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Breastfeeding care after a cesarean section

Breastfeeding care after a cesarean section

When providing breastfeeding care after a cesarean section, healthcare professionals have to take into account a series of factors that have an impact on lactation. It is known that women who give birth by C-section have lower breastfeeding rates at discharge and weeks thereafter than those who have had a vaginal birth. In addition, certain myths about cesarean births can make breastfeeding even more difficult. Evidence suggests that the vast majority of difficulties with breastfeeding after a C-section are due…

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Power pumping extraction technique

Power pumping extraction technique

Biologist and IBCLC Catherine Watson Genna first proposed power pumping extraction techniques as effective methods for achieving a rapid increase in breast milk supply. These techniques are used to achieve, within 48 hours, an increase in milk production that allows providing a rapid response in case of emergency, such as a sick baby, premature babies, and so on, and also in the case of having to separate from the baby with no breast milk reserves or in the case of…

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How safe is baby-led weaning?

How safe is baby-led weaning?

How safe is BLW? One of the biggest fears with Baby-Led Weaning (BLW) for both, families and healthcare professionals, is the risk of choking. It is sometimes perceived that this method might lead to more choking incidents in babies who are fed solid pieces of food from day one without being spoon-fed. For this reason, much research on BLW has focused on whether or not this method of initiation of complementary feeding increases the risk of choking or suffocation.  Kahraman…

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Threatened preterm labor and breastfeeding care

Threatened preterm labor and breastfeeding care

What is threatened preterm labor? Threatened preterm labor (TPL) is the presence of regular uterine movement associated with cervical modification, either in terms of cervical shortening and/or dilatation in pregnancies from 22 to 36.6 weeks of gestation. TPL is usually of multifactorial origin, and the main causes are due to uterine overdistension (for example, due to polyhydramnios or twin pregnancy), infection of another part of the body (for example, appendicitis), or due to subclinical intra-amniotic infection or inflammation. Preterm birth…

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Breastfeeding versus pathologic hyperbilirubinemia

Breastfeeding versus pathologic hyperbilirubinemia

Hyperbilirubinemia is a common situation in newborns. The shift from fetal hemoglobin to extrauterine hemoglobin causes increased red blood cell destruction, which will cause bilirubin values to increase, even more so if the bilirubin excretory system is not in its best condition. Hyperbilirubinemia is described as a blood bilirubin concentration above 1.2 mg/dl. The etiology of hyperbilirubinemia in newborns can be multiple. However, in the field of lactation, two of these are relevant. The first is hyperbilirubinemia which occurs due…

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Vitamin D and Breastfeeding: What is the evidence?

Vitamin D and Breastfeeding: What is the evidence?

For some years, it has been recommended in some countries that infants under one year of age take a supplement of 400 IU/day of vitamin D to prevent nutritional rickets. It is estimated that 80-90% of vitamin D is synthesized in the skin from the action of UVB radiation (1). Several factors influence vitamin D syntheses, such as skin pigmentation, latitude, time of day of sun exposure, use of sunscreens, and seasonality, being the winter months in the northern hemisphere,…

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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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International Women’s Day in breastfeeding care

International Women’s Day in breastfeeding care

We know that the field of scientific knowledge about women’s health is limited. Often, the focus of scientific studies does not promote women’s autonomy, enable women to make their own decisions, or improve care when those health processes are not physiolocical. This last point is especially important in the field of breastfeeding. When it comes to breastfeeding, there is an extensive bibliography on the benefits of breastfeeding for the health of mothers and babies that are repeated ad nauseam, over…

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Recovery of obstetric scars

Recovery of obstetric scars

Scar tissue is usually less elastic than undamaged tissue. It can also create adhesions on different levels and affect adjoining and distant organs. In this article, we will discuss how obstetric scars can affect areas as complex as the vulva or when they affect so many layers, as in the case of a C-section scar. Episiotomy Episiotomy is a surgical procedure in which an incision is made in different layers (skin, vaginal mucosa, subcutaneous cellular tissue, and the bulbocavernosus and…

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Accompany trying to conceive during breastfeeding

Accompany trying to conceive during breastfeeding

Accompanying mothers who try to conceive during lactation can be a professional challenge. On many occasions, women receive contradictory or frightening messages that make it difficult for them to make decisions regarding their reproductive health. Once again, there is a lack of scientific publications in this field. Lactational amenorrhea A more or less prolonged period of amenorrhea is very common during lactation. According to the scarce literature, it seems that it is very unlikely that when breastfeeding exclusively, ovulation will…

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