One result of marketing: breastfeeding is the exception in infant feeding.
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Biomedical subjects
Publications and source records attributed to K G Auerbach.
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This study compared sequential single-breast pumping with simultaneous double-breast pumping using an interrupted time series design to determine if (a) milk volume differed by pumping regimen; (b) the time needed to pump the breasts differed by pumping regimen; and (c) the milk fat concentrations differed by pumping regimen. In both limited and unlimited pumping sessions, the simultaneous double pumping option obtained higher mean milk volumes, reaching statistical significance in three of the four comparisons. Differences in milk fat concentrations were not statistically significant, when simultaneous breast pumping occurred, as compared with sequential pumping. Mothers' preferences regarding pumping regimen influenced mean milk volumes obtained in the direction of the women's preferences.
When inaccurate information is the basis for clinical decision making, patient care is likely to be incomplete, inappropriate, and potentially harmful. We identified 17 fallacies relating to lactation and breastfeeding that exist in the professional and lay literature and that continue to be perpetuated among care providers and shared with new mothers. The inappropriateness and inaccuracy of these beliefs, and how they influence attitudes about, and practices relating to, breastfeeding, are discussed. Alternatives to these fallacies exist, and their use may contribute to more relevant care and advice giving, and to successful breastfeeding.
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This article reviews the literature discussing postpartum depression and lactation, noting that most studies are plagued by definitional problems relating to feeding group purity and lack of clarity regarding the definition of depression. The implications for nurses when they are asked to care for a breastfeeding mother with postpartum depression are identified and discussed, with special attention paid to the importance of maintaining and/or supporting the maternal role. Decision-making relating to interruption or continuation of breastfeeding as a result of psychotropic drug therapy is discussed.
The nurse can provide information about, and support of, breast feeding. The prenatal nurse can inform the mother of the advantages of breast feeding to herself and her baby. The labour and delivery nurse can aid the mother in her first contact with the baby and reassure the mother who has a Caesarean birth, or a premature or sick infant, that she too can nurse. The postpartum nurse can help breast feeding to continue by providing frequent maternal-infant contact during the mother's hospital stay. The nursery nurse supports breast feeding by refraining from giving the baby other fluids. The paediatric nurse continues the helping pattern by reinforcing the statements and actions of others which will further impress the mother with the appropriateness of her infant feeding method. Mothers need to be informed about infant feeding options in order to make a knowledgeable choice based on awareness of alternatives. The nurse's role in support of breast feeding varies with the time and place where patient care is provided. In each setting, however, the nurse plays a significant role in helping the mother to begin breast feeding and to enjoy it, at the same time providing her infant with optimum nutrition for his early growth and development.
In a captive colony of Brazilian squirrel monkeys (Saimiri sciureus) a discrete birth season has been retained for 5 years although its duration increased from 3 months in 1972 to 6 months in 1976. The ages of breeder females in this colony ranged from 3 to 14 years, and within this range reproductive performance was not affected by age, although it was significantly better in feral than in colony-born females. The latter had a lower pregnancy rate and a higher incidence of neonatal and fetal deaths than did the feral monkeys. It is our belief that the reproductive and maternal capabilities of the colony-born females were adversely affected by the practice of removing neonates from their mothers at weaning and raising them with age-mates.
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This study was conducted to evaluate nipple shields and determine whether altered nipple shield design would change the amount of milk obtained during breast pumping. The study also sought to determine whether milk volume would change depending on the presence or absence of a nipple shield during breast pumping. Among the 25 participants, pumping without a shield yielded statistically significantly larger milk volumes than pumping with either one of the two kinds of shields evaluated, regardless of the order of nipple shield use. The slight difference in milk volumes obtained when comparing the shields used was not statistically significant. The article includes several questions designed to alert the clinician to the risks of nipple shield use, particularly when the mother and neonate are still learning to breastfeed.