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extracción de lactancia combinada
Maximizing milk production with hands-on pumping

Maximizing milk production with hands-on pumping

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The combined pumping technique (also known as hands-on pumping) is particularly useful when large quantities of expressed breastmilk and the maintenance of milk supply are needed. This is especially the case when the newborn is admitted to the hospital due to being preterm or some other pathology that makes it difficult to breastfeed directly and when milk production may decrease. Knowing the right tools to use in these situations can help the mother to be more efficient in expressing milk….

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ingurgitación mamaria
Management of breast engorgement

Management of breast engorgement

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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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coste lactancia subóptima
The indirect costs of suboptimal breastfeeding rates

The indirect costs of suboptimal breastfeeding rates

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The WHO recommends exclusive breastfeeding up to 6 months of age and with other complementary foods up to 2 years of age or older (1) due to the multiple benefits for mother and baby. Today we talk about the indirect costs to the healthcare system of suboptimal breastfeeding rates. The American Academy of Pediatrics defines suboptimal breastfeeding as breastfeeding that does not comply with exclusive breastfeeding for the first 6 months and continues breastfeeding until 1 year or as long…

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depresión posparto
How to detect postnatal depression

How to detect postnatal depression

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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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Separation of mother and baby
Separation of mother and baby in the first hours after birth

Separation of mother and baby in the first hours after birth

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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 favouring 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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Lip Out Technique(II): uses in treatment

Lip Out Technique(II): uses in treatment

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The Lip Out technique, developed by the pediatric physiotherapist and IBCLC and director of Grupo Aúpale, José García Morales, is a diagnostic and treatment tool for breast latch sealing during breastfeeding. José García, trained in this technique in the LactApp Updates. This article summarizes the first part of the session. The Lip Out, which we remind you, consists of removing the infant’s lower lip in order to observe the tongue and assess whether it is able to maintain the vacuum….

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Lip Out Technique (I): Classification and Use Case in Diagnosis

Lip Out Technique (I): Classification and Use Case in Diagnosis

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Last February a lactation update session for professionals entitled “Physiotherapy in BF, Lip Out as a diagnostic tool and treatment of the seal” took place in LactApp. It was given by José Luís García-Morales, pediatric physiotherapist, IBCLC and director of Grupo Aúpale. Lip Out refers to an evaluation technique and treatment of the alterations that the tongue may present in the oral sealing function for breastfeeding. The technique consists of removing the infant’s lower lip in order to observe the tongue and…

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abceso mamario lactapp
Hypogalactia: How to Identify it and how to Accompany it?

Hypogalactia: How to Identify it and how to Accompany it?

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Hypogalactia is defined as insufficient milk supply to maintain exclusive breastfeeding. A woman may have milk secretion, but this may not be sufficient, and she may need supplementation for the correct feeding of the infant. Studies indicate that 36% of mothers attribute the end of breastfeeding to a lack of milk supply. In reality, in the majority of cases, this is only a perception and is not confirmed, but genuine hypogalactia exists in 5% of mothers either due to anatomical variations…

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