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Breastfeeding multiple births

Breastfeeding multiple births

In recent decades, multiple births have been increasing in developed countries from a prevalence of 1-2% to a prevalence of 3-4%. This is due to factors such as the increase in maternal age and the use of fertility treatments. Let’s look into the challenges of breastfeeding multiple births. Context of multiple pregnancies These pregnancies carry an increased risk of maternal and fetal complications during pregnancy and/or labor: In addition to this increased risk of complications, which often create worries and…

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When is supplementing milk recommended in breastfeeding?

When is supplementing milk recommended in breastfeeding?

Supplementing milk, whether with breast milk and/or commercial formula milk, is recommended in certain circumstances when milk transfer is poor or when the mother decides to do so. However, we often still find that healthcare professionals recommend supplementing without an appropriate reason, making it difficult for the mother to establish and maintain breastfeeding. What is supplementing milk? It is understood as administering a variable quantity of milk that is offered to the baby once or several times a day after…

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Weaning patterns in humans

Weaning patterns in humans

In the context of mammals, humans are part of a group known as primates, and we follow the fundamental pattern of this category in terms of breastfeeding and weaning. Weaning is the process through which any mother and infant will transition, and its physiology must also be known. This pattern has developed over more than 65 million years of natural evolution to ensure an optimal survival rate for the primate offspring. It is presumed that this fundamental pattern has an…

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What is the prevalence of tongue-tie?

What is the prevalence of tongue-tie?

Tongue-tie (or ankyloglossia) is an infant’s limitation of protruding and elevating the tip of the tongue due to a short lingual frenulum and/or restriction of the genioglossus muscles. Tongue-tie influences the growth and development of the mouth cavity and affects functional processes such as chewing, sucking, swallowing, and speech. In addition, the clinical appearance of ankyloglossia can result in painful breastfeeding, an inability to obtain an effective latch, and, as a consequence, poor weight gain. What is the prevalence of…

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Lumps in the breast during lactation

Lumps in the breast during lactation

Lumps can occur in the breast during lactation, which usually puts the woman on alert. A thorough anamnesis is essential to know the cause of the complaint and its treatment. The most common causes of lumps are duct obstruction, breast abscess, and galactocele. Obstructions of the duct are due to stasis of milk caused by difficulties in the milk let-down due to suboptimal breastfeeding technique. In addition, pressure may be performed on the duct, for example, the pressure applied by…

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Cleft lip or palate and breastfeeding

Cleft lip or palate and breastfeeding

How can we maintain (or try to maintain, depending on the severity of the case) lactation in situations of cleft lips, teeth, and palate? What is cleft lip/palate, and how does it affect breastfeeding? During pregnancy, the lips are formed between weeks 4 and 7, and the palate between weeks 6 and 9 of pregnancy. Labial, alveolar and/or palatal clefts occur when the tissues that form these oral structures fail to unite. There is a great variation in the presentation…

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Lactation cookies: how effective are they?

Lactation cookies: how effective are they?

Certain foods are believed to have galactagogue properties, such as brewer’s yeast, plantain flower, fennel, fenugreek, ginger, or lactation cookies, among many others. Although the scientific evidence for these products as galactagogues is limited and their effect is not proven (1), these products continue to be recommended to help increase breastmilk supply. In recent years, cookies based on oats, brewer’s yeast, flaxseed, and fenugreek are being marketed, especially in the USA, with alleged galactagogue properties. A recent study published in…

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Stages of Nipple Damage

Stages of Nipple Damage

Nipple soreness is one of the most common problems during breastfeeding. Moreover, as this problem is related to pain, numerous studies indicate that this is one of the main reasons for mothers to stop breastfeeding. When a breastfeeding mother presents nipple lesions, it is important to know the etiology of the lesions and the most appropriate treatment. Firstly, an assessment of the feeding technique, the latch, and the oral structures of the infant is essential to know the cause of…

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Neonatal and maternal care in the first hours and breastfeeding initiation

Neonatal and maternal care in the first hours and breastfeeding initiation

Neonatal and maternal care in the first hours after birth is important for the initiation of breastfeeding and establishing it properly. Here key points are skin-to-skin contact and the first latch within the first two hours of life. The main strategy to promote breastfeeding physiology is based on grouping and adapting postnatal care, favoring unrestricted skin-to-skin contact, avoiding early separation of the baby from the mother’s body, and facilitating an environment that favors the mother’s release of oxytocin, that is,…

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How to detect postnatal depression

How to detect postnatal depression

This January 13th is the world day of action against depression, a condition that affects millions of people around the world. Postpartum depression is one important type of this disease. What is postpartum depression? Some estimates suggest that the incidence of postpartum depression is between 10% and 15% of all mothers, although it varies according to the population. Some studies conclude that the incidence of postpartum depression in primiparous women is around 25%, and in Latina women living in Mexico…

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