Academic literature on the topic 'Lactation support'
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Journal articles on the topic "Lactation support"
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Barbas, Kimberly H., and Lauren Mudgett. "Lactation Support and Breast Milk Management." Clinical Lactation 7, no. 3 (2016): 108–11. http://dx.doi.org/10.1891/2158-0782.7.3.108.
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The past 20 years have seen dramatic growth of hospital lactation programs. There are few regulatory guidelines leaving advocates for lactation services to justify need, safety, and best practice to implement changes. The professional networking group, Children’s Hospital Lactation Network, was surveyed about breast milk facilities and practices. Analysis of survey responses will provide lactation programs with information needed to identify improvements and recognize priorities for lactation practice and safe, effective breast milk management. Lactation programs need specific regulations to guide practice to enable them to receive funding for equipment and staffing and support to make decisions on policies and best practices. Specific recommendations, consistent between regulatory agencies and across the United States, would be beneficial to optimizing lactation support for hospitalized infants and their families.
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Jackson, Shera. "Providing Support for Lactation Professionals." Clinical Lactation 12, no. 2 (May 1, 2021): 53–55. http://dx.doi.org/10.1891/clinlact-d-21-00009.
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Chetwynd, Ellen M., and Victoria Facelli. "Lactation Support for LGBTQIA+ Families." Journal of Human Lactation 35, no. 2 (April 11, 2019): 244–47. http://dx.doi.org/10.1177/0890334419831269.
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Background: Despite a documented underutilization of healthcare by the LGBTQIA+ community due to fear of mistreatment, reproduction incurs a likely dependence on the medical system. Within breastfeeding medicine, the language used for breastfeeding or chestfeeding has broadened and there is an emphasis on inclusion of all types of gender identities; however, that care can be heavily biased toward the inclusion of all breasts/chests in infant feeding. Research aim: The purpose of this case study was to examine the impact of queer identity on the gestational and postpartum experience of a bisexual woman married to, and parenting with, a transgender man. It draws into perspective the need to practice in accordance with patients’ self-described gender and parenting roles. Results: The parenting roles of this couple were the same as any married, straight, cisgender couple, yet the family identified as queer. The mother in this case experienced low milk production, but the father had had chest reconstructive surgery and started hormones so that they could enter parenthood as the family they had envisioned for themselves. At no point was there any consideration that the father induce milk production for his baby or that chest reconstructive surgery had been mistimed. Their pregnancy support team was supportive of their gender identities and parenting roles, yet they still found themselves orienting and educating the healthcare team throughout their pregnancy and postpartum experience. Conclusions: Caring for the LGBTQIA+ community requires us to recognize our assumptions and act in affirming ways for all parents, regardless of their family constellation.
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Lennon, Tyler, Dalvery Bakewell, and Earnestine Willis. "Workplace Lactation Support in Milwaukee County 5 Years After the Affordable Care Act." Journal of Human Lactation 33, no. 1 (December 15, 2016): 214–19. http://dx.doi.org/10.1177/0890334416679617.
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Background: Workplace lactation support has become increasingly important because returning to work is associated with discontinuing breastfeeding and women in the workforce are increasing. Research aim: This study examined workplace lactation support among Milwaukee County businesses 5 years after implementation of the Affordable Care Act’s Break Time for Nursing Mothers provision. Methods: A cross-sectional survey of Milwaukee County businesses was conducted in the summer of 2015 that inquired about workplace policies, lactation spaces, and other lactation resources offered. Business supports were stratified based on employer sizes: large (> 500 employees), medium (50-499 employees), and small (20-49 employees). A lactation amenity score was calculated for each business based on lactation resources available. Results: Three hundred surveys were distributed and 71 businesses voluntarily completed the survey. Small employers were excluded from statistical analysis due to fewer responses ( n = 8). Overall, 87.3% ( n = 55) of respondents reported providing access to a multiuser space for lactation and 65.1% ( n = 41) reported providing a designated lactation space. Large employers ( n = 30) were more likely than medium employers ( n = 33) to provide a designated lactation space for breastfeeding or expressing (86.7% vs. 45.5%, p < .001). Large employers’ mean amenity score was significantly higher than that of medium employers (3.37 vs. 2.57, p = .014), and they were also more likely to offer additional supports including access to a lactation consultant, classes, and materials (46.7% vs. 12.1%, p < .01). Conclusion: Large employers provide more lactation support than medium employers in Milwaukee County. All employers, regardless of size, need to increase additional lactation support for women in the workplace.
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Genna, Catherine Watson. "Alcohol Use During Lactation and Offspring Outcomes." Clinical Lactation 10, no. 2 (May 1, 2019): 81–86. http://dx.doi.org/10.1891/2158-0782.10.2.81.
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News reports of decreased nonverbal reasoning in 6-year-old children exposed to alcohol in breast milk have ignited both concern about drinking during lactation and accusations of mother-shaming. Lactation consultants are often asked about the safety of drinking alcoholic beverages during lactation. Placing this study in the context of other research about alcohol use by lactating parents and the outcomes for their children can help provide evidence to support continued breastfeeding and child safety.
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Apple, Rachel, Paula Marincola Smith, Patricia Craft, Christianne Roumie, and Kyla Terhune. "Assessing Utilization, Benefits, and Shortfalls of Lactation Resources for Physician Trainees and Other Healthcare Providers." Clinical Lactation 12, no. 2 (May 1, 2021): 67–73. http://dx.doi.org/10.1891/clinlact-d-20-00031.
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ObjectiveThere is a need to support healthcare providers, including physician-mothers at all training levels, related to breastfeeding and expressing breast milk. This study was designed to understand the attitudes and preferences of lactating employees regarding current lactation resources at an academic medical center.MethodsCross-sectional survey. Respondents reported their satisfaction with current lactation resources on scale of 0 [complete dissatisfaction] to 100 [complete satisfaction]. Respondents were asked to identify greatest priorities for improvements to existing lactation spaces.Results304 (34.2%) respondents, of whom 69.3% anticipated using a lactation room in the next 5 years. Satisfaction with the current status of lactation rooms was low (mean score 37.8; SD 25.3). Accessible and proximal lactation spaces were highest priorities. More than 50% of respondents indicated daily use of a “nontraditional” lactation space.ConclusionThis study demonstrates the current state of healthcare providers' lactation-related experiences and highlights priorities for improvement, particularly provision of adequate lactation spaces.
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Clark, A., and Y. Lucero-Nguyen. "Evaluating a University Lactation Support Program." Journal of the Academy of Nutrition and Dietetics 120, no. 9 (September 2020): A67. http://dx.doi.org/10.1016/j.jand.2020.06.034.
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Farrow, Alice. "Lactation Support and the LGBTQI Community." Journal of Human Lactation 31, no. 1 (October 24, 2014): 26–28. http://dx.doi.org/10.1177/0890334414554928.
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Taylor, Yhenneko J., Victoria C. Scott, and C. Danielle Connor. "Perceptions, Experiences, and Outcomes of Lactation Support in the Workplace: A Systematic Literature Review." Journal of Human Lactation 36, no. 4 (June 12, 2020): 657–72. http://dx.doi.org/10.1177/0890334420930696.
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Background Despite legislation requiring break time and a private space to express milk, variations exist in accommodations for breastfeeding employees in the United States. Research Aims We aimed to describe employee and employer perceptions of and experiences with workplace lactation support in the United States and to identify research needed to inform workplace lactation support programs. Methods We searched Academic Search Complete, Business Search Complete, CINAHL, MEDLINE, PubMed, and PsycInfo for peer-reviewed articles published from 2009 to 2019 ( n = 1638). We included 27 articles. Studies were categorized into four non-exclusive themes: (a) employee perceptions of and experiences with workplace lactation support; (b) employer reports of workplace lactation support; (c) association between workplace lactation support and business outcomes; and (d) association between workplace lactation support and breastfeeding outcomes. Results Analyses of associations between lactation support at work and employee breastfeeding outcomes ( n = 14, 52%), and employee perceptions of and experiences with lactation support at work ( n = 14, 52%) were most common, followed by employer reports of lactation support ( n = 3, 11%) and associations between lactation support at work and job satisfaction ( n = 3, 11%). Results indicated that workplace lactation support varied by employer, and that employee perceptions of and experiences with workplace lactation support varied by demographic and employment characteristics. The use of cross-sectional designs, unvalidated instruments, and limited representation from women with low incomes and minorities were common study limitations. Conclusions More research is needed to learn about experiences of employers and low-income and minority women with workplace lactation support and associations with business-relevant outcomes.
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Vernon, R. G., and E. Finley. "Regulation of lipolysis during pregnancy and lactation in sheep. Response to noradrenaline and adenosine." Biochemical Journal 230, no. 3 (September 15, 1985): 651–56. http://dx.doi.org/10.1042/bj2300651.
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The effects of pregnancy and lactation on lipolysis in sheep adipose tissue in vitro were investigated. Neither pregnancy nor lactation altered the basal rate of lipolysis. The rate of noradrenaline-stimulated lipolysis was directly proportional to adipocyte mean cell volume. Lactation, but not pregnancy, increased the response to noradrenaline, but had no effect on the ED50 of noradrenaline. The adenosine analogue N6-phenylisopropyladenosine decreased the rate of lipolysis in the presence of noradrenaline; the effect was greater with adipose tissue from lactating than from control, unmated, sheep. Results are discussed in relation to the need of sheep to mobilize lipid during early lactation to support milk production.
Dissertations / Theses on the topic "Lactation support"
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Dunn, Emily Anne. "More than Feeding: Lived Experiences of Low-Income Women Receiving Lactation Support." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4472.
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Increasing breastfeeding duration, especially among low-income women, has become a national public health priority. These mothers and their babies have less equitable access to support, resources, and the health benefits of breastfeeding. This thesis examines breastfeeding from a biocultural perspective with a focus on political economy, embodiment, and human rights. This research explores the lived experiences of new mothers who receive services from a community non-profit lactation support program which is aimed at providing in-home postpartum breastfeeding support to low-income/at-risk mothers. Evaluation of program services and analysis of women's narratives will provide insight into improvement of lactation services for all women.
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Omekara, Florence. "Hand Expression With Lactation Support: Effect on Self-Efficacy and Breastfeeding Duration." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4546.
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Breastfeeding is the best infant feeding method, and breastmilk has many immunological and anti-inflammatory properties that protect babies against illnesses and diseases. It protects the health of the mother and saves society substantial economic costs, as demonstrated in many studies. Studies show that if 90% of U.S mothers breastfed for 6 months, up to $13 billion in healthcare costs could be saved. Despite the health and economic benefits of breastfeeding, most women stop breastfeeding before 6 months postpartum, which falls short of the recommendations of the World Health Organization, U.S. Surgeon General, and American Academy of Pediatrics. This study explored the effects of hand expression with lactation support on first-time mothers' self-efficacy for breastfeeding and breastfeeding duration among vaginal and Cesarean delivery mothers at a healthcare center in Oregon. The pretest posttest quasi-experimental design was used on 32 women with 4 repeated-measures ANOVA, and the women were followed up for 6 weeks postpartum. The women in the intervention group received the hand-expression intervention after the first breastfeeding until their white milk had been established. Results showed a large effect of the hand-expression intervention with lactation support on the dependent variable of self-efficacy, with an effect size of 0.888, and the dependent variable of breastfeeding duration, with an effect size of 0.801. Further, self-efficacy and breastfeeding duration increased over time. The results may inform policy development to increase women's self-efficacy and breastfeeding duration, which could help babies, mothers, and society to derive maximum benefits from breastfeeding.
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Chan, Mei-fung Shirley, and 陳美鳳. "Professional lactation counseling and support for increasing the rate and duration on breastfeeding." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193033.
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Breast milk is well recognized as the best natural food for infants and is also known to provide immediate and long-term health benefits for infants. According to the Baby- Friendly Hospital Initiative Hong Kong Association, the breastfeeding initiation rate in Hong Kong has been continuously increasing. For duration of breastfeeding, World Health Organization recommends exclusive breastfeeding for six months and the introduction of complementary food should start since the age of two. Despite active promotion of breastfeeding up to 6 months, the exclusive breastfeeding rate is still low and women in Hong Kong generally stop breastfeeding within the first few months.
The Department of Health in Hong Kong facilitates a supportive environment in all Maternal and Child Health centres to promote breastfeeding. To support mothers exclusively breastfeed for the first six months, a structured individualized lactation counseling and support is worth to implement when mothers are discharged from hospital around 48 hours and transfer to primary care. The individualized lactation counseling provides latching technique to ensure proper attachment and positioning to prevent early complications at the early postnatal. It also continues to follow up until 1-to-2 weeks after delivery.
The objective of this study is to evaluate the effectiveness of the individualized professional lactation counseling and support at early postnatal periods to prolong the duration of breastfeeding. Eight studies were identified after comprehensive literature review and the quality of these studies was assessed. An evidence-based guideline was developed based on the analyzed research findings. The implementation and evaluation of the proposed guideline were compiled in this translational research.
An evidence-based guideline for providing individualized lactation counseling and support was developed to help health professionals to provide competent and effective breastfeeding counseling to mothers. The purpose of the guideline is to encourage mothers to breastfeed up to six months.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Heinemann, Kimberly Michele. "Enrichment of canine gestation and lactation diets with n-3 polyunsaturated fatty acids to support neurologic development." Texas A&M University, 2004. http://hdl.handle.net/1969.1/2792.
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Long-chain polyunsaturated fatty acids (LCPUFA) are essential for proper neural and retinal development in many mammalian species. One objective of this research was to investigate the effects of dietary α-linolenic acid (ALA) and LCPUFA on the fatty acid composition of canine plasma phospholipids (PL) and milk during the gestation and lactation periods. The fatty acid composition of plasma PL and the retinal development of puppies reared on the same experimental diets as their mothers were also investigated.
Enriching the canine gestation/lactation diet with ALA (6.8% DM) does not result in enrichment of docosahexaenoic acid (DHA) in the milk. From this data it can be inferred that peroxisomal elongation and desaturation of LCPUFA does not occur in canine mammary tissue. Dose responses of linoleic acid (LA), ALA and DHA were observed in the plasma of adult dogs during gestation and lactation and in puppies during both the suckling and post-weaning periods. Plasma PL fatty acid data from puppies indicate that canine neonates are capable of synthesizing LCPUFA from ALA, but that plasma enrichment of the newly-synthesized DHA does not compare with that obtained from preformed DHA in the diet.
Visual function was assessed via electroretinography (ERG) in 12-wk old canines. One-way ANOVA revealed significantly better visual performance in dogs fed the highest amounts of n-3 LCPUFA. Puppies in this group demonstrated the greatest rod response as measured by the amplitude and implicit time of the a-wave. Neonates reared on the lowest dietary levels of both ALA and n-3 LCPUFA exhibited the poorest visual function. A novel parameter devised in this study was the threshold intensity, which was the initial intensity at which the a-wave was detectable. Again, puppies consuming the greatest concentrations of n-3 LCPUFA responded significantly sooner, i.e. exhibited greater rod sensitivity, than other diet groups.
The findings of this research underscore the importance of preformed n-3 LCPUFA in the diet, rather than ALA, as a means of enriching neural tissues in DHA during the developmental period. Moreover, dietary DHA appears to be related to improved visual performance in developing canines.
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Parker, Catherine G. "The effect of lactation educator support on breastfeeding duration among participants in the Women, Infants, and Children Program." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1125151.
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This study examined the relationship between active support of the breastfeeding mother and breastfeeding rates in the WIC population. The study consisted of two groups, a control group and an intervention group. Participants in the experimental group received scheduled contacts from a lactation educator in the form of home visitations, telephone calls, and written communication, while the control group participants were encouraged to seek breastfeeding support as needed. Demographic measures, duration of breastfeeding, number of breastfeeding support contacts, and formula supplementation were recorded for all subjects. Women in the experimental group received significantly more breastfeeding support contacts than those in the control group; however, breastfeeding duration was similar among women in both groups. Women who requested six or more cans of powdered formula breastfed for a significantly shorter time than those who requested lesser amounts of formula. These results suggest postpartum breastfeeding support, in isolation, may be inadequate to encourage sustained breastfeeding.Department of Family and Consumer Sciences
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Friedman, Carol Ann. "Using Evidence to Develop Best Practices Strengthening Breastfeeding Support on Perinatal Units." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1440.
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Ample research has been found to suggest that there is no substitute, either nutritionally or emotionally, that can replace the benefits of human milk for human infants. Despite this recognition, the attitude still exists that infant formula is a reasonable alternative. The American Academy of Pediatrics (AAP), World Health Organization (WHO), and United Nation Children's Fund (UNICEF) share policy statements endorsing human milk as the optimal infant nutrition for the first 15 months. Accordingly, WHO and UNICEF launched The Baby-friendly Hospital Initiative established in 1991 to protect, promote, and support breastfeeding. Despite this unilateral support of breastfeeding, nursing and physician educational curriculums do not include lactation education, which limits the knowledge of those who provide care to the mother and newborn dyad. The purpose of this project is to promote staff lactation education and training on the infant feeding practices by encouraging breastfeeding in a hospital setting. This project includes lactation education and hands-on training for staff. A 20-hour didactic lactation education course will meet the requirements to ensure that staff training will assist in supporting patients with the early initiation of breastfeeding. Furthermore, training will include clinical competencies to evaluate the knowledge, practice patterns, and confidence of the staff. Lactation education for providers will be provided through an online course designed to improve their ability to support breastfeeding among their patients. The result of this project will assist hospital leadership to determine specific education and training for staff in increasing exclusive breastfeeding rates among their patient population.
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Gossler, Sandra Mann. "The Effect of Income Level on the Relationship Between the Personal Support Matrix and Sustained Breastfeeding." VCU Scholars Compass, 2007. http://hdl.handle.net/10156/1813.
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Yocca, Christina. "Workplace support for lactating mothers a study of benefits provided by employers in the Hudson, Wisconsin area /." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000yoccac.pdf.
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Mills, Susan Polston. "Employer attitudes and their intent to support breastfeeding in the workplace." Thesis, 2011. http://hdl.handle.net/2152/ETD-UT-2011-12-4563.
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New mothers struggle to combine breastfeeding and employment. Employers may not realize the benefits of breastfeeding for mothers, their infants, or the businesses themselves. A cross-sectional, descriptive design was used to investigate the characteristics of Central Texas small business employers, their attitude toward supporting breastfeeding in the workplace and explored factors that may mediate or moderate employers' support of breastfeeding in the workplace. Rogers’ Diffusion of Innovation theory guided the study. Data were collected using a Business Characteristics Survey and the Employer Intention to Support Breastfeeding Questionnaire (ESBQ). The final response rate was 148 complete surveys out of the 3817 sent, resulting in a 3.8% response rate.
Descriptive statistics showed that 65.5% had some type of lactation support (n = 97) in place for their breastfeeding employees; however only 34.5% provided a designated, private room/place to pump breast milk. Logistic regression of the independent variables attitude (b = .034, p = .535), centralization (b = .045, p = .222), and interconnectedness (b = .002, p = .695) did not predict the presence of lactation support. Business size was not a significant predictor of the presence of lactation support (b = .001, p = .921). The moderator of intent was added to the model and interaction terms created by multiplying intent with each of the following variables: business size, attitude, centralization, and interconnectedness. These results did not support the presence of a moderating effect.
Finally, mediator effects were only tested with the independent variable attitude. A significant direct association between attitude and the presences of lactation support was found (p = .045). Attitude appears to be a significant predictor of relative advantage (b = 4.583, p <.001). Relative advantage, while controlling for attitude, was not a significant predictor of presence of lactation support (b = .013, p = .220); however, the direct relationship of attitude to the presence of lactation support was less significant than before (b = .029, p = .655). Attitude appears to be a significant predictor of complexity (b = .407, p <.001). Complexity, while controlling for attitude, was not a significant predictor of presence of lactation support (b = .059, p = .285); however, the direct relationship of attitude to the presence of lactation support was less significant than before (b = .065, p = .181). Attitude appears to be a significant predictor of observability (b = .916, p = .003). Observability, while controlling for attitude, was not a significant predictor of presence of lactation support (b = -.003, p = .834); however, the direct relationship of attitude to the presence of lactation support was less significant than before (b = .091, p = .047). The implications and recommendations based on these findings can help to guide future studies and the planning and implementation of workplace lactation programs.text
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"An Exploration of Changes in Healthcare Providers' Learning Outcomes Related to Breastfeeding Support and Promotion." Doctoral diss., 2015. http://hdl.handle.net/2286/R.I.35985.
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abstract: Despite the widely recognized health benefits of breastfeeding and its endorsement by leading health organizations, as a preventative public health intervention, inadequate breastfeeding knowledge and lactation management skills among healthcare providers continues to be a major barrier for women who choose to initiate breastfeeding. Breastfeeding competencies are not standardized in healthcare education for any of the health professions. To address this gap, a few continuing education and professional development programs have been implemented, but paucity in research regarding the efficacy of these programs exists. The purpose of this study was to explore the changes in healthcare providers’ learning outcomes related to breastfeeding support and promotion.
A non-experimental pre-posttest self-report survey design was used to assess the feasibility and preliminary efficacy of an online breastfeeding educational intervention for healthcare providers. The Theory of Planned Behavior (TPB) provided the framework for exploring the participants’ psychological and behavioral outcomes. The research questions were: (1) What is the feasibility of an online breastfeeding course for healthcare providers? (2) What are healthcare providers’ psychological and behavioral changes occurring after completion of an online course? (3) How do the post-intervention psychological and behavioral outcomes of the online format compare with those of the previous format (hybrid) of this breastfeeding course?
Although participants’ favorably assessed the feasibility (i.e., acceptability) of the 45-hour course, several factors contributed to participants’ satisfaction level: Previous online learning experience, connectedness with others, and the degree of structural support. Significant positive changes occurring in participants were increases in their knowledge and beliefs about breastfeeding; attitudes toward formula feeding; perceived behavioral control; perceptions about being able to perform breastfeeding supportive behaviors; and intentions to perform actions that are consistent with evidence-based breastfeeding supportive behaviors. Significant changes in the beliefs about formula feeding were not in the expected direction raising conceptual and pedagogical issues. Participants had negative perceptions about being able to implement what they learned in their workplaces or to affect policy. Findings support the use of online breastfeeding education programs for healthcare providers; changes at both individual and institutional levels are necessary to change provider practices.Dissertation/Thesis
Doctoral Dissertation Nursing and Healthcare Innovation 2015
Books on the topic "Lactation support"
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Kendall-Tackett, Kathleen A. Clinics in human lactation: Non-pharmacological treatments for depression in new mothers : evidence-based support of omega-3's, bright light therapy, exercise, social support, psychotherapy, and St. John's wort. Amarillo, TX: Hale Pub., 2008.
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Jones, Wendy. Community pharmacy support for lactating mothers requiring medication: A thesis. Portsmouth: University of Portsmouth, School of Pharmacy and Biomedical Science, 2000.
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Breastfeeding : Support, Challenges, and Benefits: Provide Clinical Breastfeeding Support, Mitigate Challenges, and Discover Developmental Benefits. American Academy of Pediatrics, 2018.
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Combs, Dawn. Conceiving Healthy Babies: An Herbal Guide to Support Preconception, Pregnancy and Lactation. New Society Publishers, Limited, 2014.
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Combs, Dawn. Conceiving Healthy Babies: An Herbal Guide to Support Preconception, Pregnancy and Lactation. New Society Publishers, Limited, 2014.
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Conceiving healthy babies: An herbal guide to support preconception, pregnancy and lactation. New Society Publishers, 2014.
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Kraemer, Oliver, and Timothée Fraisse. Drugs in pregnancy and lactation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0011.
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Medical or surgical interventions, requiring anaesthesia and/or analgesia, are frequent during various stages of pregnancy and lactation when the mother, the embryo/fetus, and the breastfeeding infant are vulnerable. Many physiological alterations occur during pregnancy, which might result in modified pharmacokinetic/pharmacodynamic drug profiles. These are often challenging situations for the treating physician who has to rely on scarce clinical or epidemiological data to support their prescriptions. This chapter reviews the underlying principles of pharmacology and related toxicity during pregnancy and lactation. It outlines current recommendations for most commonly used drugs in anaesthesia (i.e. local anaesthetics, hypnotics, opioids, and muscle relaxants) and pain relief (i.e. analgesics and anti-inflammatory drugs). It should not be considered as an exhaustive description of the potential side effects nor should it be used as a prescription guide for specific clinical situations. When administering drugs to pregnant or lactating women, one should always refer to up-to-date best standard of care and review references, which should be clearly documented in the patient’s medical record, especially with respect to newly marketed compounds.
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Lawrence, Ruth A., and Casey Rosen-Carole. Breastfeeding in the Context of Neurological Disorders. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0035.
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Lactation is the physiologic process of milk production and the completion of the pregnancy cycle. The goal for all pregnancies should be to support and encourage women to breastfeed, as the benefits to both mother and infant are well established. However, when managing pregnancy and lactation with a woman who also has a neurological disorder, it is essential to understand the impact on lactation of both the disease and the medications for treating the disease. Ideally disease control can be optimized and medications altered to reduce any negative influence on the mother or infant during lactation. Although neurologic disease does not typically interfere with breastfeeding, limited mobility, fatigue, decreased sensation, medications, and surgeries may add additional challenges for the breastfeeding woman with a neurologic condition. The goal of the neurologist, obstetrician, pediatrician, and lactation consultant should be to support and encourage breastfeeding, while minimizing the risk of medications for the infant.
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Churchill, Laura Hutchins. The effect of employer lactation support services on the incidence and duration of breastfeeding in employed mothers: A comparison study. 1995.
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Bunik, Maya. Breastfeeding Telephone Triage and Advice. American Academy of Pediatrics, 2012. http://dx.doi.org/10.1542/9781581107630.
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New Edition! This all-new telehealth care resource helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. The volume introduces more than 60 practice-tested breadstfeeding protocols. New Edition! This all-new telehealth care resource helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. The volume introduces more than 60 practice-tested breadstfeeding protocols. Here’s how to respond when breastfeeding mothers call for help… Breastfeeding Telephone Triage and Advice Authored by Maya Bunik, MD, MSPH, FABM, FAAP This all-new decision support care tool helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. Created by one of the field’s foremost authorities, it is designed to be used in tandem with the acclaimed AAP best seller Pediatric Telephone Protocols. This volume introduces 60 practice-tested protocols presented on easy-reading double-column pages to help simplify targeted triage decision-making.
Book chapters on the topic "Lactation support"
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Bruk-Lee, Valentina, Deborah Albert, and Kerri L. Stone. "Lactation and the Working Woman: Understanding the Role of Organizational Factors, Lactation Support, and Legal Policy in Promoting Breastfeeding Success." In Research Perspectives on Work and the Transition to Motherhood, 217–39. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-41121-7_11.
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Sisk, Paula M., Cheryl A. Lovelady, and Robert G. Dillard. "Effect of Education and Lactation Support on Maternal Decision to Provide Human Milk for Very-Low-Birth-Weight Infants." In Advances in Experimental Medicine and Biology, 307–11. Boston, MA: Springer US, 2004. http://dx.doi.org/10.1007/978-1-4757-4242-8_28.
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"Lactation Support Technology." In Breastfeeding Handbook for Physicians, 159–74. 2nd ed. American Academy of Pediatrics, 2013. http://dx.doi.org/10.1542/9781581108057-ch11.
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"Lactation Support Technology." In Breastfeeding Handbook for Physicians. 3rd ed. American Academy of PediatricsItasca, IL, 2022. http://dx.doi.org/10.1542/9781610024433-ch14.
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"Addresses for breastfeeding support." In Drugs During Pregnancy and Lactation, 839–51. Elsevier, 2007. http://dx.doi.org/10.1016/b978-0-444-52072-2.50049-5.
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Parker, Margaret G., Lisa M. Stellwagen, Lawrence Noble, Jae H. Kim, Brenda B. Poindexter, and Karen M. Puopolo. "Promoting Human Milk and Breastfeeding for the Very Low Birth Weight Infant." In Breastfeeding Handbook for Physicians. 3rd ed. American Academy of PediatricsItasca, IL, 2022. http://dx.doi.org/10.1542/9781610024433-apph.
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Provision of mother’s own milk for hospitalized very low birth weight (VLBW) (≤1500 g) infants in the NICU provides short- and long-term health benefits. Mother’s own milk, appropriately fortified, is the optimal nutrition source for VLBW infants. Every mother should receive information about the critical importance of mother's own milk to the health of a VLBW infant. Pasteurized human donor milk is recommended when mother’s own milk is not available or sufficient. Neonatal health care providers can support lactation in the NICU and potentially reduce disparities in the provision of mother’s own milk by providing institutional supports for early and frequent milk expression and by promoting skin-to-skin contact and direct breastfeeding, when appropriate. Promotion of human milk and breastfeeding for VLBW infants requires multidisciplinary and system-wide adoption of lactation support practices.
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"ACOG Bulletin No. 756: Optimizing Support for Breastfeeding as Part of Obstetric Practice." In Breastfeeding Handbook for Physicians. 3rd ed. American Academy of PediatricsItasca, IL, 2022. http://dx.doi.org/10.1542/9781610024433-appd.
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As reproductive health experts and advocates for women’s health who work in conjunction with other obstetric and pediatric health care providers, obstetrician–gynecologists are uniquely positioned to enable women to achieve their infant feeding goals. Maternity care policies and practices that support breastfeeding are improving nationally; however, more work is needed to ensure all women receive optimal breastfeeding support during prenatal care, during their maternity stay, and after the birth occurs. Enabling women to breastfeed is a public health priority because, on a population level, interruption of lactation is associated with adverse health outcomes for the woman and her child, including higher maternal risks of breast cancer, ovarian cancer, diabetes, hypertension, and heart disease, and greater infant risks of infectious disease, sudden infant death syndrome, and metabolic disease. Contraindications to breastfeeding are few. Most medications and vaccinations are safe for use during breastfeeding, with few exceptions. Breastfeeding confers medical, economic, societal, and environmental advantages; however, each woman is uniquely qualified to make an informed decision surrounding infant feeding. Obstetrician–gynecologists and other obstetric care providers should discuss the medical and nonmedical benefits of breastfeeding with women and families. Because lactation is an integral part of reproductive physiology, all obstetrician–gynecologists and other obstetric care providers should develop and maintain skills in anticipatory guidance, support for normal breastfeeding physiology, and management of common complications of lactation. Obstetrician–gynecologists and other obstetric care providers should support women and encourage policies that enable women to integrate breastfeeding into their daily lives and in the workplace. This Committee Opinion has been revised to include additional guidance for obstetrician–gynecologists and other obstetric care providers to better enable women in unique circumstances to achieve their breastfeeding goals.
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"ACOG Bulletin No. 821: Barriers to Breastfeeding: Supporting Initiation and Continuation of Breastfeeding." In Breastfeeding Handbook for Physicians. 3rd ed. American Academy of PediatricsItasca, IL, 2022. http://dx.doi.org/10.1542/9781610024433-appc.
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Breastfeeding has maternal, infant, and societal benefits. However, many parents experience obstacles to achieving their breastfeeding goals, leading to reduced rates of breastfeeding initiation and continuation. Despite efforts to increase rates of breastfeeding initiation and continuation, inequities still persist. The factors that influence an individual’s desire and ability to breastfeed are varied and include individual parent considerations; practitioner influences; hospital barriers; societal factors, such as workplace and parental leave policies; access to lactation support; and social support of their breastfeeding goals. A multidisciplinary approach that involves community, family, parents, and health care professionals will strengthen the support for parents and help them achieve their breastfeeding goals.
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Stuebe, Alison M., and Kristin P. Tully. "Optimizing Maternal-Infant Health." In Integrating Evolutionary Biology into Medical Education, 67–88. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198814153.003.0005.
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In this chapter, we use an evolutionary lens to deepen understanding of maternal and family needs in the early postpartum period so that health care can be more aligned with confronted realities. The discussion is centered around the concept of the 4th trimester, which is the period between birth and the first 3 months postpartum. This framework encourages a holistic understanding of perinatal health by drawing attention to evolved maternal-infant needs. By addressing these ultimate-level contributors to health issues, we can facilitate more effective clinical support, comprehensive research, and a fuller “village” to enable new families to thrive. Core to this approach is the concept of trade-offs between parents and offspring, exemplified by lactation as a prime example of the complexities of dyadic needs and gap between the current culture of health and optimal support.
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Wolf, Brian C. "8. Fathering in Support of Fieldwork: Lactation and Bourgeois Feminism (and More Privileged White People’s Problems)." In Mothering from the Field, 124–34. Rutgers University Press, 2019. http://dx.doi.org/10.36019/9781978800601-012.
Full textConference papers on the topic "Lactation support"
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Lanigan, Angie, Kristina Bridges, Christina Hester, Maureen Cooney, and Kera Beskin. "Results from the Breastfeeding/Lactation Support for Medical Trainees Policy Implementation Learning Collaborative." In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3937.
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Shenker, Natalie, Amy Brown, Sophie Wedekind, and Samantha Griffin. "707 Reduction in anxiety and depression scores in parents whose infants receive donor human milk alongside lactation support." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.258.
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Jardine, Fiona. "When online support groups prevail: the information experience of chest/breastfeeders who only express their milk." In ISIC: the Information Behaviour Conference. University of Borås, Borås, Sweden, 2020. http://dx.doi.org/10.47989/irisic2013.
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Introduction. Exclusive pumpers only express their milk and do not feed directly from their breast/chest. Rates of exclusive pumping are increasing, yet information on it is scant. Consequently, exclusive pumpers turn to the internet and online support groups for information and support. This paper examines the information needs of exclusive pumpers, the sources they use, and how useful these sources are. Combined with open-ended responses, this paper provides an insight into exclusive pumpers’ information experiences and its impact on their overall lived experience. Method. A cross-sectional, self-report, mixed-methods survey was administered online to a convenience sample of current and/or former exclusive pumpers (N = 2, 005). Analysis. Survey questions pertaining to information experience were analysed quantitatively in SPSS. Inductive thematic analysis of qualitative data was performed in Atlas.ti. Results. Online sources, particularly online support groups, were the most popular and most useful sources of exclusive pumping information and also provided much-needed support. Having poor information experiences were associated with poorer physical and affective outcomes. Conclusions. To meet their information needs, exclusive pumpers turn to online support groups and peer-provided information. Healthcare professionals, especially lactation consultants, need to provide improved exclusive pumping information.
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Hamid, Muhammad, Anubha Kumar, Luxhman Gunaseelan, Atchaya Arulchelvan, Abhinav Sinha, Muzhda Subhan, Sarah Subhan, Suruchi Kapoor, and Asim Salim. "1232 Innovative online newborn care potential benefits and challenges of online lactation consultation services with paediatrician support: a cross-sectional survey study." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.774.
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‘Arub, Lathifah, Eti Poncorini Pamungkasari, and Yulia Lanti Retno Dewi. "Multiple Logistic Regression on the Factors Affecting Exclusive Breastfeeding Practice in Karanganyar, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.89.
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ABSTRACT Background: Breastfeeding peer support helps lactating women to sustain breastfed and reduce cultural barriers. This study aimed to examine the effects of maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital on breastfeeding practice. Subjects and Method: A cross sectional study was conducted at 25 integrated health posts in Karanganyar, Central Java, from August to September 2019. A sample of 200 lactating mothers with children aged 7-12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital. The data were collected by questionnaire and analyzed by a multipe logistic regression. Results: Exclusive breastfeeding increased with maternal age 20-34 years (b= 1.96; 95% CI= 0.53 to 3.39; p= 0.007), maternal education ≥Senior high school (b= 1.47; 95% CI= 0.08 to 2.87; p= 0.038), good knowledge (b= 1.73; 95% CI= 0.33 to 3.12; p= 0.015), positive attitude (b= 1.61; 95% CI= 0.28 to 2.94; p= 0.017), strong family support (b= 1.39; 95% CI= 0.13 to 2.65; p= 0.030), and strong social capital (b= 1.34; 95% CI= 0.01 to 2.68; p= 0.049). Exclusive breastfeeding decreased with mothers working outside the house (b= -2.95; 95% CI= -4.37 to -1.53; p<0.001) and sectio cesarean labor (b= -1.57; 95% CI= -3.06 to -0.08; p= 0.039). Conclusion: Exclusive breastfeeding increases with maternal age 20-34 years, maternal education ≥Senior high school, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breastfeeding decreases with mothers working outside the house and sectio cesarean labor. Keywords: exclusive breastfeeding, bipsychosocial Correspondence: Lathifah ‘Arub. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lathifah.arub17@gmail.com. Mobile: +625789212539. DOI: https://doi.org/10.26911/the7thicph.03.89
Reports on the topic "Lactation support"
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Mizrach, Amos, Sydney L. Spahr, Ephraim Maltz, Michael R. Murphy, Zeev Schmilovitch, Jan E. Novakofski, Uri M. Peiper, et al. Ultrasonic Body Condition Measurements for Computerized Dairy Management Systems. United States Department of Agriculture, 1993. http://dx.doi.org/10.32747/1993.7568109.bard.
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The body condition (BC) score is recognized in the dairy industry as an essential tool for managing the energy reserves of the dairy cow, which is essential for sustaining optimal and efficient production over several lactations. The current use of BC scoring depends on the accuracy of subjective visual estimates, and this limits its kusefulness as a management aid in the dairy industry. A measuring tool that would frequently provide objective data on the cow's body reserves would be a major contribution to efficient dairy herd management. Ultrasonic sensors have the potential to be developed into an efficient BC measuring device, and the experimental use of such sensors for subcutaneous fat thickness (SDFT) estimates, as an indication for BC in beef cattle, supports this assumption. The purposes of this project were: 1. To compare visual BC scoring and ultrasonic fat thickness with on-line automated body weight (BW) measurements as monitors of nutritional adequacy of dairy cows at various stages of lactation. 2. To determine the effects of variation in digestive fill in early and late lactation on the accuracy of body weight measurements in lactating cows. 3. To modify an existing ultrasonic system and develop a specialized, low-cost sensor for repeatable determination of body condition scores by users with minimal training and skill. 4. To develop a standard for the assignment of body condition scores based on ultrasonic measurements of subdermal fat thickness. The procedure to execute these objectives involved: 1. Frequent measurement of BW, milk yield (MY), BC (visually scored) and subdermal fat thickness ultrasonically measured of dairy cows, and data analysis on average and individual basis. 2. Testing and selection of an appropriate special-purpose sensor, finding an optimum body location for working an ultrasonic measurement, prcessing the signals obtained, and correlating the resulting measurements with performance responses in lactating cows. Linking the ultrasonic signals to BC scores, and developing a BC scoring data acquisition system are the first steps towards fulfilling the necessary requirements for incorporating this device into an existing dairy herd management system, in order to provide the industry with a powerful managment tool. From the results obtained we could conclude that: 1. BC does not correlate with BW changes during all stages of lactation, although in general terms it does. These results were confirmed by individual cow BW and BC data obtained during the course of lactation, that were supported by individual objective ultrasonic measurement of SDFT. 2. BW changes reflect energy metabolism reliably ony after peak milk yield; early in lactation, a decrease in BW expresses mobilization of body reserves only qualitatively, and not quantitatively. 3. Gastrointestinal content increases throughout the whole period during which dry matter intake (DMI) increases. The drastic increase very early in lactation prevents the use of BW changes as a basis for quantitative estimatio of energy meatabolism; at this stage of lactation, konly a BC score or any other direct measurements willl provide a quantitative estimate of energy metabolism. 4. Ultrasonic measurements of subdermal fat thickness can be used to quantify changes that correlate with the actual condition of the cow, as assessed by performance and the traditional way of scoring. 5. To find the best site on the cow's body at which to obtain responses to BC and its changes in the course of lactation, additional sites have to be examined. From the present study, it seems that the sites between ribs 12 and 13 have the potential for this purpose. 6. The use of templates made it easier to repeat measurements at a desired site and spot. However, the convenient easy-to-handle way to standardize the measurement, described in this study, koffers scope for improvement. 7. The RF peak values of the A-mode are better indicators of the location of fat layer borders than image analysis, from the point of view of future commercial development. 8. The distances between the RF peaks of the A-mode can be automatically measured by suitable software, for future commercial development. 9. Proper analysis of daily body weight and milk yield data can provide the necessary information on body condition changes during lactation, until a direct BC measurement device is developed. 10. In any case, at least one visual BC assessment has to be done, preferably immediately after calving, for calibration purposes.
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Casey, Therese, Sameer J. Mabjeesh, Avi Shamay, and Karen Plaut. Photoperiod effects on milk production in goats: Are they mediated by the molecular clock in the mammary gland? United States Department of Agriculture, January 2014. http://dx.doi.org/10.32747/2014.7598164.bard.
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US scientists, Dr. Theresa Casey and Dr. Karen Plaut, collaborated with Israeli scientists, Dr. SameerMabjeesh and Dr. AviShamay to conduct studies proposed in the BARD Project No. US-4715-14 Photoperiod effects on milk production in goats: Are they mediated by the molecular clock in the mammary gland over the last 3 years. CLOCK and BMAL1 are core components of the circadian clock and as heterodimers function as a transcription factor to drive circadian-rhythms of gene expression. Studies of CLOCK-mutant mice found impaired mammary development in late pregnancy was related to poor lactation performance post-partum. To gain a better understanding of role of clock in regulation of mammary development studies were conducted with the mammary epithelial cell line HC11. Decreasing CLOCK protein levels using shRNA resulted in increased mammary epithelial cell growth rate and impaired differentiation, with lower expression of differentiation markers including ad herens junction protein and fatty acid synthesis genes. When BMAL1 was knocked out using CRISPR-CAS mammary epithelial cells had greater growth rate, but reached stationary phase at a lower density, with FACS indicating cells were growing and dying at a faster rate. Beta-casein milk protein levels were significantly decreased in BMAL1 knockout cells. ChIP-seq analysis was conducted to identify BMAL1 target genes in mammary epithelial cells. Studies conducted in goats found that photoperiod duration and physiological state affected the dynamics of the mammary clock. Effects were likely independent of the photoperiod effects on prolactin levels. Interestingly, circadian rhythms of core body temperature, which functions as a key synchronizing cue sent out by the central clock in the hypothalamus, were profoundly affected by photoperiod and physiological state. Data support that the clock in the mammary gland regulates genes important to development of the gland and milk synthesis. We also found the clock in the mammary is responsive to changes in physiological state and photoperiod, and thus may serve as a mechanism to establish milk production levels in response to environmental cues.
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Wolfenson, David, William W. Thatcher, and James E. Kinder. Regulation of LH Secretion in the Periovulatory Period as a Strategy to Enhance Ovarian Function and Fertility in Dairy and Beef Cows. United States Department of Agriculture, December 2003. http://dx.doi.org/10.32747/2003.7586458.bard.
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The general research objective was to increase herd pregnancy rates by enhancing corpus luteum (CL) function and optimizing follicle development, in order to increase conception rate and embryo survival. The specific objectives were: to determine the effect of the duration of the preovulatory LH surge on CL function; to determine the function of LH during the postovulatory period on CL development; to optimize CL differentiation and follicle development by means of a biodegradable GnRH implant; to test whether optimization of CL development and follicle dynamics in timed- insemination protocols would improve fertility in high-yielding dairy cows. Low fertility in cattle results in losses of hundreds of millions of dollars in the USA and Israel. Two major causes of low fertility are formation of a functionally impaired CL, and subsequent enhanced ovarian follicle development. A functionally impaired CL may result from suboptimal LH secretion. The two major causes of low fertility in dairy cattle in US and Israel are negative energy status and summer heat stress; in both situations, low fertility is associated with reductions in LH secretion and impaired development of the ovulatory follicle and of the CL. In Florida, the use of 450-mg deslorelin (GnRH analogue) implants to induce ovulation, under the Ovsynch protocol resulted in a higher pregnancy rates than use of 750-mg implants, and pregnancy losses tended to decrease compared to controls, due probably to decrease in follicular development and estradiol secretion at the time of conceptus signaling to maintain the CL. An alternative strategy to enhance progesterone concentrations involved induction of an accessory CL by injection of hCG on day 5 after the cows were inseminated. Treatment with hCG resulted in 86% of the cows having two CLs, compared with 23% of the control cows. Conception rates were higher among the hCG-treated cows than among the controls. Another approach was to replace the second injection of GnRH analogue, in a timed-insemination protocol, with estradiol cypionate (ECP) injected 24 h after the injection of PGF₂ₐ Pregnancy rates were comparable with those obtained under the regular Ovsynch (timed- AI) program. Use of ECP induced estrus, and cows inseminated at detected estrus are indeed more fertile than those not in estrus at the time of insemination. Collectively, the BARD-supported programs at the University of Florida have improved timed insemination programs. In Ohio, the importance of the frequency of LH episodes during the early stages of the estrous cycle of cattle, when the corpus luteum is developing, was studied in an in vivo experiment in which cows were subjected to various episodic exposures to exogenous bovine LH. Results indicate that the frequent LH episodes immediately following the time of ovulation are important in development of the corpus luteum, from the points of view of both size and functionality. In another study, rates of cell proliferation and numbers of endothelial cells were examined in vitro in CLs collected from cows that received post-ovulation pulsatile LH treatment at various frequencies. The results indicate that the corpora lutea growth that results from luteal cell proliferation is enhanced by the episodes of LH release that occur immediately after the time of ovulation in cattle. The results also show that luteal endothelial cell numbers did not differ among cows treated with different LH doses. In Israel. a longer duration of the preovulatory LH surge stimulated the steroidogenic capacity of granulosa-derived luteal cells, and might, thereby, contribute to a higher progesterone output from the bovine corpus luteum. In an in vivo study, a subgroup of high-yielding dairy cows with extended estrus to ovulation interval was identified. Associated with this extended interval were: low plasma progesterone and estradiol concentrations and a low preovulatory LH surge prior to ovulation, as well as low post- ovulation progesterone concentration. In experiments based on the above results, we found that injection of GnRH at the onset of estrus increased the LHpeak, prevented late ovulation, decreased the variability between cows and elicited high and uniform progesterone levels after ovulation. GnRH at estrus onset increased conception rates, especially in the summer, and among primiparous cows and those with low body condition. Another study compared ovarian functions in multiparous lactating cows with those in nulliparous non-lactating heifers. The results revealed differences in ovarian follicular dynamics, and in plasma concentrations of steroids and gonadotropins that may account for the differences in fertility between heifers and cows.