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absorbed,\tand\tthat\tis\twhy\tthe\tinfant\twill\tgive\tfrequent\thunger\tcues\tto\tthe\tmother.\tAs\ta\tnewborn’s\nstomach\tenlarges\tover\tthe\tnext\tfew\tdays\tand\tweeks,\tso\tdoes\tthe\tmother’s\n\tmilk\tsupply\tas\tlong\tas\tno\nsupplement\thas\tinterfered\twith\tthis\tprocess\tof\tsupply\tand\tdemand.\tExtra\tbottle\tfeedings\tcan\tstretch
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] |
8\tto\t12\ntimes\ta\tday\twhile\tthe\tbreastmilk\tis\tincreasing\tand\tan\tadequate\tsupply\tis\tbeing\testablished.\tAfter\nbreastfeeding\thas\tbeen\tfully\testablished\tin\tthe\tfirst\tfew\tweeks,\tlactating\twomen\tmay\tbegin\tto\tfeel\nthe\tstrong\ttingling\tsensation\tin\tthe\tbreasts\tcaused\tby\toxytocin\trelease,\tsignaling\tthe\tlet-down\treflex.
|
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] |
(See\tearlier\texplanation.)\tThis\tsensation\tautomatically\tcauses\ta\tsudden\trelease\tof\tmilk\n\tfrom\tthe\nbreasts.\tIf\tthis\toccurs\twhen\tthe\tmother\tis\tnot\tavailable\tfor\ther\tbaby,\tfirm\tpressure\ton\tthe\tbreasts\nstops\tmilk\tfrom\tflowing.\nAs\tbreastfeeding\tcontinues,\tmothers\tbegin\tto\tsettle\tinto\ta\tpattern\tof\tfeeding\tthat\tis\tcomfortable
|
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] |
and\trelaxed.\tAlthough\teach\tmother-baby\tcouplet\tis\tdifferent,\tmost\tbabies\tbecome\tmore\tefficient\tat\nthe\tbreast\tand\tare\table\tto\ttake\tin\tmore\tmilk\tat\ta\tfeeding\ttime,\tas\n\tmuch\tas\tseveral\tounces\tin\tjust\ta\nfew\tminutes.\tThis\tallows\tthe\tfeedings\tto\tbecome\tless\tfrequent\tand\ttake\tless\ttime.\tWhen
|
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breastfeeding\tis\ttotal\tnourishment\tfor\tthe\tbaby,\tsome\tfeeds\tmay\tbe\tshort\tjust\tto\tsatisfy\ta\tbaby’s\nthirst,\tand\tothers\tmay\tlast\t20\tto\t30\tminutes\tif\tthe\tbaby\tis\tvery\thungry.\tThis\tis\tno\tcause\tfor\tworry,\tas\nlong\tas\tthe\tmother\tcontinues\tto\trespond\tto\tthe\tinfant’s\tcues.\tParents\tshould\n\tbe\teducated\tabout\tthis
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] |
strong\tsupport\tsystem\tfor\tthe\tmother,\tincluding\tfamily,\tfriends,\thealth\tcare\tpersonnel,\ther\nworkplace,\tand\n\tthe\tcommunity\taround\ther\t(see\t\nBox\t14.11\n).\tWith\tlearned\thand\texpression\tor\tthe\thelp\nof\tan\teffective\tbreast\tpump,\tthe\tmother\tis\table\tto\texpress\tand\tstore\ther\tmilk\tfor\tlater\tuse\twhen\tshe
|
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] |
is\taway\tfrom\ther\tinfant.\tPump\trentals\tor\tpurchase\tmay\tbe\tcovered\tby\tinsurance\tor\tavailable\tthrough
|
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] |
the\tWIC\tprogram.\tSee\t\nBox\t14.14\n\tfor\ta\tsummary\tof\ttips\tfor\tsuccess\tin\tbreastfeeding.\nBox\t14.14\nTips\tfor\tBreastfeeding\n\t\nSuccess\nDuring\tyour\tpregnancy:\n•\t\nEnroll\tin\tthe\tSpecial\tSupplemental\tNutrition\tProgram\tfor\tWomen,\tInfants,\tand\tChildren\n(WIC)\tprogram,\tif\teligible.\n•\t\nAttend\ta\tbreastfeeding\tclass.\n•\t\nAsk\tyour\tmedical\tprovider\tabout\tbreastfeeding.
|
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] |
•\t\nAsk\tyour\tmedical\tprovider\tabout\tbreastfeeding.\n•\t\nRead\tabout\tbreastfeeding.\n•\t\nGet\t1\tto\t2\tgood\tnursing\tbras.\n•\t\nFind\ta\tsupportive\tperson\tthat\tcan\thelp\tyou.\nIn\tthe\thospital:\n•\t\nLet\tdoctors\tand\tnurses\n\tknow\tthat\tyou\tplan\tto\tbreastfeed.\n•\t\nRequest\tthat\tyour\tbaby\tbe\tput\tskin-to\tskin\timmediately\tafter\tbirth.\n•
|
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] |
•\t\nBreastfeed\tduring\tthe\tfirst\thour\tafter\tbirth.\n•\t\nKeep\tbaby\tin\troom\twith\tyou\t24\thours/day.\n•\t\nAvoid\tusing\tbottles\tor\tpacifiers.\n•\t\nAsk\tfor\tan\tInternational\tBoard\tCertified\tLactation\tConsultant\t(IBCLC)\tto\thelp\twith\tcorrect\nlatch.\n•\t\nBreastfeed\twhenever\tyour\tbaby\tshows\thunger\tcues\t(8\tor\tmore\n\ttimes\tin\t24\thours).\n•
|
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] |
times\tin\t24\thours).\n•\t\nIf\tdoctor\torders\tsupplementation,\tuse\texpressed\tbreastmilk\tfirst.\tRequest\tdonor\tmilk\tif\nunable\tto\tprovide\tmother’s\town\tmilk.\n•\t\nIf\tyou\tand\tyour\tbaby\tare\tseparated\tbecause\tof\tillness,\thand\texpress\tand\task\tfor\ta\tbreast\npump.\n•\t\nAsk\tabout\tbreastfeeding\tsupport\tservices\tavailable\tin\tyour\tcommunity.
|
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] |
Ask\tabout\tbreastfeeding\tsupport\tservices\tavailable\tin\tyour\tcommunity.\nDuring\tthe\tfirst\t2\tto\t3\tweeks\tat\thome:\n•\t\nAvoid\tbottles\tor\ta\tpacifier.\n•\t\nBreastfeed\twhenever\tyour\tbaby\tshows\thunger\tcues,\tat\tleast\t8\ttimes\ta\tday.\n•\t\nMake\tsure\tbaby\tlatches\tonto\tthe\tbreast\tcorrectly.\n•\t\nContinue\tskin-to-skin\tcare\twhenever\tpossible.\n•
|
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] |
•\t\nContinue\tskin-to-skin\tcare\twhenever\tpossible.\n•\t\nWatch\tfor\t6\tto\t8\twet\tand\t2\tto\t3\tmessy\tdiapers\tdaily\tby\tend\tof\tfirst\tweek.\n•\t\nFor\tquestions\tor\tconcerns,\tcall\tthe\tWIC\tLactation\tSpecialist\tor\tan\tIBCLC.\n•\t\nSee\tbaby’s\tdoctor\twithin\t1-2\tdays\tfor\ta\tweight\tcheck\tif\tdischarged\n\tfrom\tthe\tbirthing\tfacility
|
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from\tthe\tbirthing\tfacility\nbefore\t48\thours\tof\tage.\tThose\tdischarged\tafter\t48\thours\tof\tage\tshould\tbe\tseen\twithin\t2-3\ndays\tof\tdischarge.\n•\t\nIf\tenrolled\tin\tWIC,\tsee\tnutritionist\tto\tobtain\tnutritious\tfoods\tfor\tyourself.\n•\t\nParticipate\tin\tmother-to-mother\tsupport\tgroups.\nBreastfeeding\tby\twomen\twith\tdiabetes.
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0.003672052640467882,
0.0933295413851738,
0.0694166049361229,
0.07503661513328552,
0.00724590290337801
] |
Breastfeeding\tby\twomen\twith\tdiabetes.\nWomen\twho\thave\tinsulin-dependent\tdiabetes\tmay\texperience\t“lactation\thypoglycemia”\n\tas\tthey\nincrease\ttheir\tbreastfeeding\tsessions.\tPlasma\tglucose\tlevels\tin\tthe\tlactating\tdiabetic\tmother\tare\nlower\tbecause\tof\tmaternal\tstores\tbeing\tused\tfor\tmilk\tproduction.\tThe\tdaily\tmaternal\tinsulin
|
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] |
requirement\tis\tusually\tlower\tin\tthese\twomen,\tand\tfrequent\tglucose\tmonitoring\tmust\tbe\temphasized\nto\tensure\tsafety\tfor\tthe\tmother\tand\tbaby.\tBecause\tnewborns\tof\tmothers\twith\tdiabetes\tfrequently\tare\nadmitted\n\tto\tthe\tNICU\tfor\tcloser\tobservation,\tmore\tsupport\tshould\tbe\toffered\tto\tthese\tmothers\tto\nensure\tbreastfeeding\tsuccess.
|
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ensure\tbreastfeeding\tsuccess.\nBreastfeeding\tpreterm\tand\tsick\tinfants.\nBreastmilk\tfor\ta\tpreterm\tinfant\tis\tnot\tonly\tbeneficial\tbut\talso\tabsolutely\tnecessary\tto\tensure\nprotection\tfrom\tinfection\tand\tother\tillnesses\t(see\t\nChapter\t41\n).\tA\tmother\tmay\tbe\toverwhelmed\twhen\nher\tbaby\tis\tdelivered\tbefore\tthe\tdue\tdate\tor
|
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] |
her\tbaby\tis\tdelivered\tbefore\tthe\tdue\tdate\tor\n\tis\tadmitted\tto\tthe\tNICU\tfor\tany\treason.\tIf\tthe\tbaby\tis\nnot\tstrong\tenough\tfor\teffective\tbreastfeeding,\tprofessional\thelp\tshould\tbe\tused\tso\tthat\tthe\tmother\ncan\tbegin\tmilk\texpression,\tand\ther\tmilk\tcan\tbe\tavailable\tfor\tthe\tinfant’s\tnutrition.
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A\tmother\tmay\tfind\tthat\tshe\tis\ttotally\tdependent\ton\tthe\tbreast\tpump\tfor\tseveral\tdays,\tweeks,\tor\neven\tmonths.\tDuring\tthis\ttime,\tit\tis\timportant\tfor\tthe\tmother\n\t(and\tfather)\tto\temploy\tskin-to-skin\tcare\nof\ttheir\tbaby\tto\tallow\tappropriate\tstimulation\tof\tprolactin\tproduction\tin\tthe\tmother\tfor\ther\tmilk
|
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] |
supply\tto\tbe\tmaintained.\tThis\tconnection\twith\ther\tnewborn\talso\tassists\tin\tthe\tbonding\tprocess\tso\nimportant\tin\tthe\tdevelopment\tof\ta\thealthy,\tloving\trelationship,\twhich\tis\tchallenged\tby\tthe\nunfortunate\tsituation\tin\twhich\tthe\tmother\tand\ther\tfamily\tfind\tthemselves.\n\tThe\tmother\twill\tcontinue
|
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] |
The\tmother\twill\tcontinue\nto\tneed\tsupport\tand\tencouragement\tthroughout\tthe\tbaby’s\thospitalization,\tand\teven\tmore\tso\twhen\ndischarge\tgets\tcloser.\tThe\ttotal\ttransfer\tof\tcare\tto\tthe\tparents\tcan\tbe\tan\teven\tbigger\tchallenge,\tand\nthey\twill\tneed\tmuch\tguidance\tand\tfollow-up\tto\tensure\tbreastfeeding\tis\tsuccessful.
|
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] |
In\tthe\tcase\tof\tadoption,\ta\tdevastating\tprognosis,\tor\tinfant\tdeath,\tthe\tmother\tcan\tprepare\therself\nfor\ta\tgradual\tdecrease\tin\ther\tmilk\tsupply\tto\tallow\tfor\ther\tphysical\thealth.\tAny\tmilk\tshe\thas\tin\nstorage\tcan\tbe\tdonated\tto\ta\thuman\tmilk\tbank\t(see\t\nFocus\tOn:\n\tWhat\tIs\ta\tHuman\tMilk\tBank?\tin\nChapter\t41
|
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] |
Focus\tOn:\n\tWhat\tIs\ta\tHuman\tMilk\tBank?\tin\nChapter\t41\n).\tThis\twill\tgive\ther\tcomfort\tin\tknowing\tthat\tthe\tmilk\tshe\tproduced\tand\tsaved\tfor\ther\town\nbaby\twill\tnot\tbe\twasted\tbut\tbe\tused\tfor\tanother\tinfant\twho\tmay\tneed\tit.\tAgain,\tmuch\tsupport\tand\nguidance\tfrom\tknowledgeable\n\tprofessionals\tis\tnecessary\tduring\tthese\ttrying\ttimes.\nBreastfeeding\tmultiples.
|
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] |
Breastfeeding\tmultiples.\nBreastfeeding\ttwins,\ttriplets,\tor\tmore\tis\tcertainly\tchallenging,\tbut\tpossible.\tA\tmother\twho\tplans\tto\nbreastfeed\tmultiples\twill\tmost\tlikely\tneed\tassistance,\tespecially\tin\tthe\tearly\tdays.\tIf\tthe\tbabies\tare\nhealthy\tand\tbrought\thome\tsoon\tafter\tbirth,\tshe\tcan\tbegin\tbreastfeeding\tthem\tright\taway\tand\nestablish\ther\tmilk
|
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] |
establish\ther\tmilk\n\tsupply\twith\tthe\thelp\tof\tat\tleast\ttwo\tbabies\tinstead\tof\tone.\tThis\tmeans\ta\tgreater\nmilk\tsupply\twill\tbe\tavailable\tif\tshe\tresponds\tto\ttheir\thunger\tcues,\tjust\tlike\twith\ta\tsingleton.\tShe\twill\nbe\tbusier,\tno\tdoubt,\tand\tfeeding\tmultiples\tduring\tthe\tfirst\tfew\tweeks\twill\tbe\tintense,\tto\tsay\tthe\tleast.
|
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] |
If\tthe\tmother\tis\tdetermined\tto\testablish\ta\tgood\tbreastmilk\tsupply\tearly\ton\tand\thas\tthe\thousehold\nhelp\tshe\tneeds,\n\tshe\tcan\tbe\tsuccessful.\tIf,\thowever,\tthe\tinfants\tare\tsick\tand\tmust\tremain\thospitalized\nfor\ta\twhile,\tshe\tneeds\tto\tuse\tan\teffective\tbreast\tpump\tto\tbring\tin\ther\tmilk\tsupply\tand\tshould\tmake
|
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] |
her\texpressed\tbreastmilk\tavailable\tfor\tthe\tbabies’\tnutrition.\tA\tlactation\tconsult\twith\tan\tIBCLC\tis\nstrongly\trecommended\tin\tsuch\tcases.\nSee\t\nTable\t14.16\n\tfor\ta\tsummary\tof\tcommon\tproblems\tthat\tbreastfeeding\tmothers\n\tmay\tencounter,\nwith\tways\tto\tprevent\tor\tremedy\tthese\tsituations.\nTABLE\t14.16\nManagement\tof\tBreastfeeding\tDifficulties\nProblem\nApproaches
|
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] |
Management\tof\tBreastfeeding\tDifficulties\nProblem\nApproaches\nInverted\tnipples\nBreast\tshells\twith\tappropriate\tbacking\tmay\tbe\tused\tduring\tthe\tlast\ttrimester\tof\npregnancy.\tBefore\tfeeding\tthe\tinfant,\troll\tthe\tnipple\tgently\tbetween\tthe\tfingers\tuntil\nerect.\tMay\tuse\tbreast\tpump\tfor\t1-2\tminutes\tbefore\tlatching\tbaby\tto\tbring\tnipple\nout.\nBreast\nengorgement
|
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0.003008384956046939
] |
out.\nBreast\nengorgement\nMassage\tbreasts\tprior\tto\tand\tduring\tfeeding,\tsoften\tbreasts/nipple\tby\texpressing\n\ta\nsmall\tamount\tof\tmilk\tor\tuse\treverse\tpressure\tsoftening\ttechnique;\tallow\tbaby\tto\nnurse\tfrequently\tand/or\texpress\twith\thand\tor\tpump\tafter\tfeeding\tto\trelieve\nengorgement.\tUse\tcool\tcompresses\tto\tease\tpain\tafter\tbreastfeeding.\tRaw\tcabbage
|
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] |
leaves\tplaced\ton\tbreasts\tfor\ta\tfew\tminutes\tevery\tfew\thours\tmay\thelp\tto\treduce\nswelling.\tApproved\toral\tantiinflammatory\tmedication\tmay\tbe\tused\tfor\tpain.\nPoor\tlatch\nEnsure\tproper\tpositioning\tat\tbreast;\tencourage\tbaby\tto\ttake\ta\t“mouth-full”\tof\tbreast\ninto\this\tmouth;\tuse\tnipple\tshield\tas\tlast\tresort\t(use\tonly\twith\tprofessional\tguidance).
|
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Baby’s\tmouth\tnot\nopen\twide\nenough\nBefore\tfeeding,\tdepress\tthe\tinfant’s\tlower\tjaw\twith\tone\tfinger\tas\tthe\tnipple\tis\tguided\ninto\tthe\tmouth.\tElicit\twide-open\tmouth\tfrom\tbaby\tby\ttickling\tupper\tlip\twith\tnipple\nand\thand\texpressing\n\tdrops\tof\tmilk\tfrom\tthe\tnipple.\nSore\tnipples
|
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] |
and\thand\texpressing\n\tdrops\tof\tmilk\tfrom\tthe\tnipple.\nSore\tnipples\nAssess\tif\tpain\tis\tacute\tor\tchronic.\tStrive\tfor\tproper\tlatch\t(possible\ttemporary\tuse\tof\nnipple\tshields\twith\tprofessional\tguidance);\tlimited\tevidence\tfor\tinterventions\tfor\ninitial\tnipple\tpain\tbut\twill\tlikely\tdo\tno\tharm:\thand\texpress\tmilk\tand\tallow\tto\tair\tdry,
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] |
approved\tnipple\tointment,\tbreast\tshells\twith\tappropriate\tbacking\tif\textremely\nsensitive,\thydrogel\n\tpads,\tapproved\tpain\tmeds.\tCheck\tfor\tankyloglossia,\tfungal\ninfection,\tor\timproperly\tfitting\tpump\tflange.\nBaby\tsucks\tpoorly\nStimulate\tsucking\tmotions\tby\tpressing\tupward\tunder\tthe\tbaby’s\tchin.\tUse\tbreast
|
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] |
massage\tto\texpress\tmilk\tin\tbaby’s\tmouth\tand\tstimulate\tsuck/swallow.\tRule\tout\ninfant/maternal\tphysical\tor\tmedical\tissues.\nBaby\ndemonstrates\nrooting\tbut\ndoes\tnot\tgrasp\nthe\tnipple;\neventually\ncries\n\tin\nfrustration\nInterrupt\tthe\tfeeding,\tcomfort\tthe\tinfant;\tthe\tmother\tshould\ttake\ttime\tto\trelax\tbefore
|
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] |
trying\tagain.\tPlace\tbaby\tin\ta\tcomfortable\tposition\tfacing\tthe\tbreast.\tExpress\ta\tfew\ndrops\tof\tmilk\ton\tthe\tnipple\tto\tentice\tthe\tbaby\tto\tlatch.\nBaby\tfalls\tasleep\nwhile\tnursing\nMother\tmay\tbe\table\tto\tawaken\tthe\tinfant\tby\tholding\tbaby\tupright\tusing\tskin-to-skin\n(when\tpossible),\trubbing\tbaby’s\tback,\n\ttalking\tto\tbaby,\tor\tproviding\tsimilar\tquiet
|
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] |
talking\tto\tbaby,\tor\tproviding\tsimilar\tquiet\nstimuli;\tanother\teffort\tat\tfeeding\tcan\tthen\tbe\tmade.\tIf\tthe\tbaby\tfalls\tasleep\tagain,\nthe\tfeeding\tshould\tbe\tpostponed.\tUse\tbreast\tmassage\tto\tencourage\tmilk\tto\tflow\nmore\trapidly\tand\tstimulate\tinfant\tto\tsuck/swallow.\nPlugged\tducts
|
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more\trapidly\tand\tstimulate\tinfant\tto\tsuck/swallow.\nPlugged\tducts\nFirm\tfingertip\tmassage\tin\tarea\tof\tplug.\tMoist\theat\tcompresses\tbefore/during\tfeedings\non\taffected\tarea.\tTherapeutic\tbreast\n\tmassage,\tfrequent\temptying\tof\tbreast.\tPoint\nbaby’s\ttongue\tin\tdirection\tof\tplugged\tduct.\tLecithin\tsupplement\tmay\thelp\tto\tprevent
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reoccurrence.\tRefer\tto\tmedical\tprovider\tif\tnot\tresolved\twithin\t72\thours.\nMastitis\nSigns\tof\tinfection:\tbreast\tis\tred\tand\ttender.\tPossible\tmaternal\tfever,\tmalaise.\tMaternal\nantibiotics\tmay\tbe\tindicated;\tcall\tphysician.\tContinue\tto\tbreastfeed\tas\tcomfort\nallows;\tfrequent\n\temptying\tof\tbreasts\twith\tbreastfeeding\tor\texpression.\tBreastmilk\tis
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emptying\tof\tbreasts\twith\tbreastfeeding\tor\texpression.\tBreastmilk\tis\nsafe\tfor\tbaby.\tMaternal\trest\trecommended.\nThrush\nControversial\tdiagnosis,\tinconclusive\tliterature.\tTreatment\tusually\tincludes\tmother\tand\nbaby\tto\tprevent\tcross-infection/reinfection.\tWash\thands\tmeticulously;\tsterilize\titems
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] |
remedies\tmay\thelp:\tvinegar\trinses\ton\tnipples\tand\tbaby’s\tdiaper\tarea,\tgarlic\nsupplements,\tprobiotics/acidophilus,\tEchinacea,\tgrapefruit\tseed\textract—consult\nphysician\tor\tlactation\tconsultant.\nRaynaud’s\nNipple\nvasospasms\nEnsure\tproper\tlatch\tto\tprevent\tworsening\tof\tsymptoms.\tKeep\tnipples\twarm.\tMay\tapply
|
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] |
dry\theat\timmediately\tafter\tnursing.\tUse\tapproved\tpain\tmedication\tas\tneeded;\nconsider\tcalcium\tchannel\tblocker.\tAvoid\tcaffeine,\tnicotine,\tand\tother\nvasoconstrictive\tdrugs.\nPerceived\tlow\nmilk\tsupply\nOffer\tbreast\tfrequently\tto\tallow\tinfant\tto\tstimulate\tmilk\tsupply\tas\tdesired;\tpractice\nskin-to-skin
|
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skin-to-skin\n\tcare\tto\tstimulate\tprolactin\tproduction;\texpress\tmilk\tafter/between\nfeedings;\tavoid\tpacifiers\tand\tbottle\tsupplementation\tunless\tadvised\tby\thealth\tcare\nprofessional.\tGood\tnutrition,\trest,\tand\tstress\tmanagement\tis\talso\tadvised.\tWatch\tfor\nsigns\tof\tadequate\tinfant\toutput\t(frequent\twet\tdiapers;\tappropriate\tbowel
|
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movements).\tMonitor\tbaby’s\tweight\tfor\treassurance\tof\tadequate\tmaternal\tmilk\nsupply/infant\n\tintake.\nTrue\tlow\tmilk\nsupply\nEnsure\tinfant\tis\tlatched\tcorrectly\tfor\tmaximum\tcomfort\tand\teffectiveness;\toffer\tboth\nbreasts\tat\tevery\tfeeding—-switch\tsides\ta\tfew\ttimes\tduring\ta\tfeeding\tsession\tfor
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extra\tstimulation;\tavoid\tpacifiers\tand\tbottles;\tincrease\tbreast\temptying\tby\tnursing\nor\texpression\t(length\tand\tfrequency)—8-12\ttimes/day;\tuse\tpump\tfor\ta\tfew\tminutes\nafter\ta\tbreastfeed;\twhen\tpumping,\tcontinue\n\tfor\t5\tminutes\tafter\tmilk\tstops\tflowing\tto\nelicit\tadditional\tlet\tdown;\tinclude\tpumping\tsession\tbetween\t1\tand\t5\ta.m.\twhen\tmilk
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production\tis\thighest;\tuse\thigh-quality\telectric\tdouble\tpump\t(consider\trenting\nhospital\tgrade\tpump);\tmassage\tbreast\twhile\tpumping;\talways\tuse\tcorrect\tflange\nsize;\tuse\tskin-to-skin\tcare\tat\teach\tnursing\tsession;\trest/adequate\nnutrition/hydration;\tmanage\tstress.\tConsider\n\tgalactogogues\t(natural\therbs\tor\nmedication)—only\twith\tmedical\tsupervision\t(see
|
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] |
medication)—only\twith\tmedical\tsupervision\t(see\t\nTable\t14.17\n).\tSupplementation\tmay\nbe\tnecessary\t(human\tmilk\tpreferred,\tpossibly\tusing\tsupplementer\tat\tbreast,\tcup,\nsyringe,\tdropper).\nConsult\twith\tphysician\tand\tIBCLC\t(International\tBoard\tCertified\tLactation\tConsultant)\tfor\nexpert\tadvice.\nGalactogogues
|
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] |
expert\tadvice.\nGalactogogues\nLow\tmilk\tsupply\tis\ta\tcommon\tconcern\tamong\tbreastfeeding\n\tmothers.\tWhether\treal\tor\tperceived,\nmothers\tthroughout\tthe\tages\thave\tturned\tto\therbal\tremedies\tand\tmedications\tto\tassist\tthem\tin\nincreasing\ttheir\tmilk\tsupply.\tBecause\tmilk\tsupply\tis\tdetermined\tmainly\tby\temptying\tthe\tbreasts
|
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] |
regularly\tand\teffectively,\tthis\tshould\tbe\tthe\tfirst\taction\ttaken\tto\tpromote\tmilk\tproduction.\tHowever,\nsometimes\tbecause\tof\tthe\teffects\tof\tmaternal\tor\tinfant\tillness\tand\thospitalization,\n\tor\tseparation\nbecause\tof\twork\tor\tschool,\ta\tmother\tmay\tfind\tthat\tdespite\ther\tefforts,\ther\tmilk\tsupply\tis\tfaltering.
|
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] |
Galactogogues\talso\thave\tbeen\tused\tin\tcases\tof\tadoption\tor\trelactation\t(reestablishing\ta\tmilk\tsupply\nafter\tweaning).\t\nGalactogogues\n,\tor\tmilk\tproduction\tstimulants,\tcan\tbe\tclassified\tas\tmedications,\nherbals,\tor\tfoods—each\twith\tits\town\tresults.\tHerbals\tmust\tbe\tused\twith\tcaution\tas\tmany\n\tcontain
|
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] |
contain\nchemical\tsubstances\tthat\tmay\tbe\tdangerous\tto\tthe\tinfant.\tA\tlactation\tconsultant,\tregistered\tdietitian\nnutritionist,\tor\therbalist\twho\tis\tknowledgeable\tabout\ttheir\tuse\tin\tbreastfeeding\tmothers\tshould\tbe\nconsulted\tbefore\tusing\tthem.\tStandard\trecommended\tdoses\tshould\tnot\tbe\texceeded\t(\nHale,\t2019\n).\nTable\t14.17
|
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0.04120476543903351
] |
Hale,\t2019\n).\nTable\t14.17\n\tprovides\ta\tlist\tof\tcommon\tgalactogogues\talong\twith\tpossible\tside\teffects\tand\ncontraindications.\n\tMedications\tused\tto\tincrease\ta\tmother’s\tmilk\tsupply\tmust\tbe\tprescribed\tby\tthe\nmother’s\thealth\tcare\tprovider.\tLactating\twomen\tshould\ttell\tthe\tbaby’s\thealth\tcare\tprovider\tif
|
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] |
anything\tis\ttaken\tto\tincrease\tmilk\tsupply.\tAlthough\ttraditional\tuse\tof\tgalactogogues\tsuggests\tsafety\nand\tpossible\tefficacy,\tthe\tmechanisms\tof\taction\tfor\tmost\therbals\thave\tnot\tbeen\tproven\t(\nBrodribb,\n2018\n).\tDespite\tsome\ttraditional\n\tbeliefs,\tbeer\tand\tother\talcoholic\tbeverages\tdo\tnot\tincrease\tmilk\nsupply\tand\tshould\tnot\tbe\tused\tfor\tthis\tpurpose.
|
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] |
TABLE\t14.17\nCommon\tGalactogogues\nClass\tof\nGalactogogue\nSpecific\tSubstance\nComments\nPrescription\nMedications\nDomperidone\t(\nMotilium\n)\nRaises\tprolactin\tand\tproven\tuseful\tas\ta\ngalactogogue;\tfew\tCNS\teffects\tsuch\tas\ndepression.\tAssociated\twith\tincrease\tin\tcardiac\narrhythmias\t(QTc\n\tprolongation).\nMetoclopramide\n(Reglan/Maxeran/Maxolon\n)
|
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] |
prolongation).\nMetoclopramide\n(Reglan/Maxeran/Maxolon\n)\nRaises\tprolactin\tand\tproven\tuseful\tas\ta\ngalactogogue;\tside\teffects\tmay\tinclude\theadache,\ndiarrhea,\tsedation,\tgastric\tupset,\tnausea,\nextrapyramidal\tsymptoms,\tsevere\tdepression.\nHerbals\nFenugreek\t(\nTrigonella\nfoenum\tgraecum\n)\nStrong\treputation\tas\tan\teffective\tgalactogogue,\tbut
|
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] |
foenum\tgraecum\n)\nStrong\treputation\tas\tan\teffective\tgalactogogue,\tbut\nundocumented.\tSide\teffects\tinclude\tmaple\tsyrup\nodor\tin\turine\n\tand\tsweat\t(mother\tand\tbaby);\tmay\ncause\tdiarrhea,\thypoglycemia,\tdyspnea.\tNot\tto\nbe\ttaken\tduring\tpregnancy.\nMilk\tThistle\t\n(Silybum\nmarianum/Silymarin\n)\nReputation\tas\ta\tgalactogogue,\tbut\tundocumented.
|
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] |
marianum/Silymarin\n)\nReputation\tas\ta\tgalactogogue,\tbut\tundocumented.\nSide\teffects\tinclude\toccasional\tmild\tGI\tside\neffects,\tincreased\tclearance\tof\tmetronidazole.\nCooking\therbs:\tanise,\tbasil,\nblackseed,\tcaraway,\ncoriander,\tdill,\tfennel\nseeds,\tmoringa\tleaf\nNonfood\n\therbs:\talfalfa,\nblessed\tthistle,\tnettle,\ngoat’s\true,\tred\tclover,\nshatavari
|
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blessed\tthistle,\tnettle,\ngoat’s\true,\tred\tclover,\nshatavari\nHistorical\tand\tcultural\tuses\tas\tgalactogogues;\neffectiveness\tundocumented.\tAssumed\tto\tbe\tsafe\nwith\trecommended\tdosages\t(varies\twith\tspecific\nherbs),\talthough\tstrengths\tof\therbal\tproduct\ningredients\tmay\tvary\tdepending\ton\tparticular\nplant\tused\tand\thow\tprocessed;\tcaution\tis\tadvised
|
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plant\tused\tand\thow\tprocessed;\tcaution\tis\tadvised\nfor\tuse\tduring\tpregnancy.\tSome\tcompanies\n\tmake\nspecial\tblends\tfor\tbreastfeeding\tmothers.\nFoods/beverages\nGrains,\tnuts,\tseeds:\toats\t(not\ninstant),\tbarley,\tbrown\nrice,\tbeans,\tsesame,\nalmonds\nFruits/Vegetables:\tdark\tgreen\nleafy\tvegetables,\tapricots,\ndates,\tfigs,\tcooked\tgreen\npapaya
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] |
leafy\tvegetables,\tapricots,\ndates,\tfigs,\tcooked\tgreen\npapaya\nSoups\tmade\tfrom\tTorbangun\nor\tMalunggay\tleaves\nHistorical\tand\tcultural\tuses\tas\tgalactogogues;\neffectiveness\tundocumented.\nAdapted\tfrom\tMarasco\tL:\tInside\n\ttrack:\tincreasing\tyour\tmilk\tsupply\twith\tgalactogogues,\t\nJ\tHum\tLact\n\t24:455,\t2008;\tHale\tTW:\t\nMedications\tand\nmother’s\tmilk
|
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] |
J\tHum\tLact\n\t24:455,\t2008;\tHale\tTW:\t\nMedications\tand\nmother’s\tmilk\n,\ted\t18,\tAmarillo,\tTex,\t2019,\tHale\tPublishing;\tAcademy\tof\tBreastfeeding\tMedicine\tProtocol\tCommittee\t(ABM):\tABM\tClinical\tProtocol\n#9:\tUse\tof\tGalactogogues\tin\tinitiating\tor\taugmenting\tthe\trate\tof\tmaternal\tmilk\tsecretion,\t\nBreastfeeding\tMed\n\t13:307,\t2018.\nSustaining\tmaternal\tmilk
|
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Breastfeeding\tMed\n\t13:307,\t2018.\nSustaining\tmaternal\tmilk\n\tsupply\tand\tpreservation\tof\tsuccessful\tbreastfeeding\nInsufficient\tmilk\tsupply\tis\trarely\ta\tproblem\tfor\tthe\twell-fed,\twell-rested,\tand\tunstressed\tmother\twho\nstays\tin\tclose\tcontact\twith\ther\tbaby.\tSucking\tstimulates\tthe\tflow\tof\tmilk;\tthus\tfeeding\ton\tdemand
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] |
should\tsupply\tample\tamounts\tof\tmilk\tto\tthe\tinfant.\tSkin-to-skin\tcare\talso\tcan\tbenefit\tthe\tmother\tand\nbaby\tby\tstimulating\tprolactin\tproduction\tin\n\tthe\tmother\twhile\tkeeping\tthe\tbaby\tcomforted\tand\nfamiliar\twith\tthe\tmother.\tIn\tthe\tearly\tdays,\tindications\tof\tsufficient\tmilk\tsupply\tare\tthat\tthe\tbaby
|
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] |
continues\tto\tgain\tweight\tand\tlength\tsteadily,\thas\tat\tleast\tsix\tto\teight\twet\tdiapers\tdaily,\tand\thas\nfrequent\tstools.\tRefer\tto\t\nTable\t14.16\n\tfor\ttips\ton\tincreasing\tmilk\tsupply.\nOccasionally,\thowever,\tbreastfeeding\tcomplications\tcan\tinterfere\twith\tsuccess.\n\t\nFig.\t14.10
|
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] |
Fig.\t14.10\nillustrates\tpotential\tproblems\tin\tthe\tmother\tor\tthe\tinfant\tthat\tshould\tbe\tinvestigated\tif\tthe\tmother\nfeels\tthat\ther\tmilk\tsupply\tis\tdropping\tor\tthe\tbaby\tis\tshowing\tsigns\tof\tslow\tgrowth.\tThe\tcause\tof\tthe\nproblem\tmust\tbe\tidentified\tand\tcorrected\tto\tpreserve\tthe\tbreastfeeding\trelationship\tand\tmaintain
|
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] |
the\tinfant’s\tgrowth\tand\tdevelopment.\tProfessional\tassistance\tis\tavailable\tto\tidentify\n\tand\tcorrect\tany\ncomplications\tthat\tmay\tinterfere\twith\tsuccessful\tbreastfeeding.\tAn\tIBCLC\tcan\tbe\tfound\tat\tbirth\nhospitals\tor\tcenters,\tpediatric\thospitals,\tmaternal-child\tclinics,\tphysicians’\toffices,\tand\tprivate\npractices.
|
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] |
FIG.\t14.10\nDiagnostic\tflow\tchart\tfor\tinadequate\tmaternal\tmilk\tsupply.\nSometimes\tthe\tinfant\tmay\tshow\tintolerance\t(i.e.,\tfussiness,\tloose\tstools)\tto\tsomething\tthe\tmother\nhas\tingested.\tThe\tmother\tis\tadvised\tto\ttemporarily\teliminate\tsuspected\tirritants\tuntil\ta\tlater\ttime
|
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] |
when\tthe\tbaby\tis\tolder\tand\tthe\tGI\ttract\tmore\tmature.\tMany\ttimes,\tfood\tsensitivity\tis\toutgrown\tafter\na\tfew\tweeks\tor\tmonths.\n\tAny\tfood\tmay\tbe\tthe\tculprit,\tincluding\tcow’s\tmilk\tprotein\t(casein\tfraction),\ncruciferous\tvegetables,\tcarbonated\tdrinks,\tor\teven\tspicy\tfoods.\tWhen\tsuspicious\tfoods\tare\tremoved
|
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] |
from\tthe\tmother’s\tdiet,\tit\tis\timportant\tto\tassess\tthe\tnutritional\tquality\tof\ther\tdiet\tand\tsupplement\nappropriately.\nConcerns\tduring\tlactation\nTransfer\tof\tdrugs\tand\ttoxins\tinto\thuman\tmilk\nAlmost\tall\tdrugs\ttaken\tby\tthe\n\tmother\tappear\tin\ther\tmilk\tto\tsome\tdegree.\tThe\tamount\tthat\tusually
|
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] |
milk:\tmilk/plasma\tratio,\tmolecular\tweight\tof\tthe\tdrug,\tand\tthe\tprotein\tbinding\tand\tlipid\tsolubility\tof\nthe\tdrug.\tOnce\ta\tdrug\thas\tbeen\n\tingested\tby\tthe\tinfant\tthrough\tthe\tmother’s\tmilk,\tit\tmust\ttravel\nthrough\tthe\tbaby’s\tGI\ttract\tbefore\tabsorption.\tThere\tare\tmany\tprocesses\there\tthat\tmay\tdisallow\tthe
|
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] |
drug\tfrom\tbeing\tmetabolized\tin\tthe\tinfant’s\tsystem.\tCaution\tis\trecommended\tespecially\tfor\tmothers\nwho\tare\tnursing\tpremature\tor\till\tinfants\tas\tthey\tare\tat\ta\thigher\trisk\tof\tthe\teffects\tof\teven\tsmall\namounts\tof\tmedications\tthat\tmay\tcome\tthrough\n\tmaternal\tmilk\t(\nHale,\t2019\n).
|
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] |
maternal\tmilk\t(\nHale,\t2019\n).\nMany\tmothers\thave\tdiscontinued\tbreastfeeding\tbecause\tof\ttheir\tneed\tfor\ta\tmedication,\twhen\tin\nfact\tthere\twas\ta\tgood\tchance\tthat\tthe\tdrug\tcould\thave\tbeen\ttaken\twithout\trisk\tto\tthe\tbaby.\tIt\tis\tlikely\nthat\tmedications\tpenetrate\tcolostrum\tmore\tthan\tmature\tmilk,\talthough\teven\tduring\tthis\ttime,\tthe
|
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0.07267231494188309,
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0.06765825301408768,
0.001468680682592094,
-0.06703178584575653,
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0.03483351692557335,
0.05828114226460457,
0.014774119481444359,
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0.03927057236433029,
0.07349435985088348,
0.11443931609392166,
0.10177576541900635,
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] |
amounts\tthe\tbaby\tis\texposed\tto\tare\tvery\tlow.\tWhen\tthe\tmedication\tincreases\n\tin\tthe\tmother’s\tplasma,\nit\talso\tincreases\tin\ther\tmilk.\tWhen\tthe\tmedication\tlevel\tfalls\tin\tthe\tmother’s\tplasma,\tequilibrium\tis\nsought\tin\tthe\tmother’s\tmilk,\twhich\tdrives\tthe\tmedication\tback\tinto\ther\tplasma\tfor\telimination\t(\nHale,\n2019\n).
|
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] |
Hale,\n2019\n).\nCentrally\tactive\tdrugs\t(anticonvulsants,\tantidepressants,\tantipsychotics)\tfrequently\tpenetrate\tmilk\nin\televated\tlevels\tbased\tmerely\ton\ttheir\tphysiochemistry.\tWhen\n\tsedation,\tdepression,\tor\tother\ncentral\tnervous\tsystem\t(CNS)\teffects\tare\texperienced\tby\tthe\tmother\twhen\ttaking\tthe\tmedication,\tit
|
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is\tlikely\tto\tpenetrate\tthe\tmilk\tand\tcause\tsimilar\teffects\tin\tthe\tinfant.\tThese\tdrugs\tmust\tbe\tused\twith\ncaution,\tand\tthe\tmother\tshould\talways\tdiscuss\tthe\trisk-benefits\tof\tbreastfeeding\tand\ther\tneed\tfor\nsuch\tmedications\twith\ther\thealth\tcare\tprovider.\nMaternal\tsubstance\n\tabuse.
|
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] |
Maternal\tsubstance\n\tabuse.\nAccording\tto\tthe\tAAP,\tmaternal\tsubstance\tabuse\tis\tnot\ta\tcategorical\tcontraindication\tto\nbreastfeeding.\tIf\ta\tmother\tis\twell\tnourished\tand\tnegative\tfor\tHIV,\teven\tif\tnarcotic-dependent,\tshe\nshould\tbe\tencouraged\tto\tbreastfeed\tas\tlong\tas\tshe\tis\tsupervised\tin\ta\tmethadone\tmaintenance\nprogram\t(\nAAP,\t2012\n;
|
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] |
program\t(\nAAP,\t2012\n;\t\nAcademy\tof\tBreastfeeding\tMedicine\tProtocol\tCommittee\t[ABM],\t2015\n).\nBreastfeeding\tstill\tprovides\n\tmany\timmunologic,\tnutritional,\tand\tbonding\tadvantages\tover\tartificial\nfeeding.\tVery\tlittle\tmethadone\tis\ttransferred\tinto\tbreastmilk;\thowever,\tstudies\tare\tmixed\treporting
|
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] |
how\tbreastfeeding\tshould\tbe\tmanaged\tin\tthe\tmother-infant\tdyad\tto\tlessen\tthe\trisk\tfor\tneonatal\nabstinence\tsyndrome\t(\nIsemann\tet\tal,\t2011\n).\tGrowth\tparameters\tin\tthe\tchild\tshould\tbe\tmonitored\tto\nensure\tadequate\tdevelopment,\tbut\tbreastfeeding\n\tshould\tcontinue\tto\tbe\tencouraged\tas\tlong\tas\tthese
|
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] |
should\tcontinue\tto\tbe\tencouraged\tas\tlong\tas\tthese\nmeasures\tare\twithin\tthe\tnormal\trange.\tThe\tlong-term\teffect\tof\tmethadone\texposure\tbeyond\tthe\nneonatal\tperiod\tis\trelatively\tunknown.\tStudies\thave\tshown\tsamples\tof\tblood\tand\tbreastmilk\tup\tto\t1\nyear\tshow\tlow\tconcentrations\tof\tmethadone,\tjustifying\tthe\trecommendation\tthat\tmothers\tcontinue\tto
|
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] |
breastfeed\t(\nHudak\tet\tal,\t2012\n).\tIf\ta\tmother\tdecides\tto\tdiscontinue\n\tbreastfeeding,\tweaning\tslowly\nover\t3\tto\t4\tweeks\thelps\tto\tprotect\tthe\tinfant\tfrom\twithdrawal\tsymptoms.\nThe\tAAP\tand\tACOG\thave\tprovided\tinformation\tregarding\tthe\ttransfer\tof\tdrugs\tand\tother\tchemicals\ninto\thuman\tmilk\t(\nAAP,\t2013
|
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into\thuman\tmilk\t(\nAAP,\t2013\n).\tWebsites\tthat\tcan\tprovide\tmore\tinformation\tare\tlisted\tat\tthe\tend\tof\tthe\nchapter.\nEnvironmental\ttoxins.
|
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There\tis\tconcern\tabout\tenvironmental\ttoxins\tentering\tthe\tmilk\n\tof\ta\tlactating\tmother;\thowever,\tat\tthis\ntime\tthere\tare\tno\testablished\t“safe”\tlevels\tto\taid\tin\tclinical\tinterpretation.\tDespite\tany\tpollutants\nthat\tmay\tbe\tfound\tin\thuman\tmilk,\tthe\tbenefits\tof\tbreastfeeding\tfar\toutweigh\tthe\trisks\tposed\tby\tany
|
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] |
contaminants\tthat\tmay\tbe\tfound\tthere.\tNonetheless,\tmothers\tshould\ttake\tcare\tnot\tto\tallow\tany\nunnecessary\texposure\tto\tpesticides\tand\tother\tharsh\tchemicals,\tas\twell\n\tas\tlimit\tintake\tof\tanimal\tfat,\nwhich\tcan\tcontain\thigher\tamounts\tof\tenvironmental\tcontaminants.\tThis\thelps\tsafeguard\tagainst\nunwanted\tsubstances\tin\thuman\tmilk.
|
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] |
unwanted\tsubstances\tin\thuman\tmilk.\nIn\tthe\tpast,\tmothers\twere\ttold\tnot\tto\tlose\ttoo\tmuch\tweight\ttoo\tfast\tafter\tpregnancy\tbecause\tit\twas\nthought\tthat\ta\trapid\tweight\tloss\tcould\tpossibly\taccelerate\tthe\trelease\tof\ttoxins\tstored\tin\ta\twoman’s\nbody\tfat.\tHowever,\tthis\thas\tnot\tbeen\n\tproven\tto\tbe\ttrue.\tNonetheless,\tslow,\tsteady\tweight\tloss\tduring
|
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] |
proven\tto\tbe\ttrue.\tNonetheless,\tslow,\tsteady\tweight\tloss\tduring\nthe\tpostpartum\tperiod\tis\trecommended\tto\tallow\ta\thealthy\treturn\tto\tprepregnancy\tweight\twith\ngreater\tlikelihood\tof\tkeeping\tthe\tweight\toff.\nOverweight\tor\tobesity\nOverweight\tor\tobese\tlactating\twomen\tcan\trestrict\ttheir\tenergy\tintake\t(once\tthe\tmilk\tsupply\tis\twell-
|
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time\tto\tallow\tnatural\tslow\tweight\tloss\tin\tthese\tmothers\tby\ttaking\tadvantage\tof\tthe\tcaloric\tdemands\nof\tbreastfeeding.\tThe\tnutritional\tstatus\tof\tlactating\twomen\twho\thave\tpreviously\n\tundergone\tbariatric\nsurgery\trequires\tclose\tattention\tbecause\tsuboptimal\tlevels\tof\tiron,\tvitamin\tA,\tvitamin\tD,\tvitamin\tK,\nfolate,\tand\tcalcium\thave\tbeen\treported\t(see
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] |
folate,\tand\tcalcium\thave\tbeen\treported\t(see\t\nChapter\t20\n).\nWomen\twith\thigher\tprepregnant\tBMI\tvalues\talso\twarrant\textra\tlactation\tsupport\tto\tprevent\tearly\nweaning\tand\tto\treach\ttheir\tbreastfeeding\tgoals.\tResearch\thas\tshown\tthat\talthough\tintentions\tof\tthe\nobese\twoman\tto\tbreastfeed\n\tmay\tbe\tstrong,\tthere\tcan\tbe\tmany\tpsychosocial\tdeterminants\tthat\tmay
|
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] |
may\tbe\tstrong,\tthere\tcan\tbe\tmany\tpsychosocial\tdeterminants\tthat\tmay\ninfluence\ther\tcommitment\tand\tability\tto\tinitiate\tor\tcontinue\tnursing\ther\tinfant.\tObese\twomen\talso\nhave\tshown\tto\thave\tdelayed\tlactogenesis\tII,\tthe\tsudden\tincrease\tin\tvolume\ta\tfew\tdays\tafter\tdelivery,
|
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which\tcould\tbe\ta\trisk\tfactor\tin\tnot\testablishing\ta\tmilk\tsupply.\tAlthough\tobese\twomen\texperience\nlower\trates\tof\tsuccessful\tbreastfeeding,\n\tthe\tassociation\tbetween\tmaternal\tobesity\tand\tbreastfeeding\noutcomes\thas\tnot\tbeen\texplained\tfully\t(\nHauff\tet\tal,\t2014\n).\nExercise\tand\tbreastfeeding
|
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] |
Hauff\tet\tal,\t2014\n).\nExercise\tand\tbreastfeeding\nThe\tbreastfeeding\tmother\tshould\tbe\tencouraged\tto\tresume\tan\texercise\troutine\ta\tfew\tweeks\tafter\ndelivery\tand\tafter\tlactation\tis\twell\testablished.\tAerobic\texercise\tat\t60%\tto\t70%\tof\tmaximum\theart\nrate\thas\tno\tadverse\teffect\ton\tlactation;\tinfants\tgain\tweight\n\tat\tthe\tsame\trate,\tand\tthe\tmother’s
|
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] |
at\tthe\tsame\trate,\tand\tthe\tmother’s\ncardiovascular\tfitness\timproves\t(\nLovelady,\t2011\n).\tExercise\talso\timproves\tplasma\tlipids\tand\tinsulin\nresponse\tin\tlactating\twomen.\nMothers\tmay\tbe\treluctant\tto\texercise\tbecause\tof\tconcerns\tof\thow\tthis\taffects\ttheir\tbreastmilk\tand
|
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] |
consequently\tthe\tgrowth\tof\ttheir\tinfants.\tModerate\taerobic\texercise\t(45\tminutes/day,\t5\tdays/week)\nhas\tnot\tbeen\tshown\tto\taffect\tmilk\tvolume\n\tor\tits\tcomposition.\tMothers\twho\tincorporate\tdiet\tand\nexercise\tinto\ttheir\troutines\tin\tan\teffort\tto\tlose\tweight\tduring\tthe\tpostpartum\tperiod\talso\thave\tbeen
|
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] |
studied\tand\thave\tshown\tno\till\teffects\ton\tthe\tgrowth\tof\ttheir\tinfants\t(\nLovelady,\t2011\n).\nBreast\taugmentation\nBreast\taugmentation,\ta\tprocedure\tin\twhich\tan\timplant\tis\tinserted\tinto\tthe\tbreast\tto\tenlarge\tit,\tis\ta\ncommon\telective\tbreast\tprocedure.\n\tPeriareolar\tand\ttransareolar\tincisions\tcan\tcause\tlactation
|
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] |
Periareolar\tand\ttransareolar\tincisions\tcan\tcause\tlactation\ninsufficiency.\tThese\tmothers\tshould\tbe\tencouraged\tto\tbreastfeed,\tand\ttheir\tinfants\tmonitored\tfor\nappropriate\tweight\tgain.\tOther\tmeans\tof\taugmentation,\tin\twhich\timplants\tare\tplaced\tbetween\tbreast
|
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tissue\tand\tthe\tchest\twall,\tusually\thave\tno\teffect\ton\tthe\twoman’s\tability\tto\tproduce\ta\tfull\tmilk\tsupply.\nReduction\tmammoplasty\nReduction\tmammoplasty\n\toften\tis\trecommended\tfor\twomen\twith\textremely\tlarge\tbreasts\twho\tsuffer\nfrom\tback,\tshoulder,\tor\tneck\tpain\tor\tpoor\tbody\timage.\tIn\tlactating\twomen\twho\thave\thad\tthis\tsurgery
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0.07170698791742325,
0.0763358399271965,
0.10593805462121964,
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] |
there\tare\twide\tvariations\tin\tmilk\tproduction,\tfrom\tlittle\tto\tfull\tproduction,\tdepending\ton\tthe\tamount\nof\ttissue\tremoved\tand\tthe\ttype\tof\tsurgical\tincision.\tThese\tmothers\talso\tshould\tbe\tencouraged\tto\nbreastfeed\tand\tbe\tgiven\n\tanticipatory\tguidance\tand\tsupport;\ttheir\tinfants\tshould\tbe\tmonitored\tclosely\nfor\tappropriate\tweight\tgain.
|
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] |
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