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Pocket Guide for Lactation Management


Synopsis


"This is an essential resource for new and experienced lactation care providers. Convenient and easy-to-use, it offers problem solving and counseling strategies for the wide-variety of situations commonly encountered by those working with child-bearing families. Topics include breastfeeding and public health, the Ten Steps to Successful Breastfeeding for hospitals and birth centers, normal breastfeeding, and addressing challenges from both the mother's and baby's perspective"--.

Karin Cadwell, Cindy Turner-Maffei

Summary

Chapter 1: Basic Principles of Lactation Management

* Key Concepts: Anatomy and physiology of lactation, hormonal regulation, and milk production.
* Real Example: A mother experiencing nipple soreness may be assessed for proper latch and positioning to optimize milk removal and reduce discomfort.

Chapter 2: Prenatal and Postpartum Assessment

* Key Concepts: History taking, physical examination, and risk assessment for lactation challenges.
* Real Example: Screening a pregnant woman with a history of previous breast surgery for potential nipple or ductal abnormalities that may impact breastfeeding.

Chapter 3: Initial Breastfeeding Management

* Key Concepts: Positioning, latch, milk removal techniques, and addressing early challenges.
* Real Example: Guiding a new mother on how to hold her baby in a comfortable position for breastfeeding, ensuring a deep and efficient latch.

Chapter 4: Establishing and Maintaining Milk Supply

* Key Concepts: Frequency and duration of breastfeeding, demand-driven feeding, and supplements when necessary.
* Real Example: Encouraging a mother to breastfeed frequently, at least every 2-3 hours, to stimulate milk production and establish a robust milk supply.

Chapter 5: Management of Common Lactation Issues

* Key Concepts: Mastitis, nipple pain, plugged ducts, and engorgement.
* Real Example: Providing a warm compress and massaging the affected breast for a mother with mastitis to help resolve inflammation and clear blocked milk ducts.

Chapter 6: Exclusive Breastfeeding and Weaning

* Key Concepts: Benefits of exclusive breastfeeding, weaning strategies, and transitioning to solid foods.
* Real Example: Educating a mother about the nutritional superiority of breast milk and supporting her decision to breastfeed exclusively for the first six months.

Chapter 7: Special Circumstances

* Key Concepts: Lactation in premature babies, twins or multiples, mothers with health conditions, and adoptive mothers.
* Real Example: Providing extra support and guidance to a mother breastfeeding her preterm baby, ensuring appropriate nutrition and monitoring for weight gain.

Chapter 8: Lactation Counseling

* Key Concepts: Communication skills, empathy, and empowering mothers.
* Real Example: Active listening and supportive communication with a mother who is struggling with breastfeeding challenges, fostering a sense of confidence and empowerment.

Chapter 9: Advocacy for the Breastfeeding Dyad

* Key Concepts: Importance of advocating for breastfeeding, overcoming barriers, and promoting supportive policies.
* Real Example: Educating a healthcare team about the benefits of breastfeeding and advocating for hospital policies that support breastfeeding mothers.