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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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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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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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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Much has been written about infant sleep. There is a generalized belief on how infant sleep should be. Often, this is very far from reality. In consultation, you will quickly come across families who are desperate because their children do not sleep through the night or because they wake up often. They ask you what they are doing wrong and how they can get their babies to sleep through in their crib or side sleeper cot. We know that infant…

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Breast milk donation is not new, whether it is expressed breast milk and given to the infant in a recipient or directly at the breast of someone other than the baby’s mother. Breast milk donation has always existed in the history of humankind. In most countries, the donation of human milk to milk banks for the purpose of feeding premature or sick infants is regulated. This usually happens under the umbrella of a donor bank, either within the hospital where…

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