The Secret to Pain Free Breastfeeding

Breastfeeding Help And Baby Care For New Parents

The Breastfeeding Help Video Compilation By Australian International Board Certified Lactation Consultant Kate Hale is full of useful information about breastfeeding and how to manage low supply. It is very clear and concise in its content. It also has a lot handy tips for new mothers, including how to bath, massage and dress an infant. Learn how to care for a new-born, including how to deeply latch your baby and breastfeed without pain within minutes for a contented baby and an end to sore nipples. It is the only Dvd of which I am aware that is readily available to new mothers with an actual demonstration on how to correctly latch a baby on and off the breast using a couple of alternative feeding positions. Reading about breastfeeding in a book is nowhere near as useful as watching the Dvd. Read more here...

Breastfeeding Help And Baby Care For New Parents Summary


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Author: Kate Hale
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All of the information that the author discovered has been compiled into a downloadable book so that purchasers of Breastfeeding Help And Baby Care For can begin putting the methods it teaches to use as soon as possible.

This ebook does what it says, and you can read all the claims at his official website. I highly recommend getting this book.

The Newborns Maturity

Preterm babies are also colonized by facultatively anaerobic bacteria from the first days of life, and these remained at high levels resembling the full-term formula-fed babies. However, the intestinal colonization of preterm infants differed from that in full-term, breast-fed infants in the high counts of facultatively anaerobic bacteria and late appearance of bifidobacteria and from both groups of full-term infants in the early stable colonization by Bacteroides spp. (54). It is postulated that the composition of intestinal microflora of preterm low birth weight babies contributes to their predisposition to neonatal necrotizing enterocolitis. The gut of extremely low birth weight infants is colonized by a paucity of aerobic and anaerobic bacterial species. Breast feeding and reduction of antibiotic exposure increased the number of these organisms and fecal microbial diversity (55).

Predisposing Conditions And Pathophysiology

Risk factors for IB are multifactorial and include breastfeeding, and the introduction of first-formula feeding, consumption of honey, and residence in a region of high spore density and soil disruption (13). Constipation appears to be a risk factor but also is an early manifestation of intoxication (17). Breastfeeding is a risk factor for IB in all studies (13,16-21). This may be the case because it truly predispose to illness (13,17,20), or that it slows the illness to permit hospitalization (16). However, among hospitalized infants the formula-fed reported from California (16), had a mean age of onset (7.6 + 8.4 weeks) that was significantly less than that of their breast-fed counterparts (13.7 + 8.4 weeks). The younger age at onset for formula-fed infants may reflect their earlier availability of suitable ecologic niches for C. botulinum in the intestinal flora of the formula-fed infants (13,18), as well as the lack of immune factors that are contained in human milk. Long et al....

The Nature Of Virus Reservoirs

A significant number of human viruses leading to either mild or life-threatening disease are maintained in human populations. The list runs the gamut from colds caused mainly by rhi-noviruses, warts caused by papillomaviruses, to AIDS caused by HIV. The mode of passage of viruses between humans (i.e., the vector) is intimately involved with human behavior. This behavior can be modified by the disease symptoms themselves. Thus, a respiratory infection leads to coughing and sneezing, which spreads an aerosol of droplets containing virus. HSV is spread in saliva requiring direct transfer of an aqueous suspension by contrast, the closely related varicella zoster (chicken pox) virus (VZV) is spread by inhalation of a virus-loaded aerosol. Warts are spread by direct physical contact between the virus-loaded source (another wart or a passive reservoir) and layers of the skin below the keratinized epidermis exposed by small cuts or abrasions. Poliovirus is spread only by virus-containing...

The Socioeconomic Perspective

Last but not least, the frequency of breast-feeding, which is protective against lower and upper RTIs in early childhood,38 can modify the incidence of pediatric infections and the need for antibiotic therapy. For instance, a population-based, longitudinal study from Canada has indicated that breast-feeding reduced the number of antibiotic treatments given to children entering day care before 2.5 years of age.29 This study also showed that children could be protected by being taken care of in a familial setting.

Are there any illnesses or medical conditions that are associated with osteoporosis

Breastfeeding caused by the illness or condition can be reversible. For example, pregnancy and lactation cause temporary bone loss because calcium is needed by the developing fetus and the infant who is breastfeeding. But pregnancy- and lactation-associated bone loss stops either after delivery of the baby or the weaning of the baby from the breast. Interestingly, this transient bone loss does not have long-term effects and is not changed by taking additional calcium during pregnancy or lactation. Hypogonadism, or low testosterone levels, is a chronic condition that affects men and can interfere with normal bone development.

Prevention Of Hiv Infection In Children

Consistent with the evidence that most fetal and newborn HIV infections are acquired near or during delivery, recent clinical trials have shown that abbreviated antiretroviral regimens focused on the peripartum period are also effective in decreasing the risk of perinatal transmission (93,96). A short course of AZT, administered late in pregnancy and intrapartum decreased the perinatal HIV transmission rate by 50 in the non-breast-feeding cohort of women in Thailand (97) and by 37 in a breastfeeding cohort of women in West Africa at 3 months and 26 at 24 months (98). A study in breast-feeding women in Uganda demonstrated that a single oral dose of nevirapine administered to the women at the onset of labor followed by a single oral dose administered to the infant decreased the risk of HIV infection by 41 compared with a very short AZT regimen. This difference remained through 18 months of life (99,100). In another African trial, a short course of AZT and lamivudine (3TC) was compared...

International Perspective

Two patterns of pediatric HIV infection now exist, one in the industrialized countries, such as the United States, Canada and European countries, and another in resource-poor countries. In the industrialized countries, there are effective programs for prevention of perinatal HIV infections (113,114). In contrast, in resource poor countries, there is a perinatal HIV epidemic and HIV AIDS has become one of the leading causes of death in children. Affordable and acceptable approaches to HIV counselling and testing in pregnancy, peripartum antiretroviral prophylaxis and reduction of transmission from breast-feeding in resource-poor settings are urgently needed (115).

Management options

If epidural analgesia has been used for labour this should be extended for surgery. There is usually no reason to separate mother and baby if regional anaesthesia is used, and there should be no delay in initiating breastfeeding. Adequate fluid replacement is essential, particularly as the sympathetically induced vasodilatation accompanying regional blockade will aggravate any existing hypovolaemia. Suitable solutions for topping up the epidural catheter include 2 lidocaine with 1 200 000 adrenaline, or 0.5 bupivacaine with or without fentanyl. An upper extent of block to T8 is required since uterine manipulation may be considerable.

Human Tcell lymphotropic virus type

Of unknown function, also encoded in this region of the genome, have been identified in infected cells. Cell-free HTLV-2 particles have extremely low infectivity in vitro, but co-cultivation of virus-producing cells can be used to transmit the virus to a variety of cells including human T and B lymphocytes, fibroblasts and epithelial cells, and cells from other species such as hamster, monkey, rat and rabbit, but not mice. In infected humans, only CD4+ T cells appear to be infected. Most human transmission in the past was through blood transfusions. With the development of ELISA tests for the presence of p21e antibodies, blood screening has been introduced in most developed countries and HTLV-positive blood units are not used. Transmission may also occur through sexual contact and from mother to child during breast-feeding. HTLV-1 proviral DNA has been detected in an Andean mummy about 1500 years old and provides evidence of prehistoric migration from Asia to South America.

Infant Overnutrition Pathway

Although there are conflicting data, recent systematic reviews concur that breastfeeding confers some protection against the development of childhood and adult obesity (67,68). In turn, these studies imply that feeding infant formula or cow's milk results in a greater risk of obesity. This could reflect the greater caloric and protein load of cow's milk, which can lead to overnutrition in infancy, or as yet unidentified beneficial effects of other breast milk components, such as growth factors or hormones such as leptin. In rats, high nutrition in infancy can induce both peripheral and central components of obesity, involving changes in both local depots and hypothalamic neuroendocrine pathways (69,70). The effect is apparent in both premature and term infants, suggesting that it is early feeding that is particularly sensitizing to the development of later obesity (71). A recent long-term cohort study identifying an association between adult obesity and rapid weight gain in the first...

Box 102 Antibiotic Use in France and Germany

Other, less quantifiable differences have also been pointed out.193 For example, French persons seek antibiotics for a cough and sputum production more often than Germans, who consider antibiotics to be overmedication. Consequently, patients don't press for antibiotics as often in Germany as in France. Another factor may be the practice of sending young children to preschool where many communicable diseases are spread. Such is the case for most French children. For a comparable age group, the number is only 10 in Germany. Still another factor may involve breast-feeding, because some immunity is transferred in breast milk. Breast feeding is thought to occur more often in Germany.

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Alcohol should be avoided by those who can't restrict the number of drinks they take, pregnant and breastfeeding women, women of childbearing age who may become pregnant, children and adolescents, those who are taking medications that are dangerous to take with alcohol, and those with certain medical conditions.

Transmissionincubation Periodclinical Features

Transmission is by sexual intercourse (especially homosexual) and by inoculation of infectious blood or blood products. The virus can be transmitted from mother to child, transplacentally, during birth or via breast feeding. Time from exposure to HIV until onset of acute clinical illness is 1-4 weeks. After primary infection there is a period ranging from a few months to more than 10 years with no or mild symptoms before the appearance of severe immunodeficiency. The patient is infectious before appearance of antibodies and remains so.

Pregnancy And Lactation Donders 2002

There are many issues to consider during pregnancy and breastfeeding. How long has the drug been on the market Generally, the longer a product has been licensed, the more data there are available on its safety profile. Many drugs will not be licensed for use in women who are pregnant or breastfeeding, as companies cannot ethically study this, so that most prescribing is based on clinical experience and data from accidental exposure. However, it is a requirement for licensing that potential teratogenicity is studied in animal models, although this does not always correlate with toxicity in humans. What is the proportion of feeding that is breastfeeding It is best practice to use drugs that are licensed in pregnancy or lactation where possible, and to always inform the mother of the issues concerned.

Evidence in favor of safety

A review of clinical trials 70 showed that together, 9 of patients showed adverse drug reactions. These reactions included neutropenia, reduced reticulocyte count, anemia, eosinophilia, acute haemolysis, elevated aspartate aminotransferase, ECG abnormalities (w o clinical effect), transient bradycardia, prolongation of the QTc interval, prolonged PR interval (first-degree atrioventricular block), atrial extrasystoles, and non-specific T-wave changes. In all cases, the effects were independent of the artemisinin derivative and route of administration. An additional study 71 showed that when treating uncomplicated falciparum malaria with artemisinin derivatives alone, substantially fewer side effects were observed than with mefloquine-containing combination therapies. Notably, there was significantly less nausea, vomiting, anorexia, and dizziness. Furthermore, studies have shown no adverse effects on mother or fetus if artesunate or artemether are used to treat acute falciparum at...

Section 3 Puerperium and after

149 DRUGS AND BREASTFEEDING Mothers often ask their anaesthetist for information about breastfeeding after anaesthetic and surgical interventions. The majority of drugs administered to the mother enter her breast milk but many are present in pharmacologically insignificant amounts and do not therefore pose a risk to the baby. The amount of drug that a breastfed baby receives is dependent on the concentration of drug in the milk and the volume of milk taken by the baby. In the first few days following delivery, the baby receives colostrum and then very small volumes of milk, so that any drug exposure is likely to be minimal. It is, however, common sense to administer drugs to the breastfeeding mother only if they are considered essential.

HIV Drug Resistance Associated with Prevention of Motherto Child HIV Transmission

NNRTI resistance mutations have been reported in 20-69 of women 67-69 who have received single-dose nevirapine (sd-NVP) to prevent HIV transmission to a child during pregnancy. However, although suboptimal with regard to resistance, for programmatic reasons sd-NVP is the most common ARV prophylaxis intervention used for prevention of mother-to-child transmission (PMTCT) of HIV in resource-limited countries because of its safety, efficacy, simplicity and low cost 70, 71 . NNRTI mutations associated with sd-NVP, unlike those that appear with inadequate ART-associated drug pressure lasting weeks to months, are reported not to affect the outcome of ART provided it commences more than 6-12 months after PMTCT 72 . The short duration of sd-NVP exposure may limit the number of DR-HIV strains in memory cells 73 . An increasing number of eligible women are receiving PMTCT in resource-limited countries (45 worldwide and 58 in Eastern and Southern Africa as of December 2008 1, 15 ), and mutations...

Characteristics of staff authorised to take responsibility for the supply or administration of medicines under Patient

Clinical condition - The PGD is applicable to any patient (male or female) who has been diagnosed with genital candidiasis. Genital candidiasis is a fungal infection and is commonly caused by the species Candida albicans. In women the sites of infection may include the vulva, vagina and the urethra, and in men the most common sites include the glans, prepuce and urethra. Signs and symptoms are variable. Women may complain of a thick white vaginal discharge, pruritus, soreness, erythema, dysuria and dyspareunia. Fissuring may be apparent on the vulva. Men may present with a visible rash on the glans and they may also complain of pruritus and dysuria. Diagnosis is confirmed either clinically, microscopically (by wet and dry slide) or by culture media. Inclusion criteria - symptomatic patients who have had Candida diagnosed clinically and or microscopically, and symptomatic patients who have had Candida diagnosed on culture. Exclusion criteria - this includes female patients who have...

MRSA Is Putting Resistance in the News

Sixty years ago, S. aureus was very susceptible to many antibiotics, including penicillin. Susceptibility disappeared, and the pharmaceutical industry produced increasingly potent antibiotic derivatives. Among these was methicillin, which overcame resistance to penicillin. But in 1960, one year after the introduction of methicillin, MRSA was recovered in the United States. As the resistant bacterium spread through hospitals, surgical procedures and long-term use of catheters became more dangerous. MRSA also caused pneumonia, commonly following influenza, and recently skin infections caused by MRSA captured public attention. In one newspaper account,2 pimples on a newborn baby were found to contain MRSA. Antibiotics cleared the infection however, a month later, the father found boils on his own leg that contained MRSA. Treatment cleared the boils, but they came back. The mother developed mastitis during breast feeding that required a 2-inch incision into her breast to drain the...

Are there treatments for loss of genital sensation

Attacks postpartum tend to be more severe than average, but as at other times, the majority of MS attacks are not disabling. Treatment certainly can shorten attacks. The advent of the new and more rapidly effective treatment, natalizumab (Tysabri formerly referred to as Antegren), held the promise of reducing this risk, but this drug has, at least temporarily, been withdrawn from the market. The full effect of natalizumab in preventing attacks of MS is seen within 6 weeks after receiving the first dose. If this drug becomes available, it should not be given to the mother who is breast feeding because of its presence in breast milk its possible impact on the child has not been studied.

Feeding Mode

The influence of breast-feeding on the predominance of the Bifidobacterium spp. in the newborn also was studied (51). Specific growth promoting factors for this organism were found in human milk, while other milks, including cow's milk, sheep's milk, and infant formulas, did not promote the growth of this species. Other investigators believe that Bifidobacterium spp. inhibits the growth of E. coli (52) by producing large amounts of acetic acid. Furthermore, because of the small buffering capacity of human milk, the infant gut is maintained at acid levels that inhibit the growth of Bacteroides, Clostridium, and E. coli. It is postulated that these conditions grant the breast-fed infant resistance to gastroenteritis.


Breastfeeding may reduce the risk of NEC. Antenatal corticosteroids can reduce the incidence of NEC (55,56). Based on the available trials, the evidence does not support that the administration of oral immunoglobulin prevents NEC. There are no randomized controlled trials of oral IgA alone for the prevention of NEC (57). Avoidance of hypertonic formulas, medications, diagnostic agents, phlebotomy, placement of venous umbilical catheters in the portal vein, and performing exchange transfusion with plasma when polycythemia is critical or helpful (52).

Atopic Dermatitis

Atopic dermatitis (AD) is an inherited genetic skin disorder that involves both IgE- and cell-mediated immune mechanisms. After allergen-induced mast cell activation, the skin is infiltrated by monocytes, lymphocytes, and finally eosinophils and their by-products. Severe purities precedes the eczema, which has a characteristic distribution in infancy, childhood, and adult life. In allergic families, this condition begins in early infancy, often as breast-feeding is discontinued, and usually begins to clear by 3-5 yr of age. By this time the child often has additional symptoms of allergic rhinitis, asthma or both leading to the use of the term dermo-respiratory syndrome.


Transfer of non-steroidal anti-inflammatory drugs and opioids into breast milk has been extensively studied, and neither type of analgesic is present in clinically important quantities. Therapeutic doses of morphine and diamorphine given for postoperative analgesia (either following Caesarean section or other surgical intervention) can be given to the mother as required. The BNF states that breastfeeding is not recommended for mothers who are addicted to opioids, although this may be controversial since the American Academy of Pediatrics considers that up to 20 mg methadone daily is compatible with breastfeeding.


The use of corticosteroids in APS pregnancies is rare except for the treatment of maternal thrombocytopenia or co-existent SLE, for which prednisolone is still first line therapy. Regular blood glucose monitoring is required with long-term administration of steroids. Patients requiring > 7.5 mg prednisolone daily for more than 2 weeks prior to delivery should be given intrapartum intravenous hydrocortisone 100 mg tds. Breast feeding is rarely contraindicated, although women taking 60 mg prednisolone with healthy term babies may consider bottle-feeding because of the theoretical risk of neonatal hypo-thalamic-pituitary adrenal suppression at these high doses.


The most recent Report on Confidential Enquiries into Maternal Deaths Maternal and Child Health has highlighted the risk of postnatal depression and its potential to lead to postnatal psychosis and suicide. There are numerous case reports offering conflicting advice about the use of psychotropic drugs in lactating women. The tricyclic antidepressants amitriptyline, nortriptyline and desipramine are all excreted into breast milk, with the baby being exposed to approximately 1 of the maternal dose. This poses a theoretical risk for the infant, but there are no case reports of adverse effects, and the balance of risks is generally believed to favour continuing treatment of the mother and allowing breastfeeding. Information about the selective serotonin reuptake inhibitors (SSRIs) in lactation is limited. The drugs are excreted into breast milk, but there are no controlled

New Mothers Guide to Breast Feeding

New Mothers Guide to Breast Feeding

For many years, scientists have been playing out the ingredients that make breast milk the perfect food for babies. They've discovered to day over 200 close compounds to fight infection, help the immune system mature, aid in digestion, and support brain growth - nature made properties that science simply cannot copy. The important long term benefits of breast feeding include reduced risk of asthma, allergies, obesity, and some forms of childhood cancer. The more that scientists continue to learn, the better breast milk looks.

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