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Induced Lactation: How the Newman-Goldfarb Protocol was Born

Induced Lactation: How the Newman-Goldfarb Protocol was Born

In 2002, the renowned paediatrician Jack Newman and the physician, researcher and IBCLC Lenore Goldfarb laid the groundwork for the Newman-Goldfarb protocol for induced lactation. The goal of their method is to mimic the physiological hormonal situation of pregnancy in order to trigger breast modifications and the postpartum hormonal situation, necessary to achieve milk production and milk let-down. Goldfarb and Newman met in 1999 when the Canadian researcher was looking for a professional to accompany her own lactation induction. The…

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Research article: How has the pandemic affected LactApp?

Research article: How has the pandemic affected LactApp?

This month, the LactApp research team published a research article on the impact of the Covid-19 pandemic on LactApp consultations (1) in the journal Telemedicine and e-Health. This study has evaluated on one hand the increase in consultations and users due to the pandemic. On the other hand, whether the pandemic has led to a change in the consultation pattern of users, especially at the beginning. For this purpose, an interrupted time series model was created with LactApp data from…

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Pollutant substances in breastmilk: is it necessary to monitor them?

Pollutant substances in breastmilk: is it necessary to monitor them?

A study about pollutants substances in breastmilk led by Dr. Nicolás Olea has been published this March analyzing the levels of lead (Pb), mercury (Hg), cadmium (Cd) and arsenic (As) in breastmilk samples in a milk bank in Spain (1). This study analyzed 83 human milk samples and determined that arsenic was the most detected element, found in 97.1% of the samples analyzed with a mean concentration of 1.49 μg/L. It was followed by mercury, which was found in 81.2% of…

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Milk production in women who use nipple shields during lactation

Milk production in women who use nipple shields during lactation

Recently, a study on the use of nipple shields in women with persistent nipple pain has been published. The study led by Dr Sharon Lisa Perrella, MD, has been published in the journal JOGNNN and under the title “Breast Milk Production in Women who use Nipple Shields for persistent nipple pain”.  The article focuses on understanding the association between the use of nipple shields and milk production. It starts from the hypothesis that pain could decrease the ejection reflex and…

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I LactApp Medical Congress

I LactApp Medical Congress

LactApp invites you to participate in the I LactApp Medical Congress, which will take place on May 25, 26 and 27 under the theme ‘Scientific evidence as a challenge in breastfeeding‘, open to all professionals interested in the field of breastfeeding. It will be a 100% online with more than 40 top level speakers such as the Australian Lisa Amir, editor-in-chief of the International Breastfeeding Journal; the American author Kimberly Seals, co-founder of the Black Breastfeeding Week; Canadian Leonore Goldfarb,…

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Breast compression technique

Breast compression technique

Breast compression is a simple technique that can help improve milk flow and transfer when there are difficulties with breastfeeding. It consists of continuous compression of the breast of the breastfeeding person so that the infant’s suckling is usually more effective. Breast compression techniques can help in different situations, such as: Infants with difficulties in gaining weight Infants with Intrauterine Growth Restriction (IUGR) or low birth weight Newborns that are very sleepy or present immature suckling – to prevent difficulties in milk transfer. During…

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Lactation restoration techniques

Lactation restoration techniques

Lactation restoration techniques: refusal of the breast by the infant at some point during the breastfeeding journey is a situation that can occur with some frequency. In this context, the mother is likely to interpret this situation as an infant-induced attempt at weaning. When this happens before the age of one year, it is very uncommon that this stems from an infant’s own willingness to stop breastfeeding, but usually, there are rather other underlying causes.  Lactation restoration techniques Some of…

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Fasting recommendations for infants and children

Fasting recommendations for infants and children

Sometimes it is necessary to perform medical procedures on infants or young children that require to fast beforehand, mainly for procedures under sedation or anesthesia. These procedures include performing certain diagnostic tests that require immobility or are painful, certain treatments or surgical interventions. The main reason for recommending fasting is to avoid bronchoaspiration of regurgitated gastric contents with potentially serious consequences. There are other procedures that do not require to fast before, even though in some practices they are still recommended, but…

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Eczema of the nipple and/or areola

Eczema of the nipple and/or areola

The term eczema is defined as an inflammatory skin condition with erythema, inflammation, papules, vesicles, exudates and crusts, lichenification, skin erosion, fissures, excoriations and desquamation, located in the area of the nipple and/or areola.  This definition covers several types of dermatitis (seborrheic and atopic) and irritation or hypersensitivity at contact. In addition, this lesion often occurs concomitantly with Staphylococcus aureus skin infections.  Symptoms commonly manifested by women who suffer from it are: itching, burning and pain both when breastfeeding and…

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