Index. Springer International Publishing Switzerland 2015 L. Dahl, Clinician s Guide to Breastfeeding, DOI /

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1 Index A Alcohol, maternal, 84 Alternative forms of feeding, Anatomy, breast external areola, Montgomery glands, nipples, 18 19, 50 internal alveoli, 19, 22 23, 25 blood supply, 23 Cooper s ligaments, fatty tissue, 22 glandular/ductal tissue, 18 23, 42, 56, 79 80, 85 lactiferous ducts, 18, 19 lactocytes, 21 22, 38, 41 myoepithelial cells, 21, 25 nerve supply, Anatomy, infant larynx, 17 nasal breathing, retrognathia, skull, 97 tongue, Antidepressants, 85 Autocrine control, milk production, 26, 36, 39 41, 48, 53 B Baby Friendly Hospital Initiative, 4 Beer, as a galactagogue, 134 Birth history, Blocked ducts. See Plugged ducts Block feeding, 43 Breast aversion, 125 development, 64, 71 72, 125, 149, 151 diagnosis, 152, 157, prevention, 112, 118 treatment, 72 74, 125, , 161 Breast capacity, 35 41, 53, 56 Breast emptying, 79, degree, 36, 40 duration, 40 41, 53 frequency, 40, 41 Breast engorgement, 81 82, 95 treatment, Breastfeeding patterns, 14, 41, 53 56, 64, 65, 69 Breastfeeding problems, list infant difficulties, maternal difficulties, 144 Breastmilk capacity, Breastmilk, mature, 28 carbohydrate, 29 cellular elements, 30 composition, Springer International Publishing Switzerland 2015 L. Dahl, Clinician s Guide to Breastfeeding, DOI /

2 164 Index Breastmilk, mature (cont.) fat, Kcalories, 28 proteins, vitamins and minerals, 30 water, 28 Breastmilk supply, 7 high (see Osupply) low, 71, 78 79, 83 84, treatment, 120, 150, 161 measurement, regulation, volume requirements, 27, 53, Breast positioning, 9 10, 12 13, , 150 Breast size, 92 Breast surgery, implants, 93 94, reduction, scars, tumor removal, 93 Bromocriptine, 84 C Capacity. See Breastmilk capacity Case histories breast aversion, 149, 150, , gape, , 150, 152, gas and colic, high arched palate, infant weight loss, 145 inverted nipples, jaundice, 145, 146 lingual frenotomy, 153, 157 long nursing sessions, 155 low supply, 146, 155 nipple shields, 154 nipple trauma, painful nursing, 145, 157 poor infant weight gain, 146, 155 poor milk transfer, 145, pumping, 155, 156, 161 retrognathia, 146, 155, 158 shallow latch, , tongue tie, torticollis, CBM. See Computerized Breast Measurement System CCK. See Cholecystokinin CDC Breastfeeding Report Card, 3 Cesarean section delivery, 65 66, 97 Cessation, breastfeeding, reasons, 47 Cholecystokinin, 54 55, 64 Cleft palate, 101 Cluster feeding, 53, 146 CNS depression maternal, 67 infant, 67 Colic. See Reflux Colostrum, 38 39, 127 composition, 27 vs. transitional milk, 27 volume produced, 27, 52 Components of successful breastfeeding, 7 14 Computerized Breast Measurement System, Cooper s ligaments, Cortisol, 26, 28, 50, 112 Cranial osteopathy, 66, 105, D Dehydration, 53, 70 Diet, maternal. See Nutrition, maternal Diuretics, 84 Domperidone, Dyad, breastfeeding, 5 6 E Early hunger cues, 51, 71 Endocrine control, milk production, 24 26, 36, 38, 48, 53 Engorgement. See Breast engorgement

3 Index 165 Ergotamine, 84 Estrogen, 85 Evaluation, breastfeeding, Evaporative water loss, 37, 107 Examination, infant. See Physical exam, infant Examination, mother/breasts. See Physical exam, mother/breasts F Feedback Inhibitor of Lactation, 24, 26 27, 31, 41 43, 50, 53, 65, 111, 151 Feeding patterns, FIL. See Feedback Inhibitor of Lactation First week, 47 53, 64 Flat nipples, 91 92, 126 Foremilk, 29, 39, 43, 55 Frenotomy/frenulectomy labial, 101, 122, 150, 160 lingual, 104, , 150, 153 indications, 122 methods, 122 risks, 122, 123, Frenulum lingual, , labial, Frequent feedings, 64, 69 Fussy/frustrated infant, G Galactagogues, , 150, 156 antiemetics, domperidone, metoclopramide, 136 protocols, antipsychotics, chlorpromazine, 134 sulpiride, 135 herbs and natural substances, beer, 134 fenugreek, 133 galega, 133 oatmeal, 134 risks, 133 shatavari, 133 silymarin, 133 torbangum, 134 hormonal, 134 Galactopoesis, 31 Gape, 49, 70 71, 105, 107, 123, 160 positioning, 8 9 reflex, 8 9 and tongue tie, Gas. See Reflux Glandular breast tissue, 18 23, 42, 56, 79 80, 85 Global regulation. See Endocrine control H Hand expression, breastmilk, Heart shaped tongue, Herbs that decrease milk production, 85 that increase milk production, Hindmilk, 29, 39, 43, 55 Human Lactation Research Group, Hydrochlorothiazide, 84 Hyperlactation. See Osupply Hyperlactation Syndrome, 42 43, Hyperprolactinemia, 42, 81 Hypoplastic breasts. See Insufficient glandular tissue I IGT. See Insufficient glandular tissue Infection, nipple and breast, 96, 112 treatment, ,

4 166 Index Initial latch. See Perfect latch Insufficient glandular tissue, Intake requirements, infant, 52, 53, 55, 69 Inverted nipples, 91 92, 126, J Jaundice, 70, Jaw, asymmetry, 99, 105 mandible formation, 97 micrognathia, 98 physiologic retrognathia, 97 ultrasound assessment, 98 L Labial frenulum, , 104, 124, 146, 148, 160 Lactation consultants, 61, 86, 104, 147, 153 Lactocytes, 21 22, 38, 41 Lactogenesis I, 22, 27, 68 Lactogenesis II, 27 28, 79, 84 Lasix, 84 Latch. See Perfect Latch or Shallow latch LATCH score, LC. See Lactation consulants Letdown. See Milk ejection reflex Lingual frenulum, , , , 146, 148, , 158, 160 Lip tie, 101 Local regulation, breast milk. See Autocrine control Locked in position, Low supply, breastmilk, 43, 52, 77 80, 125, , 146, 156 M Mastitis, 82, 96 consequences, 129 treatment, Medical history, maternal, 61 63, Medications limiting milk supply, alcohol, 84 antidepressants, 85 birth control, 85 bromocriptine, 84 diurectics, 84 herbs, 85 methergine, 84 nicotine, 85 pseudoephedrine, 85 maternal, 66, 84 peripartum, promoting milk supply ( see Galactagogues) Methergine, 84 Milk blebs, 96 Milk ejection reflex, 12, 25 26, 38, 52 Milk supply. See Breastmilk supply Milk transfer, infant, 7, 35, 41, 50, 53, 54, 69, 70, 107 poor, 82, 129, 155 Montgomery glands, N Neurological impairment, infant, 67 Nicotine, 85 Nifedipine, 95 Nipple anatomy, 18 19, 50 flat, 91 92, 126 inverted, 91 92, 126, pain (see painful nursing) trauma, 96, 144 treatment, Nipple confusion. See Breast asion Nipple piercing, 95 Nipple shields, 113, , 154 NS. See Nipple shields Nutrition, maternal, 44, 75

5 Index 167 O Obesity, maternal, 84, Output, infant, 52 53, Oversupply definition, 42 43, hyperlactation syndrome, management, 43, 81, nursing position, 114, 132 and pain, Oxytocin, 12, 25 26, 38, 39, 52, 68, 130 P Pacifier use, 55, 125 Painful nursing, 26, 47, 49 51, 64, 72, 76 77, 107, 112, 127, 157 Pain medication, maternal, Palate formation, 100 high and arched, 50, 73, , 105, 121, , 150, 155 Perfect latch, 7 14, breast position, 9 12, 13 gape, 8 9 locked in position, 12 priming the breast, 9 10 suck reflex, 9 11 Physical exam, infant, gape, head, 97 jaw, neck, 105 palate, suck, 106 tongue, upper lip, Physical exam, mother and baby, Physical exam, mother/breasts, engorgement, 95 hypoplasia, 93, 94 infection, 96 inflammation, 96 nipples, piercings, 95 Raynaud s phenomenon, 95 scars, size, Pierre Robin syndrome, 98 Plugged ducts, maternal, 82, 96 treatment, Positioning, nursing, breast, 9 10, 12 13, infant, 107, 132 Posterior tongue tie, 104, 124 Prematurity, 65, Priming the breast, 9 10 Progesterone, 24, 27, 38 Prolactin and oversupply, physiology, 24 25, 28, 38 39, 52 53, 64, 68, 130 Prolonged feedings, 64 Pseudoephedrine, 85 Pumping to determine supply, 37, to increase supply, , 150, 161 to manage oversupply, , 155, 156 patterns of removal, timing, type of pump, 131 vacuum strength, 131 Q Questionnaire, intake baby, mother, 63 R Raynaud s phenomenon, 95 Reflexes, 50, 72 gape, 8 9 letdown (see Milk ejection reflex) rooting, 8, 71 suck, 11 12, 74 Reflux, 74 75, ,

6 168 Index Retrognathia exaggerated, 98 99, 105, , 150 physiologic, 17 18, 97 Rooting reflex, 8, 71 S Shallow latch, 50, 70 diagnosis, 149, 152, 157, 159 treatment, 150, 160 Skin to skin contact, 7, 51, 113 Skull deformities, 65 66, 97 SNS. See Supplemental Nursing System Suck dyscoordinate, 77, 106 reflex, 11 12, 100, 106 Supplemental Nursing System, , 147, 161 Syringe and finger feeding, T Tongue development, 17 18, 103 lingual frenulum, , movement in breastfeeding, 12 shape, Tongue tie, , cause, 104 classification, Genna and Coryllos, 104, 120 definition, 104, 120 diagnosis, and gape, results, 104, treatment, , 153 Torticollis, 105, Touch receptors, 25, 38, 52, 64, 111, 130 Transitional milk, 27, 39, 79, 95, 127 Treatments infant alternative forms of feeding, breast aversion, 125 cranial osteopathy, frenotomy/frenulectomy, , 153 nipple shields, nursing positions, supplemental nursing systems, , 156 maternal flat nipples, 126 galactagogues, , 150, 156 inflammation/infection, inflammation/infection: engorgement, inflammation/infection: mastitis, inflammation/infection: plugged ducts, 128 inverted nipples, 126 low supply, , 156 oversupply, superficial infections, 126 overall goals, Twins, 68 V Vaginal birth, W Weeks, 2 4, expectations, 53 55, 64 Weight gain, infant expectations, 56, 68 slow, 64, 68 70, 157 Weight loss, infant expected, 51, 56 World Health Organization (WHO) 3, 4 Ten Steps to Successful Breastfeeding protocol, 4, 125