When talking about breastfeeding in pregnancy, we come across contradictory messages that rarely have a scientific basis. This leads the mother or breastfeeding person to have doubts when planning a pregnancy during lactation or fears if she is already pregnant. Lack of research on pregnancy during breastfeeding The first thing to note is that scientific publications on the subject are notably absent. In addition, most of the publications that are less than 10 years old are literature reviews and therefore,…

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Amenorrhea during lactation is a phenomenon that, although well known, is little researched, like so many other areas of women’s health. Even so, the scarce existing evidence indicates that instead of being a problem for health, it could provide health benefits. It allows for a reduced need for iron and, therefore, protection against anemia, among other considerations. How amenorrhea occurs The prolactin peaks produced by repeated sucking of the nipple by the infant are capable of inhibiting the secretion of…

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When mastitis is suspected, sometimes a breast milk sample for lab testing is one of the diagnostic strategies that can be used in order to approach the most suitable treatment. In order to do this, the breast milk culture sample must be collected in an optimal way, so that the result is as reliable as possible. Recommendations for sample collection The recommendations for obtaining the breast milk sample are as follows: Manual extraction Manual milk expression can be a challenge…

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Anaphylaxis caused by breastfeeding is a rare situation in the context of breastfeeding that appears as an allergic response to the milk ejection reflex. It usually occurs within a few minutes of latching on or expressing (manually or with a breast pump), although it can also appear up to half an hour later. Pathophysiology Although the pathophysiology of this condition is not clear, it is possible that the decrease in progesterone and the increase in prolactin after birth cause mast…

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