Szoptatás Portál ... naprakész információk a szoptatásról

Hong P, Lago D, Seargeant J, Pellman L, Magit AE, Pransky SM.
Int J Pediatr Otorhinolaryngol. 2010 Jun 15. [Epub ahead of print]

Abstract

Introduction Ankyloglossia is a congenital condition in which tongue mobility is limited due to an abnormality of the lingual frenulum. The impact of ankyloglossia on breastfeeding is poorly understood but there is a recent trend toward more recognition of this condition and early intervention when needed. Currently, there lacks clear definition of ankyloglossia and different subtypes have been proposed with no clinical correlation.

Aaron M. Marshall, Laurie A. Nommsen-Rivers, Laura L. Hernandez, Kathryn G. Dewey, Caroline J. Chantry, Karen A. Gregerson and Nelson D. Horseman
J Clin Endocrinol Metab. 2010 Feb;95(2):837-46.

Abstract

Context: Serotonin [5-hydroxytryptamine (5-HT)] is an important local regulator of lactation homeostasis; however, the roles for the serotonin reuptake transporter and monoamine oxidase have not been known.

Objective: The aim of the study was to determine whether drugs that impact 5-HT affect human lactation physiology.

Campbell-Yeo ML, Allen AC, Joseph KS, Ledwidge JM, Caddell K, Allen VM, Dooley KC.
PEDIATRICS Vol. 125 No. 1 January 2010, pp. e107-e114 (doi:10.1542/peds.2008-3441)

Abstract

Objective Domperidone is increasingly prescribed to improve breast milk volume despite a lack of evidence regarding its effects on breast milk composition. We examined the effect of domperidone on the nutrient composition of breast milk.

Vazirinejad R, Darakhshan S, Esmaeili A, Hadadian S.
International Breastfeeding Journal 2009, 4:13

Abstract

Background This study aims to examine whether specific maternal breast variations (such as flat nipple, inverted nipple, large breast or/and large nipple) are barriers for weight gain in breastfed infants during the first seven days of life.

Thomas W. Hale, Tiffany L. Bateman, Malcolm A. Finkelman and Pamela D. Berens
BREASTFEEDING MEDICINE Volume 4, Number 2, 2009

Abstract

Objective: The objective of this prospective study was to determine if Candida albicans is present in the milk of women suffering from symptoms of severe nipple and deep breast pain.

Study Design: The symptomatic group included women who reported sore, inflamed, or traumatized nipples or intense stabbing or burning pain. The control group included breastfeeding women without symptoms. The skin of the nipple and areola were washed with detergent and thoroughly rinsed. Milk samples were analyzed for (1 → 3)-β-D-glucan and grown on Candida growth medium.

The Academy of Breastfeeding Medicine Protocol Committee
BREASTFEEDING MEDICINE Volume 4, Number 2, 2009

Background

Engorgement has been defined as “the swelling and distension of the breasts, usually in the early days of initiation of lactation, caused by vascular dilation as well as the arrival of the early milk.” The concept put forward by Newton and Newton in 1951 suggested that alveolar distension from milk then led to compression of surrounding ducts, which subsequently led to secondary vascular and lymphatic compression. Some degree of breast fullness in the second stage of lactogenesis is considered normal and reassuring to the mother and healthcare provider.

Hanne Kronborg, Michael Væth
BIRTH 36:1 March 2009

Background: Inconsistent findings leave uncertainty about the impact of pacifier use on effective breastfeeding technique. The purpose of this study was to investigate how breastfeeding technique and pacifier use were related to breastfeeding problems and duration of breastfeeding.

Elise W-X. Wan, Kaye Davey, Madhu Page-Sharp, Peter E. Hartmann, Karen Simmer & Kenneth F. Ilett
Br J Clin Pharmacol. 2008 August; 66(2): 283–289.

Abstract

What is already known about this subject

• Domperidone is an effective treatment for some mothers with insufficient milk supply.
• However, dose–effect data are not available, and the safety of domperidone use in both mother and infant has been questioned.

What this study adds

• Domperidone only increases milk production in about two-thirds of preterm mothers with insufficient milk supply.
• On average, the responders showed increasing levels of milk production with dose escalation from 30 mg to 60 mg daily.
• The amount of domperidone that transferred into breast milk was very low, and the risk to the breastfed infant is minimal.

Aims To investigate the possibility of a dose–response relationship for the use of domperidone in treating insufficient milk supply in mothers of preterm infants, and to quantify the exposure of the breastfed infant to domperidone.

Elise Mok, Clarisse Multon, Lorraine Piguel, Emmanuelle Barroso, Valérie Goua, Patricia Christin, Marie-José Perez and Régis Hankard

PEDIATRICS Vol. 121 No. 5 May 2008, pp. e1319-e1324

ABSTRACT

OBJECTIVE. The purpose of this work was to compare breastfeeding practices, perceptions, and infant weight change of prepregnant obese versus normal-weight mothers in the first 3 months postpartum.

PATIENTS AND METHODS. For the prospective case-control study, obese mothers (prepregnant BMI ≥ 30 kg/m2) were matched with normal-weight mothers (18.5 ≤ prepregnant BMI < 25 kg/m2) according to initial infant feeding, parity, maternal age, ethnicity, and education. Participants completed an oral questionnaire in the hospital and a telephone interview at 1 and 3 months postpartum.

Cecilia Jevitt, Ivonne Hernandez, Maureen Groër
J Midwifery Womens Health. 2007;52(6):606-613.

Abstract

Research shows that mothers who are obese (with a BMI >30) are less likely to initiate lactation, have delayed lactogenesis II, and are prone to early cessation of breastfeeding. Black women, with the highest rates of American obesity, have the lowest rates and shortest duration of breastfeeding compared to Hispanic and white women. Women who are overweight and obese have lowered prolactin responses to suckling. Women who are obese are at risk for prolonged labors, excessive labor stress, and cesarean birth, all of which delay lactogenesis II.

Nancy M. Hurst
J Midwifery Womens Health 2007;52:588–594

Abstract

Delayed or failed achievement of lactogenesis II - the onset of copious milk volume - occurs as a result of various maternal and/or infant factors. Early recognition of these risk factors is critical for clinicians who interact with breastfeeding women so that intervention and achievement of full or partial breastfeeding can be preserved.

Sabate JM, Clotet M, Torrubia S, Gomez A, Guerrero R, de las Heras P, Lerma E.
Radiographics. 2007 Oct;27 Suppl 1:S101-24.

Abstract

During pregnancy and lactation, the breast can be affected by a variety of specific and unique disorders, including benign disorders closely related to physiologic changes, inflammatory and infectious diseases, juvenile papillomatosis, and benign and malignant tumors. Patients with pregnancy-associated breast carcinoma tend to have more advanced neoplasms at diagnosis and a poorer prognosis due to delayed diagnosis and a more aggressive biologic pattern.

Caroline GA van Veldhuizen-Staas

International Breastfeeding Journal 2007, 2:11

Abstract

Background
Too much or too little milk production are common problems in a lactation consultant's practice. Whereas underproduction is widely discussed in the lactation literature, overabundant milk supply is not. In my practice I work with women who experience moderate to severe oversupply syndrome. In most cases the syndrome can be successfully treated with full removal of milk followed by unilateral breastfeeding ad lib with the same breast offered at every breastfeed in a certain time block ("block feeding").

Lisa H Amir, Jennifer P James and Susan M Donath

International Breastfeeding Journal 2006, 1:3

Abstract

Background

About 3% of infants are born with a tongue-tie which may lead to breastfeeding problems such as ineffective latch, painful attachment or poor weight gain. The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) has been developed to give a quantitative assessment of the tongue-tie and recommendation about frenotomy (release of the frenulum). The aim of this study was to assess the inter-rater reliability of the HATLFF.

Lisa Helen Amir, Jennifer Patricia James and Joanne Beatty

Journal of Paediatrics and Child Health 41 (5-6), 243–245. - May 2005.

Abstract

Objective: To review the first 12 months of assessment and release of lingual frenulum (frenotomy) at a breast-feeding clinic in a tertiary maternity hospital (August 2002 to end of July 2003) and to report on the breast-feeding outcomes and parental satisfaction.