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Biomedical subjects

V Thorley

Publications and source records attributed to V Thorley.

4 recordsLinked to original sources

Lactational headache: a lactation consultant's diary.

There are few references to lactational cephalalgia (headache) in the literature, and these few such headaches are attributed to oxytocin surges associated with the milk-ejection reflex. The case described here differs, in that the apparent trigger was overfulness, rather than an oxytocin surge, that occurred when the infant began sleeping through the night or after a missed, delayed, or partial feed. Headaches were relieved by putting the baby to the breast and the resultant milk-ejection reflex. This case study describes maternal coping strategies from 5 months postpartum until weaning was completed at 12 months.

Adaptation, Psychological

Cup feeding: problems created by incorrect use.

This case describes an infant who was fully fed breast milk by cup, because of poor attachment and breast refusal. Faulty method of cup feeding caused the infant to aspirate breast milk and hindered, rather than assisted, the retention of oral skills required for attachment at the breast. Withdrawal of the cup and use of other feeding techniques produced good mouth closure and deep swallowing.

Breast Feeding

Inverted nipple with fatty plaques on areola and nipple.

A client who presented for a prenatal consultation for inverted nipples was treated and followed up. The right areola and nipple were characterized by amorphous fatty plaques which initially made identification of nipple diameter difficult. Both nipples were successfully everted at the first consultation with an inverted hypodermic syringe, which was cut off and the plunger reversed to draw out rather than push. The mother continued the treatment and there was good nipple protrusion at postnatal follow-up.

Breast Feeding