Bejegyzés

Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers.

Heller MM, Fullerton-Stone H, Murase JE.
Int J Dermatol. 2012 Oct;51(10):1149-61.

Abstract

Breastfeeding is thought to be the most optimal form of infant nutrition. Nursing mothers are generally advised to continue breastfeeding until the infant is two years of age or beyond. Unfortunately, however, a majority of nursing mothers will discontinue breastfeeding much earlier than recommended. The most common reason for early discontinuation of breastfeeding is nipple pain. It is, therefore, essential that dermatologists know how to appropriately diagnose and effectively treat nipple pain associated with nipple dermatitis among nursing mothers. This review article provides a detailed discussion on the clinical features and management of various causes of nipple dermatitis during lactation, including problems with infant latch-on, congenital oral anomalies, plugged lactiferous ducts, atopic dermatitis, irritant contact dermatitis, allergic contact dermatitis, yeast infections, bacterial infections, herpes simplex virus, and Raynaud’s phenomenon of the nipple.
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Defining ankyloglossia: A case series of anterior and posterior tongue ties.

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.

Objective To determine the prevalence of anterior versus posterior ankyloglossia in a large series of consecutive patients and to assess clinical outcomes after frenotomy.
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The effect of maternal breast variations on neonatal weight gain in the first seven days of life

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.

Methods In this prospective cohort study, 100 healthy term neonates were followed from birth to day seven in two groups; Group A: fifty neonates born to mothers with specified breast variations and Group B: fifty neonates born to mothers without such breast variations (“normal breasts”). All neonates were the first child of their families and there was no sex ratio difference between the two groups.
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How Are Effective Breastfeeding Technique and Pacifier Use Related to Breastfeeding Problems and Breastfeeding Duration?

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.

Methods: Data were collected from the intervention group of a randomized trial in which health visitors followed up with mothers for 6 months after childbirth. The health visitors classified the breastfeeding technique at approximately 1 week after birth and repeated the observation if a correction was necessary….The primary outcome was duration of exclusive breastfeeding.

Results: ….
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Dose-effect study of domperidone as a galactagogue in preterm mothers with insufficient milk supply, and its transfer into milk

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.

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Decreased Full Breastfeeding, Altered Practices, Perceptions, and Infant Weight Change of Prepregnant Obese Women

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.
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Lactation Complicated by Overweight and Obesity: Supporting the Mother and Newborn

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.

Lactation has a small but significant role in preventing future obesity in the mother and child.
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Recognizing and Treating Delayed or Failed 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.

This article describes the maternal and infant conditions that contribute to the unsuccessful establishment of a full lactation. Treatment modalities that can maximize maternal lactation capacity and infant growth rates are offered.

A teljes cikk innen letölthető.

Journal of Midwifery & Women’s Health főoldal
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Radiologic Evaluation of Breast Disorders Related to Pregnancy and Lactation

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.

Pregnancy-related Burkitt lymphoma characteristically manifests with bilateral and diffuse involvement of the breasts. Fibroadenoma may manifest with growth, infarction, large cysts, prominent ducts, and secretory hyperplasia during pregnancy and lactation.
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Overabundant milk supply: an alternative way to intervene by full drainage and block feeding

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”).

Case presentations
Four cases of over-supply of breast milk are presented. The management and outcome of each case is described.
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