, Mitoulas LR, Hartmann PE. Milk prolactin, feed volume and duration between feeds in women breastfeeding their fullterm infants over a 24 h period. Exp Physiol.
Prior to the milk ejection reflex, very little milk can be removed, so it is critical for successful nursing (Young et al. 1996; Kent et al. 2008). This is why mothers often get less milk from pumping alone: because the touch receptors on the areola are not stimulated in the same way as by the baby’s mouth so there is less oxytocin release and therefore less milk ejection. Oxytocin also prevents the unsuckled breast from ejecting milk to maintain positive pressure in that breast so the baby can nurse more easily from that side when the time comes.
Human milk fatty acids show extreme sensitivity to maternal nutrition and are implicated in neurological development, specifically docosahexaenoic acid, DHA (Innis 2014). Major mineral concentration (Ca, Mg, Ph, Na, K) is not affected by maternal intake (Kent et al. 2009). However, vitamin content is dependent on maternal stores and intake. Certain nutrients, such as folate and calcium, may be maintained in breast milk at the expense of the mother. Conversely, increasing nutritional supplements beyond RDA recommendations does not increase the levels in breast milk, with the exception of vitamin B6, vitamin D, iodine, and selenium.