Milking and Lactation
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Dr. Hale's Lactation Risk Categories
Just like during pregnancy, it is extremely important to talk to your doctor, pharmacist or lactation consultant before taking any medications. Most medications are safe, but there are many that can pass through your breastmilk to baby. Your lactation consultant also has access to resources about medication safety and breastfeeding. Medication Category Dr. Hale’s Lactation Risk Categories Acetaminophen (Tylenol) L1 L1 Safest Amoxicillin L1 Drug which has been taken by a large number of breastfeeding moth- ers without any observed increase in adverse effects in the infant. Aspirin L3 Controlled studies in breastfeeding women fail to demonstrate a risk to the infant and the possibility of harm to the breastfeeding infant is Birth Control – ONLY Acceptable remote; or the product is not orally bioavailable in an infant. L2 Safer Norethindrone, Depo-Provera, Drug which has been studied in a limited number of breastfeeding Implanon, Mirena, Plan B women without an increase in adverse effects in the infant; And/or, the evidence of a demonstrated risk which is likely to follow use of this medication in a breastfeeding woman is remote. Cetrizine (Zyrtec) L2 L3 Moderately Safe There are no controlled studies in breastfeeding women, however Dextromethorphan (Robitussin L1 the risk of untoward effects to a breastfed infant is possible; or, con- etc.) trolled studies show only minimal non-threatening adverse effects. Drugs should be given only if the potential benefit justifies the poten- Dimenhydrinate (Dramamine) L2 tial risk to the infant. L4 Possibly Hazardous Diphenhydramine (Benadryl) L2 There is positive evidence of risk to a breastfed infant or to breast- milk production, but the benefits of use in breastfeeding mothers Fluoxetine (Prozac) L2 may be acceptable despite the risk to the infant (e.g. -
Breastfeeding Is Best Booklet
SOUTH DAKOTA DEPARTMENT OF HEALTH WIC PROGRAM Benefits of Breastfeeding Getting Started Breastfeeding Solutions Collecting and Storing Breast Milk Returning to Work or School Breastfeeding Resources Academy of Breastfeeding Medicine www.bfmed.org American Academy of Pediatrics www2.aap.org/breastfeeding Parenting website through the AAP www.healthychildren.org/English/Pages/default.aspx Breastfeeding programs in other states www.cdc.gov/obesity/downloads/CDC_BFWorkplaceSupport.pdf Business Case for Breastfeeding www.womenshealth.gov/breastfeeding/breastfeeding-home-work- and-public/breastfeeding-and-going-back-work/business-case Centers for Disease Control and Prevention www.cdc.gov/breastfeeding Drugs and Lactation Database (LactMed) www.toxnet.nlm.nih.gov/newtoxnet/lactmed.htm FDA Breastpump Information www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ HomeHealthandConsumer/ConsumerProducts/BreastPumps Healthy SD Breastfeeding-Friendly Business Initiative www.healthysd.gov/breastfeeding International Lactation Consultant Association www.ilca.org/home La Leche League www.lalecheleague.org MyPlate for Pregnancy and Breastfeeding www.choosemyplate.gov/moms-pregnancy-breastfeeding South Dakota WIC Program www.sdwic.org Page 1 Breastfeeding Resources WIC Works Resource System wicworks.fns.usda.gov/breastfeeding World Health Organization www.who.int/nutrition/topics/infantfeeding United States Breastfeeding Committee - www.usbreastfeeding.org U.S. Department of Health and Human Services/ Office of Women’s Health www.womenshealth.gov/breastfeeding -
Initiating Maternal Milk Supply
Initiating Maternal Milk Supply www.medelaeducation.com The Value of Human Milk Medela, Inc., 1101 Corporate Drive, McHenry, IL 60050 Phone: (800) 435-8316 or (815) 363-1166 Fax: (815) 363-1246 Email: [email protected] Medela is registered in the US Patent and Trademark Office and elsewhere. 1908576 A 0416 © 2016 Medela, Inc. Printed in the USA. Innovating Practice through Research and Evidence Technological Advances for Initiating Maternal Milk Supply: Implications for Successful Lactation Introduction This edition of Innovating Practice through Research and Evidence explores the use of pumping technology to enhance a woman’s ability to initiate and maintain breast milk production. For several years the American Academy of Pediatrics1 has recommended infants receive exclusive human milk feeding for the fi rst six months, and continue breastfeeding with additional foods up to a year and beyond. Yet data from the 2014 CDC Breastfeeding Report Card2 indicates fewer than 20% of mothers met this objective. There are multiple reasons women do not exclusively breastfeed or sustain lactation through and beyond the fi rst year. However, evidence indicates mothers who breastfeed immediately and frequently after birth have a greater likelihood of successful milk production. Unfortunately not all women are able to have this experience. The intent in this article is to highlight several studies related to a breast-pumping program specifi cally designed to enhance human milk production. Research suggests the secretory activation phase of lactation -
Dairy Start Up
Last updated 1/1/2014 Starting up a Dairy in New Hampshire Regulation: The production and processing of milk and milk products in New Hampshire is regulated by the Department of Health and Human Services, Food Protection Section, Dairy Sanitation Program, 29 Hazen Drive, Concord, NH 03301 (603) 271-4673. www.dhhs.state.nh.us/dhhs/dairysanitation State Law: RSA 184. Administrative Rules: He-P 2700 Milk Producers, Milk Plants, Producer/Distributors, and Distributors - rules for permitting of farms and licensing milk plants and producer/distributors. Mil 300 Milk Sanitation - this rule adopts the 2011 revision of the federal Pasteurized Milk Ordinance. The PMO is available from FDA by writing to: Department of Health & Human Services, Public Health Services, Food and Drug Administration (HFS-626), 5100 Paint Branch Parkway, College Park, MD 20740-3835 or on line at www.fda.gov/downloads/Food/GuidanceRegulation/UCM291757.pdf Milk and milk products include: fluid milk, cultured fluid milk, cream, yogurt, raw milk yogurt, sour cream, eggnog, butter, ice cream, and cheese. Products made from milk or cream, such as puddings, candies, etc., are not classified as milk products and are regulated by the Department of Health and Human Services, Bureau of Food Protection, Food Sanitation Section. They can be reached at (603) 271-4589. www.dhhs.state.nh.us/dhhs/foodprotection Permits and licenses: All facilities which process or pasteurize milk or make cheese must have a Milk Sanitation License, except as exempted below. This is an annual license. All licenses expire on the 1st of January after the year of issuance. -
Clinical Update and Treatment of Lactation Insufficiency
Review Article Maternal Health CLINICAL UPDATE AND TREATMENT OF LACTATION INSUFFICIENCY ARSHIYA SULTANA* KHALEEQ UR RAHMAN** MANJULA S MS*** SUMMARY: Lactation is beneficial to mother’s health as well as provides specific nourishments, growth, and development to the baby. Hence, it is a nature’s precious gift for the infant; however, lactation insufficiency is one of the explanations mentioned most often by women throughout the world for the early discontinuation of breast- feeding and/or for the introduction of supplementary bottles. Globally, lactation insufficiency is a public health concern, as the use of breast milk substitutes increases the risk of morbidity and mortality among infants in developing countries, and these supplements are the most common cause of malnutrition. The incidence has been estimated to range from 23% to 63% during the first 4 months after delivery. The present article provides a literary search in English language of incidence, etiopathogensis, pathophysiology, clinical features, diagnosis, and current update on treatment of lactation insufficiency from different sources such as reference books, Medline, Pubmed, other Web sites, etc. Non-breast-fed infant are 14 times more likely to die due to diarrhea, 3 times more likely to die of respiratory infection, and twice as likely to die of other infections than an exclusively breast-fed child. Therefore, lactation insufficiency should be tackled in appropriate manner. Key words : Lactation insufficiency, lactation, galactagogue, breast-feeding INTRODUCTION Breast-feeding is advised becasue human milk is The synonyms of lactation insufficiency are as follows: species-specific nourishment for the baby, produces lactational inadequacy (1), breast milk insufficiency (2), optimum growth and development, and provides substantial lactation failure (3,4), mothers milk insufficiency (MMI) (2), protection from illness. -
Maternal Intake of Cow's Milk During Lactation Is Associated with Lower
nutrients Article Maternal Intake of Cow’s Milk during Lactation Is Associated with Lower Prevalence of Food Allergy in Offspring Mia Stråvik 1 , Malin Barman 1,2 , Bill Hesselmar 3, Anna Sandin 4, Agnes E. Wold 5 and Ann-Sofie Sandberg 1,* 1 Department of Biology and Biological Engineering, Food and Nutrition Science, Chalmers University of Technology, 412 96 Gothenburg, Sweden; [email protected] (M.S.); [email protected] (M.B.) 2 Institute of Environmental Medicine, Unit of Metals and Health, Karolinska Institutet, 171 77 Stockholm, Sweden 3 Department of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden; [email protected] 4 Department of Clinical Science, Pediatrics, Sunderby Research Unit, Umeå University, 901 87 Umeå, Sweden; [email protected] 5 Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, 413 90 Gothenburg, Sweden; [email protected] * Correspondence: ann-sofi[email protected] Received: 10 November 2020; Accepted: 25 November 2020; Published: 28 November 2020 Abstract: Maternal diet during pregnancy and lactation may affect the propensity of the child to develop an allergy. The aim was to assess and compare the dietary intake of pregnant and lactating women, validate it with biomarkers, and to relate these data to physician-diagnosed allergy in the offspring at 12 months of age. Maternal diet during pregnancy and lactation was assessed by repeated semi-quantitative food frequency questionnaires in a prospective Swedish birth cohort (n = 508). Fatty acid proportions were measured in maternal breast milk and erythrocytes. Allergy was diagnosed at 12 months of age by a pediatrician specialized in allergy. -
Beginners Guide to Dairy Goats
American Goat Breeding and Kidding The American Goat Society Society Purebred Herd For many goat owners, kidding time is the most exciting time of the year. But Has been dedicated to preserving pure- books Since if those adorable kids are to mature bred dairy goat herd books since 1936. 1936 into good milkers and show animals, AGS is a democratic, member-run proper planning must take place before breeding, during pregnancy, at birth organization committed to the support Beginners Guide and beyond. and advancement of the dairy goat Chose your potential sire well. Don’t Industry through programs such as: To Dairy Goats be swayed by a “pretty face”. Know your doe’s strengths and weaknesses DHI Milk Testing and, ideally, pick a buck that that is proven to be strong in the areas you Official Classification want to improve. Show Sanctions Breeds Maintain your doe’s healthy diet and Judges Training condition during pregnancy, not letting Youth Scholarships Purchasing her get too fat or too thin. Follow your vet’s recommendations for vaccinations and worming. Contact AGS to find out more or Housing Kidding usually occurs 145 to 155 days Contact this AGS member: from the breeding date. Attend the Feeding birth! Most does kid with no trouble but sometimes a little assistance can Health Care make all the difference. Dip navel cords in iodine and make sure the kids start nursing well either on mom or start Milking them on colostrum from a bottle. Follow recommendations for vaccina- Breeding tions and boosters, and control coc- cidia and parasites. -
Let's Make Butter!
KANSAS FARM BUREAU’S AG LEARNING ZONE YOUTH ACTIVITY: LET’S MAKE BUTTER! OBJECTIVE: YOUTH WILL UNDERSTAND THAT BUTTER COMES FROM DAIRY COWS. Vocabulary Words Churning – a process that separates butterfat (solid) from buttermilk (liquid). Milking Parlor – a building where cows’ udders are washed and then attached to a milking machine that functions as a vacuum to extract milk. Udder – a large bag between a cow’s rear legs where milk is stored. It can hold 25 to 50 pounds of milk! Milk Comes from a Cow? Lesson Ask youth if they know how butter is made. Allow time for a short discussion. Read “Milk Comes from a Cow?” to those in attendance. Discuss where milk comes from and how milk is made into many products, including butter. Explain that butter is the dairy product made from churning milk or cream. The butter we most often buy from the store is made from cow’s milk, although other varieties – made from the milk of sheep, goat, yak or buffalo – are also available. Fun Facts About Dairy Milk products come from dairy cows. Examples of products made from milk include: o Cheese, Butter, Yogurt, Sour Cream, Cream Cheese and Ice Cream Twenty-five gallons of milk can make 11 pounds of butter. Dairy cows are milked two times daily, every day of the year. Milking by hand, a farmer can milk six cows in an hour. Today, machines in milking parlors can milk up to 100 cows an hour. Assessments True or false? Milk comes from a milk machine at the store. -
Breastfeeding Support Credentials
Who’s Who? A glance at breastfeeding support in the United States Lactation support is often needed to help mothers initiate and continue breastfeeding. There are many kinds of help available for breastfeeding mothers including peer counselors, certified breastfeeding educators and counselors, and lactation professionals such as the International Board Certified Lactation Consultant (IBCLC®). Breastfeeding support is valuable for a variety of reasons, from encouragement and emotional support to guidance and assistance with complex clinical situations. Mothers benefit from all kinds of support, and it is important to receive the right kind at the right time. The breastfeeding support categories listed below each play a vital role in providing care to mothers and babies. Breastfeeding Support Prerequisites Training Required Scope of Practice Type • 90 hours of lactation-specific education Recognized health Provide professional, • College level health science professional or evidence based, clinical courses Professional satisfactory completion lactation management; • 300-1000 clinical practice hours (International Board Certified of collegiate level educate families, health Lactation Consultant, IBCLC®) • Successful completion of a health sciences professionals and others criterion-referenced exam offered coursework. about human lactation. by an independent international board of examiners. Certified • 20-120 hours of classroom training Provide education and • Often includes a written exam guidance for families (i.e. Certified Lactation N/A Counselor, Certified or “certification” offered by the on basic breastfeeding Breastfeeding Educator, etc. ) training organization issues. Provide breastfeeding information, Peer Personal breastfeeding • 18-50 hours of classroom training encouragement, and (i.e. La Leche League, WIC experience. Peer Counselor, etc.) support to those in their community. Copyright © 2016 by USLCA. -
MATERNAL & CHILD HEALTH Technical Information Bulletin
A Review of the Medical Benefits and Contraindications to Breastfeeding in the United States Ruth A. Lawrence, M.D. Technical Information Bulletin Technical MATERNAL & CHILD HEALTH MATERNAL October 1997 Cite as Lawrence RA. 1997. A Review of the Medical Benefits and Contraindications to Breastfeeding in the United States (Maternal and Child Health Technical Information Bulletin). Arlington, VA: National Center for Education in Maternal and Child Health. A Review of the Medical Benefits and Contraindications to Breastfeeding in the United States (Maternal and Child Health Technical Information Bulletin) is not copyrighted with the exception of tables 1–6. Readers are free to duplicate and use all or part of the information contained in this publi- cation except for tables 1–6 as noted above. Please contact the publishers listed in the tables’ source lines for permission to reprint. In accordance with accepted publishing standards, the National Center for Education in Maternal and Child Health (NCEMCH) requests acknowledg- ment, in print, of any information reproduced in another publication. The mission of the National Center for Education in Maternal and Child Health is to promote and improve the health, education, and well-being of children and families by leading a nation- al effort to collect, develop, and disseminate information and educational materials on maternal and child health, and by collaborating with public agencies, voluntary and professional organi- zations, research and training programs, policy centers, and others to advance knowledge in programs, service delivery, and policy development. Established in 1982 at Georgetown University, NCEMCH is part of the Georgetown Public Policy Institute. NCEMCH is funded primarily by the U.S. -
35 Fun Facts About Dairy
35UNDENIABLY FUN FACTS ABOUT DAIRY 1. About 73% of calcium available in the food supply is provided by milk and milk products. 2. Milk is packed with essential nutrients including protein, calcium and vitamin D. 3. Chocolate milk’s combination of fluids, carbs, and protein helps rehydrate and refuel muscles after a workout. 4. It takes... » 12 pounds of whole milk to make 1 gallon of ice cream. » 21.2 pounds of milk to make 1 pound of butter. » 10 pounds of milk to make 1 pound of cheese. 5. Cheddar is the most popular natural cheese in the U.S. 6. Vanilla is America’s favorite flavor of ice cream. 7. To get the same amount of calcium provided by one 8-ounce glass of milk, you would have to eat 4.5 servings of broccoli, 16 servings of spinach or 5.8 servings of whole wheat bread. 8. The first cow arrived in America in Jamestown in 1611. Until the 1850’s nearly every family had its own cow. 9. June is National Dairy Month. 10. All 50 states have dairy farms. 11. 95% of U.S. dairy farms are family-owned and operated. 12. Milk arrives at your local grocery store within 48 hours of leaving the farm. 13. There are 6 breeds of dairy cows: Holstein, Jersey, Guernsey, Brown Swiss, Ayrshire and Milking Shorthorn. 14. A Holstein’s spots are like fingerprintsno two cows have exactly the same pattern of black and white spots. 15. The average cow produces 8 gallons of milk per day, that’s over 100 glasses of milk! 16. -
Journal of Human Lactation
Journal of Human Lactation http://jhl.sagepub.com Exclusive Breastfeeding: Isn’t Some Breastfeeding Good Enough? Jane Heinig and Kara Ishii J Hum Lact 2004; 20; NP DOI: 10.1177/089033440402000409 The online version of this article can be found at: http://jhl.sagepub.com Published by: http://www.sagepublications.com On behalf of: International Lactation Consultant Association Additional services and information for Journal of Human Lactation can be found at: Email Alerts: http://jhl.sagepub.com/cgi/alerts Subscriptions: http://jhl.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Downloaded from http://jhl.sagepub.com at International Lactation Consultant Association on September 29, 2008 ILCA’s INSIDE TRACK a resource for breastfeeding mothers A Publication of the International Lactation Consultant Association Exclusive Breastfeeding: Isn’t Some Breastfeeding Good Enough? By Jane Heinig, PhD, IBCLC, and Kara Ishii, MSW ongratulations on choosing to for at least 3 months. For mothers, exclusive breastfeed your baby! As you know, breastfeeding during the first 6 months means Cmany of the benefits of breastfeeding that more calories are going to make milk (so last a lifetime. You might have heard that health the mother loses weight more quickly, which is organizations, including the World Health Orga- important for her health). Also, mothers who nization, recommend exclusive breastfeeding for exclusively breastfeed often go 9 months with- the first 6 months of life. You may be wondering out a period after their babies are born. Longer if exclusive breastfeeding is truly important or if breastfeeding is also related to greater protec- breastfeeding mixed with bottle feeding is just tion for mothers against breast cancer.