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Physiological Basis of Breastfeeding
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A woman's breasts start getting ready to make milk when she becomes pregnant. Breast changes are caused by four main hormones. These hormones cause the ducts and glandular tissue (alveoli) to grow and increase in size (see the anatomy of breastfeeding in the image to the left). Your breasts start to make the first milk, colostrum, in the second trimester. Colostrum is thick and clear to yellow in colour. Once your baby and the placenta are delivered, your body starts to make more milk. Over the next few days, the amount of milk your breasts make will increase and the colour will change to appear more watery and white. Under nutrition is estimated to cause 3.1 million child deaths annually or 45 per cent of all child deaths. Breast feeding is a key area to improve child survival and promote healthy growth and development. The first 2 years of a child's life are particularly important, as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic disease, and fosters better development overall. Optimal breastfeeding is so critical that it could save about 800 000 under 5 child lives every year. Breastfeeding confers short term and longterm benefits on both child and mother, including helping to protect children against a variety of acute and chronic disorders.
Keywords
Breast Feeding, Colostrums, Optimal Nutrition Chronic Diseases.
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- Butte, N., Lopez-Alarcon, M.G. and Garza, C. (2002). Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva, World Health Organization.
- Cernadas, J.M.C., Carroli, G. and Lardizábal, J. (2006). Effect of timing of cord clamping on neonatal venous hematocrit values and clinical outcome at term: a randomized, controlled trial: In reply. Pediatrics, 118:1318– 1319.
- Chaparro, C.M., Neufeld, L.M., Tena Alavez, G., EguiaLíz Cedillo, R. and Dewey, K.G. (2006). Effect of timing of umbilical cord clamping on iron status in Mexican infants: a randomised controlled trial. Lancet, 367: 1997–2004.
- Dereddy, N. R., Talati, A. J., Smith, A., Kudumula, R. and Dhanireddy, R. (2015). A multipronged approach is associated with improved breast milk feeding rates in very low birth weight infants of an inner-city hospital. J. Human Lactation, 31: 43-46.
- Edgar, A. (2005). Anatomy of a working breast. New Beginnings, 22 : 44-50.
- Forsythe, S. (2005). Enterobacter sakasakii and other bacteria in powdered infant milk formula. Maternal & Child Nutr., 1: 44–50.
- Goldman, A.S. (2007). The immune system in human milk and the developing infant. Breastfeed Med., 2:195-204.
- Hanson, L.A. (2004). Immunobiology of human milk: how breastfeeding protects babies. Pharmasoft Publishing, Texas, U.S.A.
- Iellamo, A., Sobel, H. and Engelhardt, K. (2015).Working mothers of the World Health Organization Western Pacific offices: lessons and experiences to protect, promote and support breastfeeding. J. Human Lactation, 31 : 36-39.
- Innis, S.M. (2007). Human milk: maternal dietary lipids and infant development. The Proc. Nutr. Soc., 66 : 397–404.
- Kent, J., Mitoulas, R., Cregan, D., Ramsay, T. and Dorota, A. (2006). Volume and frequency of breastfeeding and fat content of breastmilk throughout the day. Pediatrics, 117: 387–392.
- Lawrence, R.A. and Lawrence, R.M. (2005). Breastfeeding: a guide for the medical profession. 6th Ed. Mosby, LONDON, UNITED KINGDOM.
- Moore, E.R., Anderson, G.C. and Bergman, N. (2007). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Datab. System. Rev., 2:CD003519.
- Nyqvist, K.H., Sjoden, P.O. and Ewald, U. (1999). The development of preterm infants’ breastfeeding behaviour. Early Human Develop., 55 : 247–264.
- Ramsay, D.T., Kent J.C., Hartmann, R.A. and Hartmann, P.E. (2004). Ultrasound imaging of milk ejection in the breast of lactating women. Pediatrics, 113 : 361–367.
- Renfrew, M.J., McCormick, F.M., Wade, A., Quinn, B. and Dowswell, T. (2012). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Datab. System. Rev., 5:CD001141.
- Riordan, J. (2004). The biological specificity of breast milk. In: Breastfeeding and human lactation. Jones and Bartlett, Boston, U.S.A,.
- Rozga, M.R., Kerver, J.M. and Olson, B.H. (2015). Prioritization of resources for participants in a peer counseling breastfeeding support programme. J. Human Lactation, 31:111-9.
- Schanler, R. (2001). Preface. The Pediatric Clinics of North America, 48: 19–20.
- Srinivas, G.L., Benson, M., Worley, S. and Schulte, E. (2015). A clinic-based breastfeeding peer counselor intervention in an urban, low-income population: interaction with breastfeeding attitude. J. Human Lactation, 31:120128.
- Uvnas, M. K. (1996). The neuroendocrinology of the mother-child interaction. Trends in Endocrinol. & Metabolism, 7:126–131.
- WHO (1989). Infant feeding: the physiological basis. Bull. World Health Organization, 67 : 1–107.
- WHO (1993). Breastfeeding counselling: a training course. Trainer’s guide (Session 3: How breastfeeding works) and Overhead figures (Figure 3/1). World Health Organization, (WHO/CDR/93.4 and WHO/CDR/93.6) GENEVA.
- WHO (2005). Guiding principles for feeding non-breastfed children 6–24 months of age. World Health Organization, GENEVA.
- Wilde, C.J., Prentice, A. and Peaker, M. (1995). Breastfeeding: matching supply and demand in human lactation. Proc. Nutr. Soc., 54 : 401–406.
- WHO (2006). Home-modified animal milk for replacement feeding: is it feasible and safe? Discussion paper prepared for “HIV and infant feeding Technical Consultation”, Geneva, World Health Organization, 2006 (http:// www.who.int/17 child_adolescent_health/documents/ a91064/en/, accessed 5 November 2008).
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