Preface xxi Acknowledgements xxiii Chapter Authors xxiv Section 1 Historical and Work Perspectives Chapter 1 Tides in Breastfeeding Practice 3 Evidence About Breastfeeding Practices 3 The Biological Norm in Infant Feeding 5 The Replacement of Maternal Breastfeeding 5 Technological Innovations in Infant Feeding 8 The Prevalence of Breastfeeding 12 The Cost of Not Breastfeeding 15 The Promotion of Breastfeeding 18 Summary 24 Key Concepts 25 Internet Resources 26 References 27 Chapter 2 Work Strategies and the Lactation Consultant 31 History 31 Do Lactation Consultants Make a Difference? 32 Certification 32 Getting a Job as a Lactation Consultant 35 LC Education 37 Lactation Programs 38 Developing a Lactation Program 41 The Unique Characteristics of Counseling Breastfeeding Women 44 Roles and Responsibilities 45 Legal and Ethical Considerations 51 Reimbursement 53 Private Practice 57 Summary 60 Key Concepts 61 Internet Resources 62 References 62 Section 2 Anatomical and Biological Imperatives Chapter 3 Anatomy and Physiology of Lactation 67 Mammogenesis 67 Breast Structure 69 Variations 72 Pregnancy 72 Lactogenesis 73 Hormonal Influences 74 Milk Production 79 Autocrine Versus Endocrine 79 Galactopoiesis 80 Galactorrhea 80 Clinical Implications: Mother 80 Newborn Oral Development 83 Suckling 85 Breathing and Suckling 87 Frequency of Feedings 89 Summary 90 Key Concepts 90 References 92 Chapter 4 The Biological Specificity of Breastmilk 97 Milk Synthesis and Maturational Changes 98 Energy, Volume, and Growth 98 Nutritional Values 103 Anti-infective Properties 111 Chronic Disease Protection 115 The Immune System 117 Bioactive Components 122 Implications for Clinical Practice 124 Summary 126 Key Concepts 126 Internet Resources 127 References 128 Appendix 4-A Composition of Human Colostrum and Mature Breastmilk 136 Chapter 5 Drug Therapy and Breastfeeding 137 The Alveolar Subunit 138 Drug Transfer into Human Milk 139 Calculating Infant Exposure 143 Minimizing the Risk 146 Effect of Medications on Milk Production 146 Review of Selected Drug Classes 149 Drugs of Abuse 158 Radioisotopes 159 Radiocontrast Agents 159 Summary 161 Key Concepts 162 Internet Resources 162 References 162 Chapter 6 Viruses and Breastfeeding 167 HIV and Infant Feeding 167 Exclusive Breastfeeding 168 What We Know 168 Health-Care Practitioners 171 Herpes Simplex Virus 172 Chickenpox/Varicella 173 Cytomegalovirus 175 Rubella 176 Hepatitis B 176 Hepatitis C 176 Human Lymphotropic Virus 177 West Nile Virus 177 Implications for Practice 178 Summary 179 Key Concepts 179 Internet Resources 180 References 181 Section 3 Prenatal, Perinatal, and Postnatal Periods Chapter 7 Perinatal and Intrapartum Care 185 Breastfeeding Preparation 185 Early Feedings 186 Feeding Positions 191 The Infant Who Has Not Latched-On 192 The 34 to 38 "Weeker" 197 Feeding Methods 198 Nipple Shields 200 Hypoglycemia 201 Cesarean Births 204 Breast Engorgement 205 Breast Edema 206 Hand Expression 207 Clinical Implications 209 Summary 212 Key Concepts 212 Internet Resources 214 References 214 Chapter 8 Postpartum Care 217 Hydration and Nutrition in the Neonate 217 Nipple Pain 221 Engorgement + Milk Stasis = Involution 228 Breast Massage 228 Clothing, Leaking, Bras, and Breast Pads 228 Infant Concerns 230 Multiple Infants 236 Breastfeeding During Pregnancy 240 Clinical Implications 241 Summary 242 Key Concepts 242 Internet Resources 242 References 243 Chapter 9 Breast-Related Problems 247 Nipple Variations 247 Plugged Ducts 248 Mastitis 250 Breast Abscess 254 Breast and Nipple Rashes, Lesions, and Eczema 254 Candidiasis (Thrush) 255 Breast Pain 260 Vasospasm 260 Milk Blister 261 Mammoplasty 261 Breast Lumps and Surgery 265 Bleeding from the Breast 267 Breast Cancer 268 Clinical Implications 270 Summary 271 Key Concepts 271 Internet Resources 273 References 273 Chapter 10 Low Intake in the Breastfed Infant: Maternal and Infant Considerations 277 Factors That Influence Maternal Milk Production 277 Normal Milk Intake and Rate of Gain 279 US Growth Curves 280 Low Intake and Low Milk Supply: Definitions and Incidence of Occurrence 282 Abnormal Patterns of Growth: The Baby Who Appears Healthy 286 Abnormal Patterns of Growth: The Baby with Obvious Illness 292 Maternal Considerations: The Mother Who Appears Healthy 293 Maternal Considerations: Obvious Illness 296 History, Physical Exam, and Differential Diagnosis 296 Clinical Management 297 Intervention 297 Special Techniques for Management of Low Intake or Low Supply 300 Summary 305 Key Concept 306 Internet Resources 307 References 307 Chapter 11 Jaundice and the Breastfed Baby 311 Neonatal Jaundice 312 Assessment of Jaundice 313 Postnatal Pattern of Jaundice 314 Breastmilk Jaundice 314 Breast-Nonfeeding Jaundice 314 Bilirubin Encephalopathy 316 Evaluation of Jaundice 316 Management of Jaundice 318 Key Concepts 319 Internet Resources 320 References 320 Chapter 12 Breast Pumps and Other Technologies 323 Concerns of Mothers 323 Stimulating the Milk-Ejection Reflex 324 Hormonal Considerations 328 Pumps 330 A Comparison of Pumps 332 Simultaneous and/or Sequential Pumping 338 Flanges 338 Miscellaneous Pumps 342 Clinical Implications Regarding Breast Pumps 342 When Pumps Cause Problems 345 Sample Guidelines for Pumping 345 Common Pumping Problems 347 Nipple Shields 349 Breast Shells 354 Feeding-Tube Devices 355 Summary 357 Key Concepts 358 Internet Resources 361 References 361 Appendix 12-A Manufacturers/Distributors of Breast Pumps 365 Chapter 13 Breastfeeding the Preterm Infant 367 Suitability of Human Milk for Preterm Infants 367 Mothers of Preterm Infants 368 Rates of Breastfeeding Initiation and Duration 370 Research-Based Lactation Support Services 370 Models for Hospital-Based Lactation Support Services 371 Initiation of Mechanical Milk Expression 372 Maintaining Maternal Milk Volume 376 Evidence-Based Guidelines for Milk Collection, Storage, and Feeding 378 Special Issues Regarding the Feeding of EMM 380 Feeding at Breast in the NICU 384 Discharge Planning for Postdischarge Breastfeeding 396 Postdischarge Breastfeeding Management 398 Summary 399 Key Concepts 399 Internet Resources 400 References 401 Appendix 13-A The Preterm Infant Breastfeeding Behavior Scale (PIBBS) 407 Chapter 14 Donor Human Milk Banking 409 Defining Donor Milk Banking 409 A Brief History of Human Milk Banking 409 Donor Human Milk Banking Beyond North America 412 The Benefits of Banked Donor Human Milk 413 Clinical Uses 414 Current Practice 420 Policy Statements Supporting the Use of Banked Donor Human Milk 425 Summary 426 Key Concepts 427 Internet Resources 427 References 427 Appendix 14-A Storage and Handling of Expressed Human Milk 432 Section 4 Beyond Postpartum Chapter 15 Maternal Nutrition During Lactation 437 Maternal Caloric Needs 438 Maternal Fluid Needs 439 Weight Loss 439 Exercise 440 Calcium Needs and Bone Loss 441 Vegetarian Diets 442 Dietary Supplements 442 Foods That Pass Into Milk 443 Allergens in Breastmilk 443 The Goal of the Maternal Diet During Lactation 444 Nutrition Basics 446 Macronutrients 447 Micronutrients 448 Clinical Implications 449 Summary 453 Key Concepts 453 Internet Resources 454 References 454 Chapter 16 Women's Health and Breastfeeding 459 Alterations in Endocrine and Metabolic Functioning 459 Acute Illness and Infections 463 Maternal Immunizations 465 Surgery 465 Donating Blood 466 Relactation 467 Induced Lactation 467 Autoimmune Diseases 470 Physically Challenged Mothers 472 Headaches 475 Postpartum Depression 476 Asthma 480 Smoking 480 Poison Ivy Dermatitis 481 Diagnostic Studies Using Radioisotopes 481 The Impact of Maternal Illness and Hospitalization 482 Summary 482 Key Concepts 483 Internet Resources 484 References 484 Chapter 17 Maternal Employment and Breastfeeding 487 Why Women Work 487 Historical Perspective 488 The Effect of Work on Breastfeeding 488 Strategies to Manage Breastfeeding and Work 489 Community Strategies 501
5 Stars! from Doody
This book on breastfeeding and human lactation has a strong clinical focus supported with research that is reader friendly with numerous resources. The second edition has been strengthened with the inclusion of clinical implications sections in most chapters, expansion of the content in the breastfeeding process secondary to research, and increased numbers of color photographs. It focuses on clinical practice undergirded with research, and is an excellent resource for experienced lactation consultants and those professionals seeking lactation knowledge. It purports in a single resource to address clinical techniques, research roles, and the varied roles of the lactation consultant. According to the authors, it is written for lactation consultants and those health professionals promoting breastfeeding. It is an excellent resource for both populations. The authors are well known in the lactation arena. This book includes the historical and sociocultural context of lactation, the basic anatomic and biologic constructs, the breastfeeding process in the prenatal, perinatal, and postnatal periods, maternal and infant health continuum issues specific to lactation, and the field of lactation consulting. Unique features include numerous color photographs, inclusion of clinical implications for most chapters, strong research linkage to clinical practice, and extensive references. This is an excellent resource for lactation consultants and professionals. Particular strengths are found in the emphasis on clinical practice secondary to research findings. Extensive content is presented in a manner facilitating its use for the lactation consultant. I highly recommend this text.
A complete text on breastfeeding, for professionals including nurses, nurse midwives, lactation consultants, childbirth educators, and dieticians. Coverage includes cultural context, anatomy and physiology, breastfeeding education, breast pumps and other technologies, donor milk, and breastfeeding the ill child. Includes b&w photos and drawings. In combination with the publisher's study guide, the text serves as a source for those preparing to take the IBLCE examination. This second edition is more clinically oriented, and contains a new chapter on maternal nutrition, plus expanded color visuals of clinical conditions. Annotation c. by Book News, Inc., Portland, Or.
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