Lactation Physiology and Management. Alison Stuebe, MD, MSc [email protected] Objectives. Review public health impact of breastfeeding Understand physiology of lactation Identify the differential diagnosis and treatment for common breastfeeding problems Low milk supply Mastitis
Lactation Physiology and Management
Alison Stuebe, MD, MSc
Formula-feeding vs. breast-feeding: risk of adverse outcomes.
Breastfeeding and Maternal and Infant Health Outcomes inDeveloped Countries. AHRQ Evidence Report Number 153. April 2007.
American Academy of Pediatrics (2005). "Breastfeeding and the Use of Human Milk." Pediatrics 115(2): 496-506.
Let Down: Ejection, not suction, moves milk to the areola.
J. Pediatr 1948; 33:698-704.
Latch: The baby’s tongue moves milk from areola to nipple.
Moving Milk:Demand drives supply.
Start out right: establish normal physiology
Academy of Breastfeeding Medicine. ABM Clinical Protocol #4: Mastitis. Breastfeeding Medicine 3(3); 2008.