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Breastfeeding and Breast Milk – from Biochemistry to Impact Please tell us what you think Dear reader, Thank you very much for your interest in our book. We would appreciate it if you could take a few minutes to answer a couple of questions. Thank you again and enjoy reading the book. Warm regards, Family Larsson-Rosenquist Foundation Last name First name Email Please confirm this field. We can only accept the questionnaire with your confirmation. Thank you. I agree to the Privacy Policy https://www.larsson-rosenquist.org/en/legal/ What do you find most interesting about the book and how do you work with it? How did you hear about the book? Please share any additional feedback: This might also be interesting for you: Information about LactaPedia – a glossary of lactation for science and medicine: www.LactaPedia.com Information about LactaMap – an online lactation care support system: www.LactaMap.com Please send the questionnaire Please use the latest Adobe Reader version independently to [email protected] of your system software (Windows, Linux, Mac OS X). To send: click on the button To download Adobe Reader: click here. You can keep current on developments in the field of breastfeeding and breastmilk by subscribing to our newsletter: https://www.larsson-rosenquist.org/newsletter Family Larsson Rosenquist Foundation – February 2020 Foundation Larsson Rosenquist Family © Breastfeeding and Breast Milk – from Biochemistry to Impact A Multidisciplinary Introduction Published by Family Larsson-Rosenquist Foundation Georg Thieme Verlag Stuttgart • New York Bibliografical data of the German National Library (Deutsche Important note: Medicine is an ever-changing science Nationalbibliothek) undergoing continual development. Research and clinical The German National Library (Deutsche Nationalbibliothek) experience are continually expanding our knowledge, in lists this publication in the German National Bibliography; particular our knowledge of proper treatment and drug detailed bibliographic information can be found on the in- therapy. Insofar as this book mentions any dosage or appli- ternet at http://dnb.d-nb.de. cation, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book. © 2018 Georg Thieme Verlag KG Nevertheless, this does not involve, imply, or express any Rüdigerstr. 14 guarantee or responsibility on the part of the publishers in 70469 Stuttgart respect to any dosage instructions and forms of applica- Deutschland tions stated in the book. Every user is requested to ex- amine carefully the manufacturers’ leaflets accompany- www.thieme.de ing each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage sched- Printed in Germany ules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the Editorial Office: Lingua-World GmbH, Köln present book. Such examination is particularly important Drawings: Martina Berge, Stadtbergen; Nadja Stadelmann, with drugs that are either rarely used or have been newly Luzern released on the market. Every dosage schedule or every Cover design: Thieme Group form of application used is entirely at the user’s own risk Cover graphic: Nadja Stadelmann, Luzern and responsibility. The authors and publishers request Typesetting by Druckhaus Götz GmbH, Ludwigsburg every user to report to the publishers any discrepancies or Printed by Westermann Druck Zwickau GmbH, Zwickau inaccuracies noticed. If errors in this work are found after publication, errata will be posted at www.thieme.com on ISBN 978-3-13-220401-0 123456 the product description page. Also available as an e-book: Some of the product names, patents, and registered de- eISBN (PDF) 978-3-13-220411-9 signs referred to in this book are in fact registered trade- eISBN (epub) 978-3-13-220421-8 marks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation with- out the publisher’s consent is illegal and liable to prosecu- tion. This applies in particular to photostat reproduction, copying, mimeographing or duplication of any kind, trans- lating, preparation of microfilms, and electronic data proc- essing and storage. 5 Foreword I was 4 years old when my parents started to work Over the years our scientific network grew. We in the field of breast pumps, back in 1962. The met and talked with many experts and multidisci- breastfeeding world looked different then as there plinary researchers in the field of breastfeeding, was a strong belief it is possible to replicate every- human milk and lactation, and the substantial thing that nature does – breastfeeding was at its long-term health benefits of breastfeeding and hu- low and formula was considered the norm. Still, man milk for infants became clear. my parents believed in the importance of breast- As more evidence emerged, and with the real- feeding and the importance of breast pumps to isation that research is key to ensuring that breast- support mothers in need. feeding becomes the norm, it became my family’s This belief in the life-long benefits of breastfeed- vision to help enable a world in which every child ing and breast milk eventually led us to establish is granted an optimum start in life through the the Family Larsson-Rosenquist Foundation. benefits of breastfeeding and human milk. This When I started to become involved in the family motivation was the signal needed for my family to business in the 1980s, it was clear to me as a establish the Family Larsson-Rosenquist Founda- trained scientist that we needed a scientific ap- tion, where science would take centre stage. I had proach to better understand lactation. The first the honour to be the founding president. studies I did myself involved looking at the suction The vision for this book came following a visit to curves of babies at the breast. Through those stud- China in September 2013. Formula was dominat- ies a whole new world opened, and I learnt about ing the market and breastfeeding rates at 6 the two distinct phases when an infant suckles at months were extremely low (20.8%). One stop the breast – a stimulation and an extraction phase. during this visit was the teaching hospital of Zhe- Hence, I worked with our engineers to introduce jiang Province (which has more than 50 million in- these two phases to our breast pumps. This 2- habitants). The dominance of formula was a big Phase expression technology has today become concern for the head of nursing research who was the standard. This was also the start for our first keen to reverse this trend – research was key to research collaboration with Peter Hartmann and doing this. Her passion was clear, but one of her his team at the University of Western Australia. difficulties was getting an overview of research in Over the years our scientific network grew, as the field of breastfeeding and human lactation. An did our questions. I had many discussions with ex- example she shared, was the transfer of medica- perts from different research fields including bio- tions into the milk and she wished to do some re- chemistry, physiology, psychology and physics search into this topic. I sent her Tom Hales book about breastfeeding and human lactation. It struck about how drugs are transferred into mother’s me how little knowledge there was in this field at milk together with Hale & Hartmann’s “Textbook the time and many thought that they knew all of Human Lactation”. there was to know. It was clear to me that invest- This is just one example of one hospital in a ment was needed to move the field forward - thus huge country that is facing an immense problem – began our journey not only in product related re- formula dependence – with no practical solutions search, but also in basic research to enlarge the for change. I have found myself in many similar knowledge base. This then led to some astounding situations with would-be change-makers who are findings: a new understanding of the anatomy of becoming increasingly interested in breastfeeding the lactating breast (updating knowledge that was as the understanding of the health and economic over 150 years old) and the amazing discovery of benefits of human milk increases. The challenge stem cells in human milk. These findings showed they face is always the same: where and how can us it was just the beginning – there is still so much they access the research that will lead to solutions more to know and learn. for change? Foreword 6 There are a lot of studies discussing the benefits man milk. It is designed to empower those inter- of breastfeeding, but these mainly focus on the ested in promoting the positive benefits of breast- health issues and much of it is not standardised. feeding and human milk with the knowledge re- Empowering individuals with the knowledge to quired to persuade decision-makers that this is make change, to increase interest at a local or even the best option for improving short- and long- national level is key and I am therefore convinced term health, decreasing health care-related spend- that there is a growing need for a book which pro- ing and increasing productivity – the same values vides a multidisciplinary overview of breastfeed- and goals my family stands for and which our ing and human milk. There are a lot of books writ- foundation is pursuing on a daily base.
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