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Best practice: communication in lactation care

Best practice: communication in lactation care

Apart from the experience and knowledge healthcare professionals may have about breastfeeding techniques, postures, latching, difficulties, pathology, or physiology, accompanying breastfeeding mothers is based on direct person-to-person contact. The words you use to communicate, as well as the nonverbal language, will allow you to establish an initial bond of trust from which you can address the presenting issues. We must keep in mind that in many postpartum and breastfeeding situations, what women often ask for is to feel listened to…

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Bereaved lactation: care after pregnancy or baby loss

Bereaved lactation: care after pregnancy or baby loss

In professional practice, it is very possible that you will accompany the bereaved lactation of mothers who have lost their baby during pregnancy or childbirth. In this post, we explain how to do this. After the placenta is delivered, lactogenesis II is set in motion, regardless of the birth outcome and the gestational weeks of pregnancy. Many mothers and families are unfamiliar with this, which can be unexpected for many during a complex emotional time. Mothers and families need to…

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The most common pelvic floor problems in the postpartum period

The most common pelvic floor problems in the postpartum period

During the postpartum period, many women have pelvic floor problems that negatively affect their quality of life. In pregnancy and childbirth, the tissues must move to accommodate the baby and adjoining structures. The tissues have to be more active and stretched than normal throughout pregnancy and childbirth. This stretching of ligaments and muscles leads to pelvic floor problems. The following is a description of the most common postpartum pelvic floor problems. In the attached link, we explain how to work…

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Breastfeeding in preterm infants

Breastfeeding in preterm infants

For a preterm newborn, breast milk is not only considered a food but also a fundamental part of the infant’s treatment. Therefore, it is essential to know the different options available for oral feeding of preterm infants, to understand the differences between them as well as the pros and cons of each one. The first choice for feeding a preterm newborn is always the mother’s own milk. It is the only milk that is specifically formulated for the baby. It…

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Relactation: process and stages

Relactation: process and stages

Relactation is the process of restoring a mother’s breast milk supply after it has decreased or disappeared altogether. For various reasons, mothers may wish to stop supplementing the artificial formula they give their infants and attempt to resume exclusive breastfeeding. Correcting the cause of relactation Before starting with the relactation process, the causes that led to the initiation of supplementing formula must be investigated as in some situations, it will be very unlikely that relactation can be achieved. These situations…

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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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How to care for the pelvic floor in case of C-section, tearing, or episiotomy

How to care for the pelvic floor in case of C-section, tearing, or episiotomy

Birth scars, whether from a C-section, episiotomy, or tearing, can cause pain, discomfort, a feeling of tightness, urine or stool leaks, and lack of abdominal control. All these problems have a common cause: adhesions. Adhesions are tissue that prevent the different layers involved, whether in the genital or abdominal area, from moving freely when any movement is made. Trying to rest, which is difficult to achieve in the postpartum period, can help to regenerate and recover the tissues. However, it…

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Feeding refusal after a frenectomy

Feeding refusal after a frenectomy

Among the risks and possible consequences related to frenotomy (the tongue-tie release procedure), the most common complication is post-operative hemorrhage, which is reported in various studies to affect between 3-19% of cases. Although this is the most frequently mentioned complication in the scientific literature, an underestimated complication experienced by many families must be considered. This is the baby’s refusal to breastfeed after the intervention. We know that in many cases, it is recommended to give pain relief as a routine…

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How to care for the pelvic floor when constipation occurs

How to care for the pelvic floor when constipation occurs

Constipation is a very overlooked and normalized topic in society, and women are often more prone to constipation, even before pregnancy or childbirth. In addition, constipation has a negative influence on the pelvic floor, especially over a long time. These recommendations can help to improve constipation and avoid damaging the pelvic floor: Additionally, in case of digestive problems, a professional should be consulted about probiotics, which can improve the gut microbiome and digestion. Even so, it is important to see…

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Warning signs in a feed at the breast

Warning signs in a feed at the breast

As breastfeeding experts, we must be able to evaluate a feed and recognize warning signs that alert a professional to its lack of safety and efficacy. Feeding at the breast is physiological for newborns and, as has been pointed out, the patterns of an infant born at term with adequate weight should be mature, effective, and safe (Rendón-Macías et al., 2012; Shandley et al., 2021). Despite this, there are situations in which infants will present disturbances in the feeding process…

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