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for\tappropriate\tweight\tgain.\nPostpartum\tdepression\nPostpartum\tdepression\t(PPD)\n\tmay\tbe\tone\tof\tthe\tmost\tunderdiagnosed\tobstetric\tcomplications\tin\nthe\tUnited\tStates.\tPPD\tleads\tto\tnumerous\tnegative\tconsequences\taffecting\tthe\tmother\tand\tchild,\nincluding\tincreased\tcosts\tof\tmedical\tcare,\tinappropriate\tmedical\tcare,\tchild\n\tabuse\tand\tneglect,
|
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abuse\tand\tneglect,\ndiscontinuation\tof\tbreastfeeding,\tand\tfamily\tdysfunction.\tAll\tthis\tadversely\taffects\tearly\tbrain\ndevelopment\tin\tthe\tinfant\t(\nEarls,\t2010\n),\twhich\tcould\tpossibly\tlead\tto\tfuture\tproblems.\nAlthough\teffective\ttreatment\tis\tavailable,\tfewer\tthan\thalf\tof\tmothers\twith\tthis\tcondition\tare
|
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] |
recognized\tor\tseek\thelp.\tPPD\thas\tbeen\tfound\tto\tbe\tlower\tin\tbreastfeeding\tmothers\t(\nXu\tet\tal,\t2014\n).\nBecause\tbreastfeeding\ttriggers\tthe\trelease\tof\tthe\thormone\toxytocin,\tmany\twomen\treport\tfeeling\ncalm\tand\trelaxed\twhile\tthey\tare\tnursing.\tWhen\tbreastfeeding\tis\tsuccessful\tand\tthings\tare\tgoing\twell,
|
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] |
with\tmaintenance\tof\ta\tgood\tmilk\tsupply\twithout\tcomplications,\tand\tthe\tbaby\tis\tgaining\tappropriate\nweight,\tthe\tbreastfeeding\trelationship\tcan\tward\toff\tfeelings\tof\tloneliness,\temptiness,\tor\tfailure—\ncommon\tfeelings\n\tin\tPPD.\tA\thigher\tcirculating\toxytocin\tlevel\tsustains\ta\tsense\tof\tcalm\tand\tallows\ta
|
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mother\tto\tcope\twith\tthe\teveryday\tstresses\tof\tnew\tmotherhood.\tConversely,\twhen\tthings\tare\tnot\ngoing\twell,\twhen\tcomplications\tof\tbreastfeeding\tand\tnew\tmotherhood\tbecome\toverwhelming,\tmany\nnew\tmothers\texperience\tsigns\tof\tthe\t“blues,”\twhich\tcan\tescalate\tinto\tfull\tPPD.\tThe\t“baby\tblues,”\naffecting\t70%\tto\t80%\tof\tall\n\tnew\tmothers\t(\nAPO,\t2015
|
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affecting\t70%\tto\t80%\tof\tall\n\tnew\tmothers\t(\nAPO,\t2015\n),\tis\tshort\tlived,\tdoes\tnot\timpair\tfunctioning,\tand
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can\tbe\ttreated\twith\treassurance\tand\temotional\tsupport.\tPPD,\thowever,\tis\tcharacterized\tby\ta\tmajor\ndepressive\tepisode\twithin\t1\tmonth\tafter\tdelivery\tand\tis\texperienced\tin\t10%\tto\t15%\tof\twomen\tafter\ngiving\tbirth.\tSymptoms\tare\trestlessness,\tanxiety,\tfatigue,\tand\ta\tsense\tof\tworthlessness.\tSome\tnew\nmothers\tworry\tthey\twill\thurt\tthemselves
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] |
mothers\tworry\tthey\twill\thurt\tthemselves\n\tor\ttheir\tbabies.\tUnlike\tthe\t“baby\tblues,”\tPPD\tdoes\tnot\tgo\naway\tquickly.\tA\tmother\twith\tdiagnosed\tPPD\tusually\trequires\ta\tmore\tintensive\tapproach\tto\ttreatment\n(\nUSDHHS,\t2018b\n).\nDiet\tquality\tand\toverall\tnutritional\tstatus\tmay\taffect\tthe\trisk\tof\tPPD\t(\nProcter\tand\tCampbell,\t2014\n).
|
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0.0775744840502739,
0.07217656821012497,
-0.02434227429330349
] |
Procter\tand\tCampbell,\t2014\n).\nMany\tdietary\tcomponents\tare\tbeing\tinvestigated\tregarding\ttheir\trole\tin\tminimizing\tPPD,\tincluding\nomega-3\tfatty\tacids,\tfolate,\n\tvitamins\tB\n2\n,\tB\n6\n,\tB\n12\n,\tD,\tcalcium,\tiron,\tand\tselenium.\tHowever,\tthere\tis\nlittle\tevidence\tof\tbenefit\tfrom\tsupplementation.\tMawson\tand\tWang\trecently\tproposed\tthat\thigh
|
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] |
levels\tof\tvitamin\tA\tcompounds\tmay\tbe\tin\tpart\tresponsible\tfor\tmaternal\tPPD,\tand\tthat\tbreastfeeding\noffers\tprotection\tagainst\tPPD\tby\tmaintaining\tendogenous\tretinoids\tbelow\ta\tthreshold\tconcentration.\nWomen\taccumulate\tretinoids\tin\tthe\n\tliver\tand\tthe\tbreast\tduring\tpregnancy\tin\tpreparation\tof
|
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] |
liver\tand\tthe\tbreast\tduring\tpregnancy\tin\tpreparation\tof\nproviding\tvitamin\tA\tto\ttheir\tinfants.\tBecause\tprolonged\tlactation\treduces\tmaternal\tstores\tof\nretinoids,\tthis\talso\tprovides\ta\tnatural\tmeans\tof\treducing\tpotentially\ttoxic\tconcentrations\tin\tthe\nmother\t(\nMawson\tand\tWang,\t2013\n).
|
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] |
mother\t(\nMawson\tand\tWang,\t2013\n).\nWhen\tearly\tsigns\tof\tPPD\tare\tpresent,\tand\ta\tmother\tstops\tbreastfeeding,\teven\tmore\tsevere\ndepression\tcan\taffect\tthe\tmother.\n\tOxytocin\tlevels\tfall\tabruptly,\tand\ta\tmother’s\tfeelings\tof\tfailure\tmay\nbecome\teven\tmore\tpronounced.\tIt\tis\tcritical\tfor\tfamilies\tto\tbe\taware\tand\tfor\thealth\tcare\tproviders\tto
|
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] |
for\texpected\tbreastfeeding\tchallenges,\tadvocate\tfor\ta\tsupportive\nenvironment\tin\tbirthing\thospitals,\tand\tpromote\tbreastfeeding\tas\tthe\tcultural\tnorm\tin\tthe\tcommunity\nso\tthat\tthe\tbreastfeeding\trelationship\tis\tsuccessfully\testablished\tearly\tin\tthe\tpostpartum\tperiod\n(\nOlson\tet\tal,\t2014\n).
|
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] |
(\nOlson\tet\tal,\t2014\n).\nPPD\tcan\taffect\tmilk\tproduction,\tlet-down,\tand\tthe\tability\tto\tmaintain\tan\tadequate\tmilk\tsupply\tfor\nthe\tbaby.\tThe\n\televated\tlevels\tof\tcortisol\tpresent\tin\tPPD\tmay\tdelay\tlactogenesis\tII.\tWhen\tthe\tblues\nturns\tinto\ta\tmore\tserious\tform\tof\tPPD,\tthe\testablishment\tof\ta\thealthy\tbond\tbetween\tmother\tand
|
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child\tmay\tbe\taffected,\tjeopardizing\tthe\tbreastfeeding\trelationship\tand\tpotentially\tleading\tto\tearly\nweaning\t(\nWu\tet\tal,\t2012b\n).\nMedical\ttreatment\tfor\tPPD\twhile\tbreastfeeding\tincludes\tmedications\tsuch\tas\tZoloft,\tPaxil,\n\tand\nProzac.\tThese\tshould\tbe\ttaken\timmediately\tafter\ta\tfeeding\tto\tallow\tthe\tmaximum\ttime\tfor\tdrug
|
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0.03713890165090561,
0.0892433375120163,
0.10265494138002396,
0.0862642154097557,
0.010710394941270351
] |
clearance\tfrom\tmilk\tbefore\tthe\tnext\tfeeding.\tAlso,\tthe\tmother\tcan\texpress\tand\tdiscard\ther\tmilk\ncollected\twhen\tpeak\tserum\tlevels\tof\tthe\tdrug\tare\tpresent.\tMonoamine\toxidase\t(MAO)\tinhibitors\tare\ncontraindicated\tfor\ttreatment\tof\tPPD\tif\tthe\tmother\tis\tbreastfeeding\t(\nHale,\t2019\n).\nBirth\tcontrol\tand\tbreastfeeding
|
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0.028873391449451447
] |
Hale,\t2019\n).\nBirth\tcontrol\tand\tbreastfeeding\nMany\twomen\tbegin\tto\tthink\tabout\tbirth\tcontrol\tshortly\tafter\tdelivery\tand\twhile\tthey\tare\nbreastfeeding\ta\tnew\tbaby.\tThe\tmother\tmust\tconsider\tthe\teffects\tof\tthe\tbirth\tcontrol\tmethod\ton\ther\nnursling,\tas\twell\tas\thow\tit\tmay\taffect\ther\tmilk\tsupply.
|
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] |
nursling,\tas\twell\tas\thow\tit\tmay\taffect\ther\tmilk\tsupply.\nThe\tLactation\tAmenorrhea\tMethod\t(LAM)\tdoes\tnot\tinvolve\tany\tdevice\tor\tmedication\tand\tis\ncompletely\tsafe\tfor\tbreastfeeding\tmothers.\tLAM\tis\tan\timportant\tmodern\n\tcontraceptive\tmethod\tthat,\nwhen\tpracticed\tcorrectly,\thas\ta\t98%\teffectiveness\trate\t6\tmonths\tpostpartum\t(\nFabic\tand\tChoi,\t2013\n).
|
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] |
Fabic\tand\tChoi,\t2013\n).\nIt\tmust\tbe\temphasized\tthat\tthe\tmethod\tis\teffective\tONLY\twhen\tthree\tconditions\tare\tmet:\t(1)\tthe\ninfant\tis\tless\tthan\t6\tmonths\told,\t(2)\tthe\tmother\tis\tamenorrheic,\tand\t(3)\tthe\tmother\tis\tfully\nbreastfeeding\t(baby\tnot\treceiving\tanything\tother\tthan\tmilk\tat\tthe\tbreast,\tmeeting\n\tall\tsucking\tneeds
|
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all\tsucking\tneeds\nat\tthe\tbreast\twithout\ta\tpacifier).\tMothers\tmust\tbe\tvery\tattentive\tto\tthe\tinclusion\tof\tall\tthese\tfactors\nif\tthey\tare\tdependent\ton\tthis\tmethod\tto\tprevent\tpregnancy.\tAs\tsoon\tas\tone\tof\tthese\tparameters\tis\nabsent,\tthe\tmother\tis\tadvised\tthat\tshe\tshould\temploy\tan\tadditional\tform\tof\tbirth\tcontrol\tif\tpregnancy\nis\tstill\tnot\tdesirable.
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] |
is\tstill\tnot\tdesirable.\nBirth\tcontrol\tmethods\tusing\ta\tcombination\tof\tprogestin\n\tand\testrogen\tcome\tin\tseveral\tdifferent\nforms:\tcombination\tbirth\tcontrol\tpill,\tmonthly\tinjections,\tpatch,\tand\tthe\tvaginal\tring.\tAlthough\nprogestin\tand\testrogen\tare\tapproved\tby\tthe\tAAP\tfor\tuse\tin\tbreastfeeding\tmothers,\tit\tis\tpossible\tthat
|
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] |
estrogen-containing\tcontraceptives\tmay\taffect\ta\tmother’s\tmilk\tsupply\tand\ttherefore\ta\tprogestin-only\nmedication\t(minipill)\tmay\tbe\ta\tbetter\tchoice,\tat\tleast\tuntil\n\t6\tmonths\tpostpartum.\tA\tlonger\tlasting\nform\tof\tprogestin-only\tbirth\tcontrol\tis\tthe\tDepo-Provera\t(“depo”)\tshot\tthat\tlasts\tat\tleast\t12\tweeks\nbut\tmay\tbe\teffective\teven\tup\tto\ta\tyear.
|
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but\tmay\tbe\teffective\teven\tup\tto\ta\tyear.\nA\tprogestin-only\tintrauterine\tdevice\t(IUD)\tsuch\tas\tMirena\tmay\thave\tfewer\tside\teffects\ton\ta\nmother’s\tmilk\tsupply.\tThis\tproduct\tdelivers\thormones\tdirectly\tto\tthe\tlining\tof\tthe\tuterus,\tleading\tto\nonly\ta\tslight\tincrease\tin\n\tserum\tprogesterone\tlevels,\tless\tthan\twith\tthe\tminipill.\tThe\tbirth\tcontrol
|
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implant\t(Norplant,\tImplanon)\tis\tanother\tchoice\tfor\twomen\twho\twish\tto\tchoose\tprogestin-only\tmeans\nof\tbirth\tcontrol.\tThe\timplant\tcan\tlast\tup\tto\t5\tyears.\tWomen\tare\twarned\tthey\tmay\twant\tto\tconsider\nthe\tpill\tform\tbefore\tusing\ta\tlonger-lasting\tform\tof\tbirth\tcontrol\tin\tcase\tthey\tare\tsusceptible\tto\ta\tdrop\nin\tmilk\tsupply\teven\twith
|
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in\tmilk\tsupply\teven\twith\n\tprogestin-only\tpills.\tThis\tallows\tthem\tto\tstop\tthe\tpills\tand\tchoose\tanother\nbirth\tcontrol\tmethod\t(i.e.,\tLAM\tor\tbarrier)\tso\tthat\tthey\tdo\tnot\thave\tto\twait\tfor\tthe\teffects\tof\tthe\nprogestin\tto\twear\toff.\tNo\teffect\ton\tinfant\tgrowth\thas\tbeen\tnoted\twith\tthese\tmedications,\tbut\tfor
|
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those\twho\tmay\tbe\tconcerned\tabout\tthe\tunknown,\tbarrier\tmethods\tof\tbirth\tcontrol,\tan\tIUD\twithout\nhormones\t(ParaGard),\tor\tLAM,\tensure\n\tthat\tno\tdrug\tis\tsecreted\tin\tbreastmilk.\nOne\tother\tform\tof\tbirth\tcontrol\tpill,\tmeant\tto\tbe\tused\tas\ta\tlast\tresort\t(breastfeeding\tor\tnot),\tis\tthe
|
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so-called\t“morning-after\tpill.”\tThese\tare\talso\tavailable\tin\ta\tcombination\tof\testrogen\tand\tprogestin\n(Preven,\tOvral),\tor\tthe\tprogestin-only\tform\t(Plan\tB,\tPlan\tB\tOne-Step).\tMothers\tshould\tconsult\twith\ntheir\thealth\tcare\tproviders\tor\tlactation\tconsultants\n\tif\ta\tdrop\tin\tmilk\tsupply\tis\tnoticed.\tThis\tmay\tbe
|
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] |
if\ta\tdrop\tin\tmilk\tsupply\tis\tnoticed.\tThis\tmay\tbe\njust\ta\tshort-lived,\ttemporary\tcondition,\tbut\tclose\tfollow-up\tcan\tensure\tthat\tthis\tis\tthe\tcase.\tThe\tAAP\nhas\tapproved\tthis\tmedication\tfor\tuse\tduring\tbreastfeeding,\talthough\tit\tshould\tbe\tused\tonly\tin\trare\ncircumstances.
|
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Breastfeeding\tduring\tpregnancy\nMothers\tmay\tdiscover\tthey\tare\tpregnant\twhile\tthey\tare\tstill\tnursing\ta\tyoung\tbaby\tor\tchild.\tIf\tthe\npregnancy\tis\tnormal\tand\thealthy,\tit\tis\tconsidered\tsafe\tto\tcontinue\tto\tbreastfeed\tthroughout\tthe\npregnancy.\tA\tmother\tneed\tnot\tworry\tthat\ther\tmilk\twill\tbe\tany\tless\tnutritious\tfor\ther\tnursling.\tShe
|
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] |
may\tbe\tconcerned\tthat\tthe\tact\tof\tbreastfeeding\twill\tinterfere\twith\ther\tpregnancy,\tbut\tthat\tis\tnot\ta\nvalid\tconcern\tunless\tshe\texperiences\ta\tdifficult\tpregnancy\tand\tis\tat\trisk\tfor\tearly\tlabor.\nIncreased\n\tfatigue\tand\tnausea\tearly\tin\tpregnancy\tmay\tbe\tchallenging\tfor\tthe\texpectant\tmother;
|
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however,\tif\tbreastfeeding\tcontinues,\trest\tand\ta\tconcerted\teffort\tto\tmaintain\tgood\tnutritional\tintake\tis\na\tmust.\tSore\tnipples\tare\talso\tcommon\tearly\tin\tpregnancy\tand\tmay\tbe\tthe\tfirst\tsign\tto\tthe\tmother\nthat\tshe\tis\tpregnant.\tShe\tmay\tneed\tto\temploy\tmethods\tof\tdealing\twith\tnipple\ttenderness\t(i.e.,\ndistraction,\tpain\tmanagement
|
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distraction,\tpain\tmanagement\n\ttechniques)\tto\tget\tthrough\tthis\tperiod\tof\ttime\tif\tbreastfeeding\tis\tto\ncontinue.\tBecause\tthe\tquantity\tof\tthe\tmilk\tmay\tdecrease\tand\tthe\ttaste\tof\tthe\tmilk\tmay\tchange\tearly\nduring\tpregnancy,\tthe\tnursling\tmay\treject\tbreastfeeding\taltogether\tand\tself-wean.\tA\tmother\tmay
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need\tto\tprovide\tencouragement\tto\tthe\tbaby\tto\tcontinue\tto\tbreastfeed,\tespecially\tif\tthe\tbaby\tis\tvery\nyoung\tand\tstill\tdependent\ton\n\tbreast\tmilk\tto\tfulfill\tthe\tmajority\tof\tnutritional\tneeds.\nTandem\tnursing\nTandem\tnursing\tis\twhen\tthe\tmother\tbreastfeeds\tsiblings\twho\tare\tnot\ttwins.\tAs\tsoon\tas\tthe\tplacenta
|
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is\tdelivered,\tthe\tmother\twill\tbegin\tto\tproduce\tcolostrum\tonce\tagain.\tThe\tmother\tshould\tensure\tthat\nthe\tnew\tbaby\talways\thas\tpriority\tto\tthis\tbecause\tit\tprovides\tthe\tprotection\tthe\tnewborn\tneeds.\nSometimes\tmothers\tfind\tthat\n\tthe\tnursing\ttoddler\tis\ta\thelp\tto\ther\tby\tpreventing\tor\trelieving
|
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the\tnursing\ttoddler\tis\ta\thelp\tto\ther\tby\tpreventing\tor\trelieving\nengorgement.\tIn\tfact,\twith\tthe\tstronger\tsuck\tand\tintake\tof\tthe\ttoddler,\tthe\tmother\tmay\tbegin\tto\noverproduce\tfor\tthe\tnewborn.\tIf\tshe\tdevelops\ta\tstrong\tlet-down\treflex\treleasing\ta\tlarge\tquantity\tof
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milk\twhen\tthe\tnewborn\tfirst\tlatches,\tit\tmay\tcause\tcoughing\tand\tchoking.\tIn\tthis\tcase\tthe\tmother\nmay\twant\tto\texpress\ta\tsmall\tamount\tof\tmilk\n\tbefore\tlatching\ther\tnewborn,\tor\tsimply\tallow\tthe\ttoddler\nto\tnurse\tfor\ta\tfew\tminutes\tfirst.\nConcerns\tof\thygiene\tare\tunwarranted\twhen\ta\tmother\tis\tnursing\ttwo\tsiblings.\tThe\tsmall\tbumps\ton\nthe\tareola\tcalled
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itself.\tIf,\thowever,\tthe\tmother\tor\tone\tchild\tdevelops\tthrush,\tshe\tis\tadvised\tto\tlimit\teach\tchild\tto\tone\nbreast\ttemporarily.\nAn\tolder\tbaby\twho\thas\tweaned\tprior\tto\tthe\tbirth\tof\ta\tnew\tsibling\tmay\texpress\tinterest\tin\nbreastfeeding\tagain.\tHandling\tthis\tsituation\tis\ta\tdelicate\tone\tand\tcalls\tfor\tspecial\tattention\tto\n\tthe
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in\tbreastfeeding\twhile\tstill\tvery\tyoung\t(i.e.,\tyounger\tthan\t12\tmonths),\tthe\tmother\tcan\ttry\tvarious\nmethods\tof\tencouraging\tthe\tbaby\tto\tcontinue\tto\tbreastfeed,\tsuch\tas\tensuring\ta\tgood\tposition\tat\tthe\nbreast,\tand\tcutting\tout\tany\tbottles\tor\tfoods\tso\tthat\tmore\tnutrition\twill\tbe\toffered\tthrough\nbreastfeeding.\tAn\tolder\tbaby
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] |
breastfeeding.\tAn\tolder\tbaby\n\tmay\tbe\tdistracted\teasily\tduring\tnursing\tsessions;\ta\tquiet,\tdarkened\nroom\tmay\thelp\tto\tkeep\tthe\tbaby\tfocused\ton\tnursing\tand\tget\tback\ton\ttrack\twith\tbreastfeeding\nregularly.\tHuman\tmilk\tremains\ta\tnutritious\tfluid\tfor\tas\tlong\tas\tit\tis\tproduced\tby\tthe\tmother;
|
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] |
however,\tthe\tbreastfeeding\trelationship\tchanges\tas\tthe\tbaby\tgets\tolder.\tBabies\tmay\tshow\ta\tlack\tof\ndesire\tto\tbreastfeed\tat\tdifferent\tages,\tdepending\n\ton\tmany\tfactors.\tAs\tthe\tchild\tgrows,\tbreastfeeding\nbecomes\tless\tof\ta\tnutritional\tneed\tbut\tmore\tof\ta\tneed\tfor\tthe\tpsychological\tbond\twith\ttheir\tmother.
|
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Older\tinfants\tmay\tbe\thappy\tto\tnurse\tthree\tto\tfour\ttimes\ta\tday,\tand\ttoddlers\tmay\tshow\tinterest\tonly\nevery\tnow\tand\tthen.\nSome\tmothers\tmay\tchoose\t\nmother-led\tweaning\n,\twhich\tis\twhen\tthe\tmother\tencourages\tthe\tbaby\nto\tstop\tbreastfeeding.\tShe\tmay\tbegin\n\tto\toffer\tother\tfoods\tor\tbeverages\twhen\tthe\tbaby\twants\tto\tnurse
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to\toffer\tother\tfoods\tor\tbeverages\twhen\tthe\tbaby\twants\tto\tnurse\nor\ttry\tto\tdistract\tthe\tbaby\tin\tother\tways.\tIf\tthis\tmethod\tis\tused,\tthe\tmother\tshould\tensure\tthat\tthe\nbaby’s\temotional\tneeds\tare\tmet\tbecause\tthis\tcould\tbe\ta\ttrying\ttime\tfor\tmother\tand\tchild.\tThe
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] |
decision\tis\tup\tto\tthe\tmother,\tand\ther\tdecision\tshould\tbe\tsupported,\talthough\tif\tat\tall\tpossible,\tshe\nshould\tbe\tencouraged\tto\tprovide\ther\tmilk\n\tthroughout\tthe\tfirst\tyear\tfor\ther\thealth\tand\tthe\thealth\tof\nher\tbaby.\nReturn\tto\twork\tor\tschool\nA\tmother’s\treturn\tto\twork\tor\tschool\tcan\tbe\ta\tmajor\tchallenge\tfor\tcontinued\tsuccessful
|
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breastfeeding;\thowever,\tit\tis\tpossible\tand\tencouraged.\tIf\ta\tnursing\tmother\treturns\tto\twork\tor\tschool,\nit\tis\tbest\tto\twait\tuntil\tbreastfeeding\tis\tgoing\twell\tand\ta\tgood\tmilk\tsupply\thas\tbeen\testablished.\nBabies\tplaced\n\tin\tchild\tcare\texperience\ta\thigher\tchance\tof\tbecoming\till\twhen\texposed\tto\tother
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children;\thowever,\tbreastmilk\toffers\tprotection\tagainst\tgerms\tthe\tchild\tis\tlikely\tto\tbe\texposed\tto\tin\nthese\tenvironments.\nAn\texclusive\tdiet\tof\thuman\tmilk\tcontinues\tto\tprovide\toptimal\tnutrition\tthrough\tthe\tbaby’s\tfirst\t6\nmonths.\tAfter\tthat\ttime,\twhen\tappropriate\tsolid\tfoods\tare\tintroduced\tinto\tthe\tbaby’s\tdiet,\tmother’s
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helps\tto\tmaintain\tan\temotional\tconnection\twith\ther\tbaby\tbecause\tshe\twill\tbe\treminded\tphysically\nthroughout\tthe\tday\tof\tthe\tneed\tto\texpress\tmilk\tfrom\ther\tbreasts.\tShe\talso\tcan\tcontinue\tto\tpreserve\nthe\tbreastfeeding\n\trelationship\twith\ther\tbaby\twhen\tat\thome.\tBecause\tof\tthe\tadvance\tin\tquality\tof
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breast\tpumps\ton\tthe\tmarket\ttoday,\tmothers\tare\table\tto\texpress\tmilk\tand\tmaintain\ttheir\tsupply\neffectively\tand\tcomfortably.\tSee\t\nTable\t14.18\n\tfor\tbreastmilk\thome\tstorage\tguidelines.\nTABLE\t14.18\nHome\tStorage\tof\tHuman\tMilk\nLocations\tand\tTemperatures\nType\tof\tBreastmilk\nCountertop\t–\tRoom\nTemperature\t(≤\t77°\tF\nor\t25°\tC)\nRefrigerator\n(40°\tF\tor\t4°\nC)
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] |
Temperature\t(≤\t77°\tF\nor\t25°\tC)\nRefrigerator\n(40°\tF\tor\t4°\nC)\nFreezer\t(≤\t0°\tF\tor\t−18°\nC)\nFreshly\tExpressed\tor\nPumped\nUp\tto\t4\thours\nUp\tto\t4\tdays\nWithin\t6\tmonths\tis\tbest,\tup\nto\t12\tmonths\tis\nacceptable\nThawed,\tPreviously\tFrozen\n1–2\thours\nUp\tto\t1\tday\t(24\nhours)\nNever\trefreeze\thuman\tmilk\nLeftover\tfrom\ta\tFeeding\n(\nbaby\tdid\n\tnot\tfinish\tthe\nbottle)
|
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] |
Leftover\tfrom\ta\tFeeding\n(\nbaby\tdid\n\tnot\tfinish\tthe\nbottle)\nUse\twithin\t2\thours\tafter\tbaby’s\tlast\tfeeding\tor\tdiscard\nAdapted\tfrom\tCDC:\t\nProper\tStorage\tand\tPreparation\tof\tBreast\tMilk\n\t(website):\nhttps://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm\n,\t2018.
|
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,\t2018.\nMany\tmothers\tare\table\tto\tobtain\tbreast\tpumps\tusing\ttheir\thealth\tinsurance\tor\tthrough\tthe\tWIC\nprogram.\tFederal\tand\tstate\tlaws\talso\toffer\tprotection\tfor\tthe\n\tlactating\tworker\tso\tthat\tshe\tis\tensured\na\tprivate,\tclean\tspace\t(other\tthan\ta\trestroom)\tto\texpress\ther\tmilk\twhile\taway\tfrom\ther\tbaby.
|
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] |
challenges\twith\ta\tlactation\tprofessional.\nCLINICAL\tCASE\tSTUDY\t1\nCarol\tis\ta\t34-year-old\twoman\twho\twas\tpregnant\trecently\tfor\tthe\tfirst\ttime,\tbut\tthe\tbaby\thad\nanencephaly\tand\tdied\tat\tbirth.\tShe\thas\ta\tsister\twho\thas\tspina\tbifida\tand\tan\tolder\tbrother\twho\thad\na\tstroke\twhen\the\twas\t14.\tCarol\thas\tnow\tbeen\ttested\tand\tfound\tto\thave\ta\tgenetic\tdefect\tknown\tas
|
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a\t677C>T\tpolymorphism\tin\tthe\tmethylenetetrahydrofolate\treductase\t(MTHFR)\tgene.\nOf\tcourse,\tshe\tand\ther\thusband\twere\n\tdevastated\twith\tthe\tloss\tof\ttheir\tfirst\tchild,\tbut\tthey\talso\nvery\tmuch\twant\tto\tbe\tparents.\tShe\thas\tgone\tto\tgenetic\tcounseling\tbut\tis\talso\tcoming\tto\tyou\tto
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] |
find\tout\twhat\tshe\tcan\tdo\tto\tlower\tthe\tchances\tthat\tthis\thappens\tagain.\tShe\tis\tworried\tabout\tusing\nthe\ttraditional\tprenatal\tvitamin-mineral\tsupplement\tbecause\tshe\thas\tbeen\tcautioned\tthat\tshe\tis\nunable\tto\tmetabolize\tfolic\tacid\tfrom\tdiet\tand\tsupplements.\nNutrition\tdiagnostic\tstatement\n•
|
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] |
Nutrition\tdiagnostic\tstatement\n•\t\nAltered\tnutrient\t(folic\tacid)\tmetabolism\trelated\tto\ta\tgenetic\talteration\tas\tevidenced\tby\npositive\tresults\tfor\tC>T\tin\tthe\tMTHFR\tgene\tand\tfamily\thistory\tof\tspina\tbifida\tand\tstroke.\nNutrition\tcare\tquestions\n1.\t\nWhat\tadvice\twould\tyou\tgive\tCarol\tabout\tany\tspecial\tdietary\tchanges?\n2.
|
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] |
2.\t\nCarol\tknows\tthat\tthere\tis\ta\tspecial\tprenatal\tvitamin-mineral\tsupplement\n\tavailable\tbut\tdoes\nnot\tknow\thow\tto\tobtain\tit.\tHow\twill\tyou\thelp\tCarol\tfind\tthis\tsupplement?\n3.\t\nWhat\tare\tthe\trisks\tfor\ta\tsuccessful\tpregnancy\toutcome\tif\tCarol\tcannot\tfind\tthis\tspecial\nprenatal\tsupplement?\n4.\t\nWhat\tother\tconcerns\tdo\tyou\thave\tregarding\ther\tpregnancy?
|
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] |
CLINICAL\tCASE\tSTUDY\t2\nCecilia\tis\t3\tmonths\tpostpartum\tafter\ta\tnormal\tlabor\tand\tfull-term\tdelivery.\tShe\ttells\tyou\tthat\tshe\nis\texclusively\tbreastfeeding\ther\tbaby\tabout\teight\ttimes\ta\tday\tbut\tis\tvery\ttired\tand\tis\tnot\tgetting\nmuch\tsleep\tbecause\ther\tbaby\talways\tseems\tfussy\tbetween\tfeedings—day\tand\tnight.\tShe\thas\tbeen
|
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] |
determined\tto\tlose\ther\t“baby\tweight”\tand\tfor\tthe\tpast\t6\tweeks,\tshe\thas\tbeen\trestricting\n\ther\ncaloric\tintake\tto\taround\t1200\tcalories/day,\tincluding\tapproximately\tsix\tdiet\tdrinks\tevery\tday.\tShe\nreports\tthat\tthe\tpediatrician\ttold\ther\tthat\tthe\tbaby’s\tweight\tgain\thas\tslowed\tover\tthe\tpast\tmonth
|
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] |
and\tshe\twould\tlike\ther\tto\tbegin\tsupplementing\tthe\tbaby\twith\tformula.\tShe\tis\thesitant\tto\tdo\tthis\nbecause\ther\tgoal\tis\tto\tcontinue\tbreastfeeding\texclusively\tuntil\tthe\tbaby\tis\t6\tmonths\told,\tand\n\tthen\npossibly\tcontinue\tuntil\tat\tleast\tthe\tbaby’s\tfirst\tbirthday.\nNutrition\tdiagnostic\tstatement\n•
|
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Nutrition\tdiagnostic\tstatement\n•\t\nDifficulty\tbreastfeeding\trelated\tto\tpoor\tmaternal\tdietary\tintake\tas\tevidenced\tby\tmother’s\nreport\tof\tinappropriate\tdiet\tand\tbaby’s\tpoor\tweight\tgain\nNutrition\tcare\tquestions\n1.\t\nWhat\twould\tyou\ttell\tCecilia\tregarding\ther\tconcern\tabout\tlosing\ther\t“baby\tweight”?\n2.\t\nWhat\twould\tyou\ttell\ther
|
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2.\t\nWhat\twould\tyou\ttell\ther\n\tto\tdo\tto\timprove\ther\tdietary\tintake?\n3.\t\nHow\twould\tyou\taddress\ther\tbaby’s\tfussiness\tand\tinadequate\tweight\tgain?\n4.\t\nWhat\tadvice\twould\tyou\tgive\ther\tto\tpreserve\ther\tbreastfeeding\tand\tachieve\ther\nbreastfeeding\tgoals?\nUseful\twebsites\nAcademy\tof\tBreastfeeding\tMedicine\nAmerican\tAcademy\tof\tPediatrics
|
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Academy\tof\tBreastfeeding\tMedicine\nAmerican\tAcademy\tof\tPediatrics\nAmerican\tCollege\tof\tObstetrics\tand\tGynecologists-Breastfeeding\tPage\nBlack\tMothers’\n\tBreastfeeding\tAssociation\nCarolina\tGlobal\tBreastfeeding\tInstitute\nCenters\tfor\tDisease\tControl\tand\tPrevention\nFood\tSafety\tfor\tPregnant\tWomen
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Food\tSafety\tfor\tPregnant\tWomen\nInfant\tRisk\tCenter-Texas\tTech\tUniversity\tHealth\tSciences\tCenter\nInternational\tBoard\tof\tLactation\tConsultant\tExaminers\nInternational\tLactation\tConsultant\tAssociation\nLa\tLeche\tLeague\nLactation\tEducation\tResources\nLactMed—a\tToxnet\tDatabase\nNational
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Lactation\tEducation\tResources\nLactMed—a\tToxnet\tDatabase\nNational\n\tAssociation\tof\tProfessional\tand\tPeer\tLactation\tSupporters\tof\tColor\t(NAPPLSC)\nNational\tMaternal\tand\tChild\tOral\tHealth\tResource\tCenter\nNatural\tMedicines\tComprehensive\tDatabase\nOffice\ton\tWomen’s\tHealth:\tBreastfeeding\nReaching\tOur\tSisters\tEverywhere\nUnited\tStates\tBreastfeeding\tCommittee
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] |
Reaching\tOur\tSisters\tEverywhere\nUnited\tStates\tBreastfeeding\tCommittee\nUnited\tStates\tDepartment\tof\tAgriculture;\tMyPlate\tPlan\tfor\tMoms\nUnited\tStates\tFish\tConsumption\tAdvisories\nUnited\tStates\tLactation\tConsultant\tAssociation\nWomen’s\tHealth\tDietetic\tPractice\tGroup\nWorld\tAlliance\tfor\tBreastfeeding\tAction\t(WABA)\nReferences
|
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] |
World\tAlliance\tfor\tBreastfeeding\tAction\t(WABA)\nReferences\nAbramowitz\tA,\tMiller\tES,\tWisner\tKL.\t\nTreatment\toptions\tfor\thyperemesis\tgravidarum\n\tArch\nWomens\tMent\tHealth\t2017;20:\t363-372.\nReece-Stremtan\tS,\tMarinelli\tKA,\tAcademy\tof\tBreastfeeding\tMedicine\tProtocol\tCommittee\n(ABM).\t\nABM\tclinical\tprotocol\t#21:\tguidelines
|
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] |
(ABM).\t\nABM\tclinical\tprotocol\t#21:\tguidelines\n\tfor\tbreastfeeding\tand\tdrug-dependent\twoman\nBreastfeed\tMed\t3,\t2015;10:\t135-141.\nAdams\tWaldorf\tKM,\tMcAdams\tRM.\t\nInfluence\tof\tinfection\tduring\tpregnancy\ton\tfetal\ndevelopment\n\tReproduction\t2013;146:\tR151-\tR162.\nAgarwal\tMM.\t\nGestational\tdiabetes\tmellitus:\tan\tupdate\ton\tthe\tcurrent\tinternational\tdiagnostic
|
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] |
criteria\n\tWorld\tJ\tDiabetes\t2015;6:\t782-792.\nAhrens\tKA,\tHutcheon\tJA,\tAnanth\tCV.\tet\tal.\t\nReport\n\tof\tthe\tOffice\tof\tPopulation\tAffairs’\texpert\nwork\tgroup\tmeeting\ton\tshort\tbirth\tspacing\tand\tadverse\tpregnancy\toutcomes:\tmethodological\nquality\tof\texisting\tstudies\tand\tfuture\tdirections\tfor\tresearch\n\tPaediatr\tPerinat\tEpidemiol\t1,
|
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] |
Paediatr\tPerinat\tEpidemiol\t1,\n2018;33:\tO5-\tO14\tdoi:10.1111/ppe.12504.\nAmerican\tAcademy\tof\tPediatrics,\tSection\ton\tBreastfeeding.\t\nBreastfeeding\tand\tthe\tuse\tof\thuman\nmilk\n\tPediatrics\t2012;129:\te827-\te841.\nAmerican\tAcademy\tof\tPediatrics,\tAmerican\tCollege\tof\tObstetricians\tand\tGynecologists.
|
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Breastfeeding\thandbook\tfor\tphysicians\ted.\t2,\t2013;\tAmerican\tAcademy\tof\tPediatrics\tElk\nGrove\tVillage,\tIL.\nAmerican\tCollege\tof\tObstetricians\tand\tGynecologists.\t\nACOG\tcommittee\topinion\tNo.\t495:
|
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] |
Global\tDRIs\tfor\tPregnant\tWomen\t(PW)\tand\tWomen\tWho\tAre\tBreastfeeding\t(BF)\n[Ranges\tvary\twith\tage,\ttime\tperiod\t(pregnancy\ttrimesters,\tearly\tvs.\tlate\tlactation),\tdegree\tof\tlactation\t(full\tvs.\tpartial),\tmaternal\tfat\tstores,\twell-nourished\tvs\tundernourished,\tand\tnutrient\tbioavailability.]\nUnited\tStates,\tCanada\n(1)\nUnited\tKingdom\t(2)\nItaly\t(3)
|
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] |
United\tStates,\tCanada\n(1)\nUnited\tKingdom\t(2)\nItaly\t(3)\nGerman\tGroup\n(4)\nNordic\tGroup\t(5)\nNetherlands\t(6)\nSpain\t(7)\nNutrient\nPW\nBF\nPW\nBF\nPW\nBF\nPW\nBF\nPW\nBF\nPW\nBF\nPW\nBF\nCalories,\tadded\nto\tbaseline\n340-452\n330-400\n200\n330\n350-460\n330\n255\n285-635\n96-525\n478-669\n287\n502\n250\n500\nProtein,\tg\n(baseline\nestimates\tvary\nby\tcountry)\n71\t(a)\tBase\n+\t0.3\ng/kg
|
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(baseline\nestimates\tvary\nby\tcountry)\n71\t(a)\tBase\n+\t0.3\ng/kg\ncurrent\nbody\nweight/d\n71\t(a)\nBase\n+\t0.5\ng/kg/d\n51\t(a)\nBase\n+\t6\ng\n51\t(a)\nBase\n+\t8-\n11\tg\nBase\t+\t1-26\ng\nBase\t+\t14-21\ng\n58\tg\n63\tg\n10%-20%\nkcal\n10%-20%\nkcal\n62\tg\n65\tg\nBase\t+\n15\tg\nBase\t+\nFat,\tg\nPUFA\t6.5%\nkcal\nPUFA\t6.5%\nkcal\nLCPUFA\n5%-10%\nkcal\nLCPUFA\n5%-10%\nkcal\nPUFA\n5%-10%\nkcal\nPUFA\n5%-10%\nkcal
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5%-10%\nkcal\nLCPUFA\n5%-10%\nkcal\nPUFA\n5%-10%\nkcal\nPUFA\n5%-10%\nkcal\nPUFA\n12%\nkcal\nPUFA\n12%\nkcal\nLinoleic\tacid,\tg\n13\n13\nω-6\t4%-8%\nkcal\nω-6\t4%-8%\nkcal\nω-6\n2.5%\nkcal\nω-6\n2.5%\nkcal\n5%\tkcal\tEFA\n(ω-6\t+\nω-3)\n5%\tkcal\tEFA\n(ω-6\t+\nω-3)\n2.5%\nkcal\n2.5%\nkcal\n3%\tkcal\n3%\tkcal\nAlpha-linolenic\nacid,\tg\n1.4\n1.3\nω-3\n0.5%-2.0%\nkcal\nω-3\n0.5%-2.0%\nkcal\nω-3\n0.5%\nkcal\nω-3
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1.4\n1.3\nω-3\n0.5%-2.0%\nkcal\nω-3\n0.5%-2.0%\nkcal\nω-3\n0.5%\nkcal\nω-3\n0.5%\nkcal\n5%\tkcal\tEFA\n(ω-6\t+\nω-3)\n5%\tkcal\tEFA\n(ω-6\t+\nω-3)\n1%\tkcal\n1%\tkcal\n1-2%\tkcal\n1-2%\tkcal\nDHA,\tmg\n100-200\n100-200\n200\n200\n200\n200\n200\tω-3\n200\tω-3\n300\n300\nCarbohydrate,\tg\n175\n210\n50%\tkcal\n50%\tkcal\n45%-60%\nkcal\n45%-60%\nkcal\n45%-60%\nkcal\n45%-60%\nkcal\n40%\nkcal\n40%\nkcal\n50-60%\nkcal
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] |
45%-60%\nkcal\n45%-60%\nkcal\n45%-60%\nkcal\n40%\nkcal\n40%\nkcal\n50-60%\nkcal\n50-60%\nFiber,\tg\n28\n29\n25-30\n25-30\n12.6-\n16.7/1000\nkcal\n12.6-\n16.7/1000\nkcal\n25-35\n25-35\n12-14\ng/1000\nkcal\n12-14\nWater,\ttotal,\tliter\n3.0\n3.8\n2.2-2.3\n2.6-2.7\n2.36\n2.71\nVitamin\tA\tmcg\nRAE\n750-770\n1200-1300\n700\n950\n700\n1000\n1100\n1500\n800\n1100\n800\n1100\n800\n1300\nThiamin,\tmg\n1.4\n1.4
|
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0.05771678313612938,
-0.03095918335020542,
0.059686511754989624,
0.10048801451921463,
0.1222010999917984,
0.09638797491788864,
-4.5360188494214526e-8,
0.09172279387712479,
0.009515484794974327,
-0.07656966149806976,
0.08325426280498505,
0.021943354979157448,
0.055599477142095566,
-0.06842271238565445,
0.010317015461623669,
0.021998213604092598,
-0.033011436462402344,
0.060512349009513855,
0.024935275316238403,
-0.06434981524944305,
-0.005775474943220615,
-0.08573327958583832,
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-0.06344373524188995,
0.14933514595031738,
-0.008190854452550411,
-0.050662409514188766,
-0.021472465246915817,
0.042440153658390045,
-0.01021115854382515,
-0.001483536441810429,
0.04309559985995293,
-0.015676449984312057,
-0.07602804899215698,
0.04337751492857933,
-0.014002365060150623,
0.08001680672168732,
-0.038322173058986664,
-0.0719413161277771,
0.01275544986128807,
0.02705499902367592,
0.017716893926262856,
0.023763999342918396,
-0.1342202126979828,
0.0010383555199950933,
0.007625505793839693,
0.02418173849582672,
-0.051764052361249924,
-0.14085865020751953,
-0.03758561238646507,
0.05468418076634407,
0.045612629503011703,
-0.06657516956329346,
-0.04061368480324745,
0.017449568957090378,
0.046732522547245026,
-0.049229420721530914,
-0.02261763997375965,
0.051655322313308716,
-0.02218691073358059,
-0.04582161828875542,
-0.04401068016886711,
0.0069920364767313,
-0.004505062010139227,
-0.05125102400779724,
-0.06261584907770157,
0.000012439538295438979,
-0.002992957830429077,
-0.02730269357562065,
-0.040267813950777054,
-0.029335105791687965
] |
950\n700\n1000\n1100\n1500\n800\n1100\n800\n1100\n800\n1300\nThiamin,\tmg\n1.4\n1.4\n0.8-0.9\n0.9-1.0\n1.4\n1.4\n1.2\n1.4\n1.5\n1.6\n1.4\n1.7\n1.0-1.1\n1.1-1.2\nRiboflavin,\tmg\n1.4\n1.6\n1.4\n1.6\n1.7\n1.8\n1.5\n1.6\n1.6\n1.7\n1.4\n1.7\n1.5-1.7\n1.6-1.8\nNiacin,\tmg\tNE\n18\n17\n12-14\n14-16\n22\n22\n15\n17\n17\n20\n17\n20\n16-19\n17-20\nVitamin\tB\n6\n,\tmg\n1.9\n2.0\n1.0-1.2\n1.0-1.2\n1.9\n2.0\n1.9\n1.9\n1.4\n1.5\n1.9
|
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0.06626459211111069,
0.04422370344400406,
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0.003908384125679731,
1.5454549327917013e-33,
0.01856962963938713,
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0.015960313379764557,
0.006363704800605774,
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0.024653805419802666,
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0.09829160571098328,
0.05592137947678566,
0.03536001592874527,
0.07876677066087723,
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0.060382694005966187,
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0.0022114573512226343,
0.07953601330518723,
0.04695674777030945,
0.039407018572092056,
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0.04677708446979523,
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0.08371417224407196,
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-0.05784199386835098,
-0.041325610131025314,
-0.03682665526866913,
-0.02393907494843006,
-0.0712566152215004,
0.01939178630709648,
-0.010762735269963741,
-0.022824201732873917,
-0.03464527055621147,
0.03535972908139229,
0.003168395720422268,
-0.024454999715089798,
0.036889392882585526,
-0.03915906697511673,
-0.08985786885023117,
-0.007089915219694376,
0.004010555800050497,
0.04775110259652138,
0.06857502460479736,
-0.02831437811255455,
-0.003107251599431038,
0.015471700578927994,
0.01830081082880497,
-0.026497937738895416,
-0.12164387851953506,
-0.006456965114921331,
0.01945372298359871,
-0.0204573106020689,
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-0.11042607575654984,
-0.03613458573818207,
0.0279083214700222,
0.03442537039518356,
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0.012112976983189583,
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0.0455169677734375,
0.07445807754993439,
0.008787361904978752,
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] |
Vitamin\tB\n6\n,\tmg\n1.9\n2.0\n1.0-1.2\n1.0-1.2\n1.9\n2.0\n1.9\n1.9\n1.4\n1.5\n1.9\n1.9\n1.9\n2.0\nFolate,\tmcg\tDFE\n600\n500\n300\n260\n600\n500\n550\n450\n500\n500\n400(d)\n400\n600\n500\nVitamin\tB\n12\n,\tmcg\n2.6\n2.8\n1.2-1.5\n1.7-2.0\n2.6\n2.8\n3.5\n4.0\n2.0\n2.6\n3.2\n3.8\n2.2\n2.6\nPantothenic\tacid,\nmg\n6\n7\n6\n7\n6\n6\n5\n7\n6\n7\nBiotin,\tmcg\n30\n35\n35\n35\n30-60\n30-60\n40\n45\n30\n35\nCholine,\tmg\n450\n550
|
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] |
7\nBiotin,\tmcg\n30\n35\n35\n35\n30-60\n30-60\n40\n45\n30\n35\nCholine,\tmg\n450\n550\nVitamin\tC,\tmg\n80-85\n115-120\n45-50\n65-70\n100\n130\n110\n150\n85\n100\n85\n100\n80\n85\nVitamin\tD,\tmcg\n15\n15\n10\n10\n15\n15\n20\n20\n10\n10\n10(d)\n10\n15\n15\nVitamin\tE,\tmg\n15\n19\n12\n15\n13\n17\n10\n11\n10\n11\n14-15\n16-17\nVitamin\tK,\tmcg\n75-90\n75-90\n140\n140\n60\n60\n70\n70\n90\n90\nBoron,\tmg\nCalcium,\tmg\n1000-1300
|
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-0.11113439500331879,
0.0006432094960473478,
-0.03278851509094238,
0.04179246723651886,
-0.09662231057882309,
-0.15660440921783447,
-0.04490382969379425,
0.03916691616177559,
0.05654265359044075,
-0.03168359026312828,
-0.04266910254955292,
0.05144474655389786,
-0.010788085870444775,
0.006617027800530195,
-0.04622223228216171,
0.05331842973828316,
0.044730085879564285,
-0.05397668108344078,
-0.05076819285750389,
-0.003520677797496319,
0.004421848803758621,
-0.03982503339648247,
-0.012039042077958584,
-0.030117010697722435,
-0.027108173817396164,
0.054050348699092865,
-0.024263162165880203,
-0.0329822413623333
] |
75-90\n75-90\n140\n140\n60\n60\n70\n70\n90\n90\nBoron,\tmg\nCalcium,\tmg\n1000-1300\n1000-1300\n700-800\n1250-1350\n1000\n1000\n1000-\n1200\n1000-\n1200\n900\n900\n1000\n1000\n1300\n1300\nChloride,\tg\n2.3\n2.3\n2.5\n2.5\n2.3\n2.3\n0.83\n0.83\n2.3\n2.3\nChromium,\tmcg\n29-30\n44-45\n30\n45\n30-100\n30-100\n30\n45\nCopper,\tmg\n1.0\n1.3\n0.8-1.2\n1.1-1.5\n1.2\n1.6\n1.0-1.5\n1.0-1.5\n1.0\n1.3\n1.0\n1.3\n1.1\n1.4
|
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0.05636310949921608,
0.06752342730760574,
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0.05137107893824577,
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0.059772394597530365,
0.039233122020959854,
0.06660880893468857,
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0.004048482980579138,
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0.10994987934827805,
0.012899731285870075,
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0.0346902459859848,
0.003666994860395789,
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0.0606229230761528,
0.02510913461446762,
0.019323693588376045,
0.02810424007475376,
0.014299285598099232,
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0.005303557496517897,
0.03489923104643822,
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0.037438079714775085,
0.01217866875231266,
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0.02528601884841919,
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0.034388404339551926,
0.06174256280064583,
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0.03187206760048866,
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0.038577333092689514,
0.06367383152246475,
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0.013165179640054703,
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0.00872657261788845,
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] |
1.3\n0.8-1.2\n1.1-1.5\n1.2\n1.6\n1.0-1.5\n1.0-1.5\n1.0\n1.3\n1.0\n1.3\n1.1\n1.4\nFluoride,\tmg\n3.0\n3.0\n3.0\n3.0\n3.1\n3.1\n2.9\n2.9\n3.0\n3.0\nIodine,\tmcg\n220\n290\n130-140\n130-140\n220\n290\n230\t(b),\n200\n(c)\n260\t(b),\n200\n(c)\n175\n200\n175\n200\n135-140\n155-160\nIron,\tmg\n27\n9-10\n14.8\n14.8\n27\n11\n30\n20\n(d)\n15\n(d)\n15\n18\n18\nMagnesium,\n\tmg\n350-400\n310-360\n270-300\n320-350\n240\n240\n310
|
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] |
15\n18\n18\nMagnesium,\n\tmg\n350-400\n310-360\n270-300\n320-350\n240\n240\n310\n390\n280\n280\n280\n280\n450\n450\nManganese,\tmg\n2.0\n2.6\n2.5\n3.1\n2.0-5.0\n2.0-5.0\n3.0\n3.0\n2.0\n2.6\nMolybdenum,\nmcg\n50\n50\n50\n50\n50-100\n50-100\n65\n65\n50\n50\nPhosphorus,\tmg\n700-1250\n700-1250\n550-625\n990-1065\n700\n700\n800-\n1250\n900-\n1250\n700\n900\n700\n900\n700\n700\nPotassium,\tg\n2.6-2.9\n2.5-2.8
|
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] |
1250\n900-\n1250\n700\n900\n700\n900\n700\n700\nPotassium,\tg\n2.6-2.9\n2.5-2.8\n3.1-3.5\n3.1-3.5\n3.9\n3.9\n2.0\n2.0\n3.1\n3.1\n3.1\n3.1\n3.5\n3.5\nSelenium,\tmcg\n60\n70\n45-60\n60-75\n55\n70\n30-70\n30-70\n60\n60\n60\n60\n65\n75\nSodium,\tg\n1.5\n1.5\n1.6\n1.6\n1.5\n1.5\n0.55\n0.55\n1.5\n1.5\nZinc,\tmg\n11-12\n12-13\n7-9\n9.5-15.0\n11\n13\n10\n11\n9\n11\n9\n11\n20\n25\nDFE\n,\tDietary\tfolate\tequivalent;\t\nDHA
|
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] |
11\n13\n10\n11\n9\n11\n9\n11\n20\n25\nDFE\n,\tDietary\tfolate\tequivalent;\t\nDHA\n,\tdocosahexaenoic\tacid;\t\nDPA\n,\tdocosapentaenoic\tacid;\t\nEFA\n,\tessential\tfatty\tacids;\t\nEPA\n,\teicosapentaenoic\tacid;\t\nLCPUFA\n,\tlong-chain\tpolyunsaturated\tfatty\tacids;\t\nNE\n,\tniacin\tequivalent;\t\nPUFA\n,\tpolyunsaturated\nfatty\tacids;\t\nRAE\n,\tretinol\tactivity\tequivalent.\n(a)
|
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] |
fatty\tacids;\t\nRAE\n,\tretinol\tactivity\tequivalent.\n(a)\t\nonly\tfor\ta\twoman\tat\treference\tweight\n(b)\t\nGermany,\tAustria\n(c)\t\nSwitzerland,\tWHO\n(d)\t\nneeds\tsupplementation\n1.\t\nUnited\tStates\tand\tCanada:\tOtten\tJJ\tet\tal:\t\nDietary\treference\tintakes:\tthe\tessential\tguide\tto\tnutrient\trequirements,
|
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] |
Washington,\tDC,\t2006,\tInstitute\tof\tMedicine\tof\tthe\tNational\tAcademies,\tNational\tAcademies\tPress;\tUSDA,\tNational\tAgricultural\nLibrary.\tDRI\tTables\tand\tApplication\tReports,\t2018\t(website):\t\nhttps://www.nal.usda.gov/fnic/dri-tables-and-application-reports\n.\tNational\tAcademies\tof\tSciences,
|
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.\tNational\tAcademies\tof\tSciences,\n\tEngineering,\tand\tMedicine,\tDietary\tReference\tIntakes\tfor\tSodium\tand\tPotassium,\tThe\nNational\tAcademies\tPress,\tWashington\tDC,\t2019.\n2.\t\nUnited\tKingdom:\tBritish\tNutrition\tFoundation:\t\nNutrient\tRequirements,\t2017\n\t(website):
|
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] |
Nutrient\tRequirements,\t2017\n\t(website):\t\nhttps://www.nutrition.org.uk/attachments/article/261/Nutrition%20Requirements_Revised%20Oct%202017.pdf\n.\n3.\t\nItaly:\tSocietà\tItaliana\tdi\tNutrizione\tUmana:\t\nLivelli\tdi\tassunzione\tdi\n\triferimento\tdi\tnutrienti\ted\tenergia\tper\tla\tpopolazione\titaliana,\n\tIV\trevisione,\t2014\t(website):
|
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] |
IV\trevisione,\t2014\t(website):\t\nhttp://www.sinu.it/html/pag/tabelle_larn_2014_rev.asp\n.\n4.\t\nGerman\tGroup\t(Germany,\tAustria,\tSwitzerland):\t\nDeutsche\tGesellschaft\tfür\tErnährung\te.V.:\n\tReferenzwerte\tfür\tdie\tnährstoffzufuhr,\t2017\t(website):\t\nhttps://www.dge.de/wissenschaft/referenzwerte/\n.\n5.\t\nNordic\tGroup\t(Norway,\tSweden,\tFinland,\tDenmark,
|
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] |
.\n5.\t\nNordic\tGroup\t(Norway,\tSweden,\tFinland,\tDenmark,\n\tFaroe\tIslands,\tIceland,\tGreenland,\t\nÅ\nland):\t\nNorden:\n\tNordic\tnutrition\trecommendations,\t2012\t(website)\t\nhttp://www.norden.org/en/theme/former-themes/themes-2016/nordic-nutrition-\nrecommendation/nordic-nutrition-recommendations-2012\n.\n6.
|
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] |
recommendation/nordic-nutrition-recommendations-2012\n.\n6.\t\nNetherlands:\tHealth\tCouncil\tof\tthe\tNetherlands,\tDietary\treference\tintakes\tenergy,\tproteins,\tfats,\tand\tdigestible\tcarbohydrates,\t2001\t(website):\t\nhttps://www.gezondheidsraad.nl/sites/default/files/0119er.pdf\n;\tHealth\tCouncil\tof\tthe\tNetherlands,
|
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] |
;\tHealth\tCouncil\tof\tthe\tNetherlands,\nEvaluation\tof\tdietary\treference\tvalues\tfor\tvitamin\tD,\t2012\t(website):\t\nhttps://www.gezondheidsraad.nl/sites/default/files/201215EEvaluationDietaryReferenceVitaminD.pdf\n;\tHealth\tCouncil\tof\tthe\tNetherlands.\tDietary\treference\tintakes:\tvitamin\tB\n6\n,\nfolate\tand\tvitamin\tB\n12\n,\t2003\t(website):
|
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] |
6\n,\nfolate\tand\tvitamin\tB\n12\n,\t2003\t(website):\t\nhttps://www.gezondheidsraad.nl/sites/default/files/summary_voedingsnormen.pdf\n;\tHealth\tCouncil\tof\tthe\tNetherlands.\tDietary\treference\tintakes:\tcalcium,\tvitamin\tD,\tthiamin,\triboflavin,\tniacin,\tpantothenic\tacid,\nand\tbiotin,\t2000\t(website):
|
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] |
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