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Breast pumps: Recommendations for correct use

Breast pumps: Recommendations for correct use

Breast pumps can be a great ally in the breastfeeding journey of a woman; they can help to overcome certain circumstances or specific complications and help to maintain deferred breastfeeding (exclusive pumping) in the case of mother-infant separation, when the mother goes back to work or is useful for other reasons. Nevertheless, using a breast pump is not necessary in all cases as not all breastfeeding women need to have and use a breast pump, and so each case should be…

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Separation of mother and baby in the first hours after birth

Separation of mother and baby in the first hours after birth

After birth, the newborn (NB) expects to be reunited with their mother. But what happens when a separation of mother and baby in the first hours after birth is necessary? The first contact is made through skin-to-skin contact with the double objective of favoring the adaptation of the newborn and initiating breastfeeding if the mother desires to do so. However, there are situations that prevent this skin-to-skin contact from happening or extend over time, usually due to a separation between…

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Infant daytime sleep

Infant daytime sleep

There are few publications on physiological infant daytime sleep in the context of breastfeeding. Sleep is one of the topics of most concern to families. Common expressions such as “sleeping like a baby” are a clear example of the fact that babies are often thought to have deep and continuous sleep. This causes endless concerns for their caregivers because they are not valid. Infant sleep is a physiological process that begins in the fetal stage and evolves until the child…

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Supplementing Milk in Breastfeeding Babies

Supplementing Milk in Breastfeeding Babies

Babies often receive supplementing milk during breastfeeding, sometimes with formula and sometimes with pumped breast milk. The introduction of supplemental milk, as a form of administration and its content, can affect the feeding of the infant, and therefore, it is very important to examine thoroughly its actual need. This article discusses what supplementing means, when it is needed, and the best options for administering it. What is supplementing? Supplementing means giving variable amounts of milk to a baby once or…

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Management of breast engorgement

Management of breast engorgement

Breast engorgement is a situation that can complicate lactation at the time of its establishment. It appears during the onset of lactogenesis II and can endanger the continuation of lactation. What is lactogenesis II? Lactogenesis is the physiological process in which the ability to secrete milk is developed, which is divided into 3 phases: Lactogenesis I, secretory initiation. This occurs during gestation. Lactogenesis II, secretory activation. This begins immediately after delivery, reaching its maximum peak at 48-72 hours, and is…

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Why a neonatal speech therapist visit is essential after cutting a tongue-tie

Why a neonatal speech therapist visit is essential after cutting a tongue-tie

It is well known that ankyloglossia can hinder stomatognathic functions such as sucking, chewing, swallowing, speaking, and breathing. Although frenectomy (tongue-tie release) is an effective solution to free the tongue from the floor of the mouth, this outpatient procedure is sometimes only the initial step in the tongue rehabilitation process. The tongue rehabilitation process aims to improve the tongue’s tone and proprioception and requires expert help from a neonatal speech therapist. When the tongue is released through this procedure, the…

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Skin-to-skin contact and safety

Skin-to-skin contact and safety

Practicing skin-to-skin contact is not exclusive to the early hours of postpartum, but this can be performed at any time in the newborn’s life. It is a practice that is considered safe under normal conditions, but it is not without risk, with sudden unexpected postnatal collapse (SUPC) being the most worrisome. The presence of a pathology or medications are the main factors that increase the risk of this condition. Therefore, it is essential to perform skin-to-skin contact after birth safely,…

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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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Difference between lactose intolerance and cow’s milk protein allergy (CMPA)

Difference between lactose intolerance and cow’s milk protein allergy (CMPA)

Frequently, the differences between lactose intolerance and CMPA, which stands for cow’s milk protein allergy, are not well distinguished. This happens not only to families but also to healthcare professionals. A food allergy and food intolerance are both adverse reactions to the consumption of certain foods. Differentiating the symptoms, causes, and treatment is key to guiding families in case their infants suffer from any of these pathologies. Characteristics of food allergy Food allergy is a reaction of the immune system…

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Colostrum harvesting before birth

Colostrum harvesting before birth

Colostrum harvesting before birth is a method that allows small amounts of colostrum to be collected during pregnancy, which, after the birth of the baby, can be given if necessary. This avoids the use of formula milk when supplementing is necessary. History of colostrum harvesting Although this may seem to be a fairly recent method, it is not. Until the late seventies and eighties, all women were encouraged to collect colostrum in the final stages of their pregnancy. Historically, the…

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