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Breastfeeding difficulties

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painful engorgement. Engorgement may affect the areola, the periphery of the breast or the entire breast, and may interfere with breastfeeding both from the pain and also from the distortion of the normal shape of the areola/nipple. This makes it harder for the baby to latch on properly for feeding. Latching may occur over only part of the areola. This can irritate the nipple more, and may lead to ineffective drainage of breast milk and more pain. Reverse pressure softening (RPS) is a technique that can soften the areola enabling deeper latching and more milk transfer; RPS involves gentle positive pressure in the direction of the chest wall from the fingertips around the areola. Engorgement may begin as a result of several factors such as nipple pain, improper feeding technique, infrequent feeding or infant-mother separation.
390:(nipple pain, or thelalgia) are probably the most common complaint after the birth. They are generally reported by the second day after delivery but improve within 5 days. Pain beyond the first week, severe pain, cracking, fissures or localized swelling is not normal. The mother should see a doctor for further evaluation. Sore nipples, a common cause of pain, often come from the baby not latching on properly. Factors include too much pressure on the nipple when not enough of the areola is latched onto and an improper release of suction at the end of the feeding. Improper use of breast pumps or topical remedies can also contribute. Nipple pain can also be a sign of infection. 370:. Gentle massage can help start the milk flow and so reduce the pressure. The reduced pressure softens the areola, perhaps even allowing the infant to feed. Warm water or warm compresses and expressing some milk before feeding can also help make breastfeeding more effective. Some researchers have suggested that after breastfeeding, mothers should pump and/or apply cold compresses to reduce swelling pain and vascularity even more. One published study suggested the use of "chilled cabbage leaves" applied to the breasts. Attempts to reproduce this technique met with mixed results. 76: 804:
stop breastfeeding. This is not ideal for their infants. A Cochrane review assessed the effects of workplace interventions to support and promote breastfeeding among mothers returning to work after the birth of their babies. The review authors comprehensively searched in 2012 for studies addressing this question but found no eligible studies. "The return to work can impact the amount of breastmilk that your body produces due to the stress and changes of leaving your baby."
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risks of formula feeding, citing increased rates of marasmus and diarrhea. D Jelliffe and E Jelliffe also criticized the marketing of infant formulas by US companies to resource-poor countries, something they termed "comerciogenic malnutrition." A more recent article from 1992 describes how the health of an infant can be compromised by water, which in many resource-poor countries holds the risk of environmental pathogens that are not present in breastmilk.
3923: 302:(D-MER) is a newly recognized condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions that occur just before milk release and continuing not more than a few minutes. Preliminary testing tells us that D-MER is treatable and preliminary research tells us that inappropriate dopamine activity at the time of the milk ejection reflex is the cause of D-MER. 530: 40: 659:(10-40% risk). Research on the timing of HIV transmission in 2000 revealed that a "substantial transmission occurs early during breastfeeding," concluding that 75% of all breast milk transmission had occurred within the first 6 months during a randomized control trial in Kenya. This research is of particular importance in developing countries where 721:, especially diarrhea. Even in babies exposed to the harmful effects of nicotine through breast milk, the likelihood of acute respiratory illness is significantly diminished when compared to infants whose mothers smoked but were formula fed. Regardless, the benefits of breastfeeding outweigh the risks of nicotine exposure. 759:
With respect to alcohol, the American Academy of Pediatrics states that when breastfeeding, "moderation is definitely advised" and recommends waiting for 2 hours after drinking before nursing or pumping. A 2014 review found that "even in a theoretical case of binge drinking, the children would not be
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process by decreasing milk production and altering the milk composition. Smoking reduces daily milk output by roughly 250–300 mL. Not only will this be problematic on a daily basis for not producing enough milk, it will also cause the mother to wean her baby early. The altered milk composition
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Milk stasis is when the milk ducts are blocked and cannot drain properly, usually due to swelling and insufficient breast emptying during the engorgement phase. This may affect only a part of the breast and is not associated with any infection. It can be treated by varying the baby's feeding position
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on breastfeeding instructs to, "delay weighing, measuring, bathing, needle-sticks, and eye prophylaxis until after the first feeding is completed." Many breastfeeding difficulties can be resolved with research based hospital procedures, properly trained nurses and hospital staff, speech pathologists
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If the mother consumes too much caffeine, it can cause irritability, sleeplessness, nervousness and increased feeding in the breastfed infant. Moderate use (one to two cups per day of coffee, tea, or cola) usually produces no effect. Breastfeeding mothers are advised to restrict or avoid caffeine if
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Many mothers have to return to work soon after their babies have been born. If their employers and fellow employees do not support mothers in breastfeeding (for example, providing a private breastfeeding room containing a fridge where mothers can express and safely store breast milk), mothers might
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consider the risks and benefits of each feeding practice on an individual level; they recommended women make an informed choice about infant feeding. In the days before the AIDS epidemic was clearly understood, some researchers pointed to the need to increase breastfeeding rates and pointed to the
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can suppress the sucking reflex in infants. In addition, when a baby is put to the breast for shorter periods of time, milk production decreases. The time spent sucking by the infant on the pacifier or artificial teat reduces the time on the breast. The CDC also currently (2022) reports that early
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of the nipple. In essence, blood does not flow properly to the nipple which causes the nipple to blanch. This can be caused by trauma to the nipple through early breastfeeding or candidal infection of the nipple. The pain is intense during the latch stage and in between breastfeeding sessions there
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sometimes make attachment to the breast difficult. These mothers need additional support to feed their babies. Treatment is started after the birth of the baby. The nipple is manually stretched out several times a day. A pump or a plastic syringe is used to draw out the nipple and the baby is then
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When the breast overfills with milk it becomes painful. Engorgement comes from not getting enough milk from the breast. It happens about 3 to 7 days after delivery and occurs more often in first time mothers. The increased blood supply, the accumulated milk and the swelling all contribute to the
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Women with tuberculosis who have been treated appropriately for 2 or more weeks and who are not considered contagious may breastfeed. Women with tuberculosis disease suspected of being contagious should refrain from breastfeeding or any other close contact with the infant because of potential
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An exclusively breastfed baby depends on breast milk completely so it is important for the mother to maintain a healthy lifestyle, and especially a good diet. Consumption of 1500–1800 calories per day could coincide with a weight loss of 450 grams (one pound) per week. While mothers in
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Overactive let-down (OALD) is the forceful ejection of milk from the breast during breastfeeding. The forceful spray of milk can cause the baby to consume too much milk too quickly as well as to swallow air during the period of rapid swallowing following the let-down.
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can have difficulties coordinating their sucking reflex with breathing. They may need to be fed more frequently because their stomachs tend to be smaller, and they may get sleepier during feedings. Premature infants unable to take enough calories by mouth may need
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and applying heat before feeding. If it happens more than once, further evaluation is needed. Milk stasis is an urgent matter for mothers who wish to breastfeed, as failure to remove milk from the breasts causes milk production to decrease and eventually stop.
751:(SIDS) is more common in babies exposed to a smoky environment. Breastfeeding mothers who smoke are counseled not to do so during or immediately before feeding their child, and are encouraged to seek advice to help them reduce their nicotine intake or quit. 542:
is a throbbing pain when the nipple is blanched. The nipple can be massaged to help blood flow return to reduce pain, as well as avoiding cold. In some instances, heart medication, nifedipine, is used to help the blood flow return to the nipple.
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Coovadia HM, Rollins NC, Bland RM, Little K, Coutsoudis A, Bennish ML, Newell ML (March 2007). "Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding in the first 6 months of life: an intervention cohort study".
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Another non-prescription treatment of candidia is gentian violet. It usually works, and relief is rapid. It is messy, and will stain clothing. The baby's lips will turn purple, but the purple will disappear after a few days.
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is the sense of breast fullness experienced by most women within 36 hours of delivery. Normally, this is a painless sensation of "heaviness". Breastfeeding on demand is the primary way of preventing painful engorgement.
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Nduati R, John G, Mbori-Ngacha D, Richardson B, Overbaugh J, Mwatha A, et al. (March 2000). "Effect of breastfeeding and formula feeding on transmission of HIV-1: a randomized clinical trial".
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are dispersed throughout the environment and are of concern to the nursing infant, the neurodevelopmental benefits of human milk tend to override the potential adverse effects of neurotoxicants.
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is listed by the American Association of Pediatrics as a compound that transfers into human breast milk. Research demonstrated that certain compounds in marijuana have a very long half-life.
3962: 292:(prolonged skin-to-skin contact with the mother) which makes later breastfeeding easier. For some suckling difficulties, such as may happen with cleft lip/palate, the baby can be fed with a 2631: 318:
Primary lactation failure: occurs when the mother has a condition incompatible with full milk production, for example breast hypoplasia, breast reduction surgery, or bilateral mastectomy.
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Secondary lactation failure: milk production that is low due to preventable factors, such as formula supplementation, poor milk transfer by the baby, or unrelieved breast engorgement.
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conditions can produce milk with highly nutritional content, a malnourished mother may produce milk with decreased levels of several micronutrients such as iron, zinc, and vitamin B
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is not widely available or safe to prepare. In fact, the World Health Organization recommended breastfeeding in 1987 and 1992 for seropositive and seronegative women in areas where
406:, burning and redness, or a shiny or white patchy appearance. The baby could have a white tongue that does not wipe clean. Candidiasis is common and may be associated with infant 333:
Pain often interferes with successful breastfeeding. It is cited as the second most common cause for the abandonment of exclusive breastfeeding after perceived low milk supply.
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like fever and nausea. It mostly occurs 2–3 weeks after delivery but can happen at any time. Typically results from milk stasis with primary or secondary local, later systemic
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The vast majority of over the counter and prescription medicines are compatible with breastfeeding, but there are some that might be passed onto the child through the milk.
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The main concern about smoking and breastfeeding is that infants may have smoking-induced reductions to the milk iodine content. Smoking can adversely affect the
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use of pacifiers can have a negative outcome on the success of breastfeeding and they suggest that it should be delayed until breastfeeding is firmly established.
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provides treatment recommendations and advises mothers to continue breastfeeding. TBC may be congenital, or perinatally acquired through airborne droplet spread.
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While breastfeeding difficulties are not uncommon, putting the baby to the breast as soon as possible after birth helps to avoid many problems. The policy of the
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Nikodem VC, Danziger D, Gebka N, Gulmezoglu AM, Hofmeyr GJ (June 1993). "Do cabbage leaves prevent breast engorgement? A randomized, controlled study".
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There are no foods that are absolutely contraindicated during breastfeeding, but a baby may show sensitivity to particular foods that the mother eats.
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Swallowing difficulties such as with prematurity and coordination of sucking, swallowing and breathing, or gastro-intestinal tract abnormalities like
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Evans ME, Heads J (February 1999). "Incidence of mastitis in breastfeeding women during the six months after delivery: a prospective cohort study".
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cannot digest lactose and therefore cannot benefit from breast milk. Breastfeeding might harm the baby also if the mother has untreated pulmonary
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applied to the nipple and given by mouth to the baby. Strict cleaning of clothing and breast pumps is also required to eradicate the infection.
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Ballard JL, Auer CE, Khoury JC (November 2002). "Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad".
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Jelliffe DB, Jelliffe EF (August 1978). "Feeding young infants in developing countries: comments on the current situation and future needs".
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subjected to clinically relevant amounts of alcohol ", and would have no adverse effects on children as long as drinking is "occasional".
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Amir LH, Garland SM, Dennerstein L, Farish SJ (1996). "Candida albicans: is it associated with nipple pain in lactating women?".
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Global Programme on AIDS (1992). "Consensus statement from the WHO/UNICEF consultation on HIV transmission and breast-feeding".
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has highlighted a lower risk of HIV transmission with exclusive breastfeeding by HIV positive mothers (4% risk), compared to
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Gunn AJ, Gunn TR, Mitchell EA (October 2000). "Is changing the sleep environment enough? Current recommendations for SIDS".
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Ziemer MM, Paone JP, Schupay J, Cole E (December 1990). "Methods to prevent and manage nipple pain in breastfeeding women".
288:- inserting a feeding tube into the stomach to provide enough breast milk or a substitute. This is often done together with 1389:"Biological underpinnings of breastfeeding challenges: the role of genetics, diet, and environment on lactation physiology" 3611: 736:
Also, the nicotine obtained from smoking travels through a woman into her breast milk, thus giving nicotine to her child.
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than to completely avoid this practice altogether. There is evidence that breastfeeding offers protection against many
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Najdawi, F and Faouri, M 1999. Maternal smoking and breastfeeding. Eastern Mediterranean Health Journal. 5(3): 450-456
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and lactation consultants. Another source of information is the volunteer-based breastfeeding promotion organization,
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for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances,
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Difficulties can arise both in connection with the act of breastfeeding and with the health of the nursing infant.
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Hagan J Jr (September 2001). "The assessment and management of acute pain in infants, children, and adolescents".
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to breastfeed until they are no longer contagious. According to the American Academy of Pediatrics 2006 Redbook:
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her baby reacts negatively to it. Cigarette smoking is thought to increase the effects of caffeine in the baby.
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Brent NB (September 2001). "Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment".
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by the mother (more than 20 per day) has been shown to reduce the mother's milk supply and cause vomiting,
500:. Continued breastfeeding, plenty of rest and adequate fluid supply is the best treatment for light cases. 378:(acetaminophen) may relieve the pain. A warm shower and using cold compresses to help ease the discomfort. 4152: 3885: 3859: 3637: 3457: 3452: 3424: 3401: 3301: 3061: 3006: 2081:"Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding" 3209: 3849: 3844: 3296: 3001: 174: 524: 3854: 3723: 3618: 3439: 3414: 902: 672: 194: 2313:
Statement from the Consultation on Breast-feeding/Breast Milk and Human Immunodeficiency Virus (HIV)
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Cable B, Stewart M, Davis J (December 1997). "Nipple wound care: a new approach to an old problem".
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Marmet C, Shell E, Aldana S (November 2000). "Assessing infant suck dysfunction: case management".
1542:"Effectiveness of Reverse Pressure Softening of Areola in Women with Postpartum Breast Engorgement" 718: 668: 509: 275: 1541: 861:
Gartner LM, Morton J, Lawrence RA, Naylor AJ, O'Hare D, Schanler RJ, Eidelman AI (February 2005).
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and crying which can promote early weaning, again something that is not beneficial to the infant.
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To prevent or treat engorgement, remove the milk from the breast, by breastfeeding, expressing or
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Both mother and baby must be treated to get rid of this infection. First-line therapies include
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are the major cause of infant mortality. In 1996 UNAIDS issued a recommendation that women in
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Wiener S (March–April 2006). "Diagnosis and management of Candida of the nipple and breast".
3652: 3591: 3323: 3193: 3114: 2868: 2860: 2661: 2570: 2500: 2492: 2446: 2415: 2372: 2286: 2232: 2194: 2186: 2100: 2092: 2045: 1997: 1989: 1858: 1821: 1810:"Nipple candidiasis among breastfeeding mothers. Case-control study of predisposing factors" 1782: 1740: 1697: 1654: 1619: 1553: 1506: 1445: 1408: 1400: 1361: 1253: 1178: 1170: 1123: 1089: 1012: 977: 874: 830: 341: 17: 3807: 3774: 3563: 3548: 3328: 3147: 3109: 2784: 2544: 2160: 2015: 710: 629:
is present, breastfeeding should be discontinued until the mother no longer is contagious.
312: 293: 285: 280: 141: 121: 2190: 1478:. U.S. Department of Health & Human Services. Office on Women's Health. February 2017 2609: 2419: 1952: 1862: 3902: 3812: 3708: 3568: 3557: 3497: 3375: 3198: 3104: 3046: 2982: 2873: 2848: 2505: 2480: 2199: 2174: 2105: 2080: 2002: 1826: 1809: 1623: 1413: 1388: 1258: 1241: 1183: 1158: 907: 660: 482: 157: 109: 2236: 1978:"Contaminants in human milk: weighing the risks against the benefits of breastfeeding" 1449: 834: 4146: 4113: 4050: 4038: 4018: 3784: 3754: 3487: 3370: 2065: 1567: 656: 559: 489: 289: 259: 151: 105: 89: 3940: 2939: 1878: 1717: 1526: 1159:"Lactation after normal pregnancy is not associated with blood glucose fluctuations" 1143: 4126: 3779: 3713: 3183: 3119: 3078: 2864: 2252: 2096: 1674: 664: 613: 579: 555: 551: 453: 418: 255: 245: 218: 198: 2652:
Haastrup MB, PottegΓ₯rd A, Damkier P (February 2014). "Alcohol and breastfeeding".
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Women and smoking Β§ Unique gender differences and health effects for Females
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A variety of factors and conditions can interfere with successful breastfeeding:
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Hurst NM (2007). "Recognizing and treating delayed or failed lactogenesis II".
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Early return to work due to lack of financial support/maternity leave of mother
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rarely causes mastitis or a breast abscess, but if a breast abscess caused by
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Joint United Nations Program on HIV/AIDS. (1996). "HIV and infant feeding".
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Insufficient rest/support of the mother during the first 6 weeks post-partum
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transmission through respiratory tract droplets (see Tuberculosis, p 678).
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Hill PD, Humenick SS (June 1994). "The occurrence of breast engorgement".
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Chronic low milk supply is estimated to be experienced by 10-15% of women.
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Dettwyler K; Fishman C (1992). "Infant Feeding Practices and Growth".
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American Academy of Pediatrics Committee on Drugs (September 2001).
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Picciano MF (February 2001). "Nutrient composition of human milk".
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Bentley-Lewis R, Goldfine AB, Green DE, Seely EW (November 2007).
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Presence of an actual physical barrier between mother and infant
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on Breastfeeding and maternal tuberculosis; acquired 2006-08-19
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Pruritic urticarial papules and plaques of pregnancy (PUPPP)
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American Journal of Physiology. Endocrinology and Metabolism
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after giving birth, however, it is still more beneficial to
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In areas where BCG vaccination is the standard of care, the
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Woolridge MW (December 1986). "Aetiology of sore nipples".
747:, rapid heart rate, and restlessness in breastfed infants. 792:. She may also have a lower supply than well-fed mothers. 1285:(3rd (revised) ed.). La Leche League International. 2079:
Jaafar SH, Ho JJ, Jahanfar S, Angolkar M (August 2016).
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Indian Journal of Physiotherapy and Occupational Therapy
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also caused infants to exhibit daily behaviors such as
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Mennella JA, Yourshaw LM, Morgan LK (September 2007).
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that enables them to suck and swallow milk, and human
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Pathology of pregnancy, childbirth and the puerperium
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Geneva, Switzerland: WHO; 1987. 2266:Breastfeeding alone cuts HIV risk 2173:Nemir RL, O'Hare D (March 1985). 1982:Environmental Health Perspectives 1090:"Supporting Nursing Moms at Work" 3922: 3921: 3908:Sexual activity during pregnancy 2630:American Academy of Pediatrics. 1851:The Medical Journal of Australia 1653:(6): 732–43, discussion 743–44. 680:Transmission of drugs and toxins 166:Long separations from the mother 38: 1476:Common breastfeeding challenges 480:. Infectious organisms include 267:, or "low-tone" infant disorder 3410:Acute fatty liver of pregnancy 2865:10.1002/14651858.CD006177.pub3 2097:10.1002/14651858.CD007202.pub4 1281:Mohrbacher N, Stock J (2003). 1240:Livingstone V (January 1996). 936:"Tongue-tie and breastfeeding" 594:Artificial teats (nipples) or 300:Dysphoric milk ejection reflex 137:American Academy of Pediatrics 116:is usually the best source of 1: 4009:Congenital varicella syndrome 3612:Prelabor rupture of membranes 2688:"Your Guide to Breastfeeding" 2538:U.S. Surgeon General's Report 2408:Annual Review of Anthropology 2346:Weekly Epidemiological Record 2237:10.1016/S0140-6736(07)60283-9 1450:10.1016/S0266-6138(86)80042-0 1283:The Breastfeeding Answer Book 835:10.1016/S0031-3955(05)70285-6 686:Breastfeeding and medications 537:Nipple pain can be caused by 518: 342:Inverted or retracted nipples 179:respiratory distress syndrome 3891:Systemic lupus erythematosus 3542:Maternal care related to the 3524:Gestational thrombocytopenia 2311:World Health Organization. 913:. HarperCollins Publishers. 749:Sudden Infant Death Syndrome 402:of the breast include pain, 3989:Congenital rubella syndrome 3692:Cephalopelvic disproportion 2783:September 27, 2007, at the 2598:"Smoking and Breastfeeding" 227:Polycystic ovarian syndrome 189:tracheo-oesophageal fistula 18:Breastfeeding complications 4174: 3803:Breastfeeding difficulties 3602:Constriction ring syndrome 3576:Braxton Hicks contractions 2608:(4): 75–78. Archived from 2365:Studies in Family Planning 2050:10.1177/089033440001600409 2038:Journal of Human Lactation 1787:10.1016/j.jmwh.2005.11.001 1702:10.1177/089033449701300417 1690:Journal of Human Lactation 1659:10.1177/019394599001200603 1559:10.37506/ijpot.v15i2.14513 1511:10.1177/089033449401000212 1499:Journal of Human Lactation 1405:10.1152/ajpendo.00495.2015 1366:10.1016/j.jmwh.2007.05.005 1218:(3): 51–53. Archived from 1128:10.1177/000992280104000905 946:(2): 27–29. Archived from 702: 683: 651:Research published in the 644: 623:Mycobacterium tuberculosis 522: 507: 445: 310: 108:. Although babies have a 86:Breastfeeding difficulties 33:Breastfeeding difficulties 3916: 3840:Peripartum cardiomyopathy 3830:Pubic symphysis diastasis 2159:November 7, 2006, at the 1814:Canadian Family Physician 1246:Canadian Family Physician 603:Transmission of infection 286:enteral or gavage feeding 46: 37: 3366:Gestational hypertension 2695:Office of Women's Health 1976:Mead MN (October 2008). 1951:. Unicef. Archived from 1949:"HIV and Infant Feeding" 212:Latching onto the breast 3999:Neonatal herpes simplex 3765:Umbilical cord prolapse 3687:Amniotic fluid embolism 3445:dermatoses of pregnancy 3067:Chronic cystic mastitis 2327:Weekly Epidemiol Record 2291:10.1001/jama.283.9.1167 519:Raynaud's of the nipple 271:Hyperlactation syndrome 3881:Concomitant conditions 3860:Postpartum thyroiditis 3638:Circumvallate placenta 3458:Impetigo herpetiformis 3453:Gestational pemphigoid 3425:Hyperemesis gravidarum 3358:hypertensive disorders 3062:Duct ectasia of breast 3007:Granulomatous mastitis 2575:10.1053/smrv.2000.0119 2563:Sleep Medicine Reviews 2497:10.1542/peds.2007-0488 2452:10.1542/peds.108.3.776 1042:"How do I breastfeed?" 1017:10.1542/peds.108.3.793 982:10.1542/peds.110.5.e63 880:10.1542/peds.2004-2491 631: 546:Infant health problems 534: 131:Breastfeeding problems 47:Infant nurses through 3850:Postpartum infections 3845:Postpartum depression 3023:Physiological changes 3002:Nonpuerperal mastitis 2596:Villamunga D (2004). 755:Other substance abuse 709:If one does continue 550:Infants with classic 532: 175:surfactant deficiency 3855:Postpartum psychosis 3724:Obstetrical bleeding 3619:Obstetrical bleeding 3440:Integumentary system 3415:Gestational diabetes 3394:related to pregnancy 3392:Other, predominantly 1994:10.1289/ehp.116-a426 1739:(1). Karger: 30–34. 673:developing countries 92:, the feeding of an 4029:Congenital syphilis 3835:Postpartum bleeding 3658:Placental abruption 3643:Monochorionic twins 3473:Prurigo gestationis 3127:Nipple pigmentation 3074:Dense breast tissue 2728:HealthyChildren.org 2704:on October 17, 2020 2231:(9567): 1107–1116. 1116:Clinical Pediatrics 905:; Pitman T (2000). 719:infectious diseases 669:infectious diseases 596:dummies (pacifiers) 590:Weak sucking reflex 510:Overactive let-down 504:Overactive let-down 345:put to the breast. 276:Overactive let-down 3865:Puerperal mastitis 3820:Breast engorgement 3607:Monoamniotic twins 3597:Chorionic hematoma 3057:Breast hypertrophy 3052:Breast engorgement 3012:Subareolar abscess 2666:10.1111/bcpt.12149 2543:2011-08-06 at the 535: 448:Puerperal mastitis 355:Breast engorgement 4140: 4139: 3938: 3937: 3896:Thyroid disorders 3886:Diabetes mellitus 3770:Uterine inversion 3702:Shoulder dystocia 3697:Obstructed labour 3673: 3672: 3537: 3536: 3506:Chorea gravidarum 3282:Ectopic pregnancy 3207: 3206: 2949: 2948: 2808:978-0-300-07169-6 2764:978-0-8151-2615-7 2135:. 28 January 2021 1988:(10): A427–A434. 1745:10.1159/000292031 1292:978-0-912500-92-8 1206:Genna CW (2002). 1175:10.2337/dc07-1243 1169:(11): 2792–2793. 934:Genna CW (2002). 920:978-0-00-638568-4 223:Lactation failure 83: 82: 27:Medical condition 16:(Redirected from 4165: 3965: 3958: 3951: 3942: 3925: 3924: 3760:Postmature birth 3748:Placenta accreta 3653:Placenta praevia 3648:Placenta accreta 3592:Chorioamnionitis 3402:Digestive system 3398: 3324:Fetal resorption 3312:Rudimentary horn 3269:abortive outcome 3263: 3234: 3227: 3220: 3211: 3115:Nipple discharge 2976: 2969: 2962: 2953: 2899: 2887: 2886: 2876: 2859:(10): CD006177. 2844: 2838: 2837: 2835: 2834: 2819: 2813: 2812: 2794: 2788: 2775: 2769: 2768: 2744: 2738: 2737: 2735: 2734: 2720: 2714: 2713: 2711: 2709: 2703: 2692: 2684: 2678: 2677: 2649: 2643: 2642: 2640: 2638: 2627: 2621: 2620: 2618: 2617: 2593: 2587: 2586: 2558: 2552: 2551:; pp. 180–194). 2534: 2528: 2525: 2519: 2518: 2508: 2476: 2465: 2464: 2454: 2430: 2424: 2423: 2403: 2397: 2396: 2360: 2354: 2353: 2341: 2335: 2334: 2322: 2316: 2309: 2303: 2302: 2285:(9): 1167–1174. 2274: 2268: 2263: 2257: 2256: 2219: 2213: 2212: 2202: 2170: 2164: 2151: 2145: 2144: 2142: 2140: 2125: 2119: 2118: 2108: 2076: 2070: 2069: 2033: 2027: 2026: 2024: 2023: 2014:. Archived from 2005: 1973: 1964: 1963: 1961: 1960: 1945: 1939: 1938: 1936: 1935: 1924: 1913: 1912: 1910: 1909: 1900:. Archived from 1889: 1883: 1882: 1846: 1840: 1839: 1829: 1805: 1799: 1798: 1770: 1757: 1756: 1728: 1722: 1721: 1685: 1679: 1678: 1642: 1636: 1635: 1607: 1601: 1600: 1598: 1597: 1583: 1572: 1571: 1561: 1537: 1531: 1530: 1494: 1488: 1487: 1485: 1483: 1468: 1462: 1461: 1433: 1427: 1426: 1416: 1399:(2): E405–E422. 1384: 1378: 1377: 1349: 1343: 1342: 1340: 1339: 1328: 1322: 1321: 1319: 1318: 1311:womenshealth.gov 1303: 1297: 1296: 1278: 1272: 1271: 1261: 1237: 1231: 1230: 1228: 1227: 1203: 1197: 1196: 1186: 1154: 1148: 1147: 1111: 1105: 1104: 1102: 1101: 1094:womenshealth.gov 1086: 1080: 1079: 1077: 1076: 1062: 1056: 1055: 1053: 1052: 1038: 1029: 1028: 1000: 994: 993: 965: 959: 958: 956: 955: 931: 925: 924: 912: 899: 893: 892: 882: 858: 847: 846: 818: 525:Nipple blanching 337:Inverted nipples 281:Premature babies 79: 78: 42: 30: 21: 4173: 4172: 4168: 4167: 4166: 4164: 4163: 4162: 4143: 4142: 4141: 4136: 4107: 4086: 4055: 3974: 3969: 3939: 3934: 3912: 3869: 3813:Cracked nipples 3808:Low milk supply 3789: 3775:Uterine rupture 3669: 3564:Oligohydramnios 3549:amniotic cavity 3543: 3533: 3510: 3492: 3443: 3434: 3393: 3387: 3356: 3343: 3329:Molar pregnancy 3268: 3252: 3238: 3208: 3203: 3167: 3148:Breast hematoma 3131: 3110:Inverted nipple 3105:Cracked nipples 3093: 3024: 3018: 2985: 2980: 2950: 2945: 2944: 2910: 2896: 2891: 2890: 2846: 2845: 2841: 2832: 2830: 2821: 2820: 2816: 2809: 2796: 2795: 2791: 2785:Wayback Machine 2776: 2772: 2765: 2746: 2745: 2741: 2732: 2730: 2722: 2721: 2717: 2707: 2705: 2701: 2690: 2686: 2685: 2681: 2651: 2650: 2646: 2636: 2634: 2629: 2628: 2624: 2615: 2613: 2595: 2594: 2590: 2560: 2559: 2555: 2545:Wayback Machine 2535: 2531: 2526: 2522: 2478: 2477: 2468: 2432: 2431: 2427: 2405: 2404: 2400: 2377:10.2307/1965868 2362: 2361: 2357: 2343: 2342: 2338: 2324: 2323: 2319: 2310: 2306: 2276: 2275: 2271: 2264: 2260: 2221: 2220: 2216: 2172: 2171: 2167: 2161:Wayback Machine 2152: 2148: 2138: 2136: 2127: 2126: 2122: 2091:(8): CD007202. 2078: 2077: 2073: 2035: 2034: 2030: 2021: 2019: 1975: 1974: 1967: 1958: 1956: 1947: 1946: 1942: 1933: 1931: 1926: 1925: 1916: 1907: 1905: 1891: 1890: 1886: 1848: 1847: 1843: 1807: 1806: 1802: 1772: 1771: 1760: 1730: 1729: 1725: 1687: 1686: 1682: 1644: 1643: 1639: 1609: 1608: 1604: 1595: 1593: 1591:medlineplus.gov 1585: 1584: 1575: 1539: 1538: 1534: 1496: 1495: 1491: 1481: 1479: 1470: 1469: 1465: 1435: 1434: 1430: 1386: 1385: 1381: 1351: 1350: 1346: 1337: 1335: 1330: 1329: 1325: 1316: 1314: 1313:. February 2017 1305: 1304: 1300: 1293: 1280: 1279: 1275: 1239: 1238: 1234: 1225: 1223: 1205: 1204: 1200: 1156: 1155: 1151: 1113: 1112: 1108: 1099: 1097: 1088: 1087: 1083: 1074: 1072: 1064: 1063: 1059: 1050: 1048: 1040: 1039: 1032: 1002: 1001: 997: 967: 966: 962: 953: 951: 933: 932: 928: 921: 901: 900: 896: 860: 859: 850: 820: 819: 815: 810: 801: 791: 781: 770: 757: 711:tobacco smoking 707: 701: 693: 688: 682: 649: 643: 627:M. tuberculosis 610: 605: 592: 548: 527: 521: 512: 506: 468:), and warmth ( 452:Mastitis is an 450: 444: 435: 396: 384: 351: 339: 331: 315: 313:Low milk supply 309: 307:Low milk supply 294:Haberman Feeder 236:Maternal stress 142:La Leche League 133: 122:contraindicated 104:from a woman's 73: 28: 23: 22: 15: 12: 11: 5: 4171: 4169: 4161: 4160: 4155: 4145: 4144: 4138: 4137: 4135: 4134: 4129: 4124: 4118: 4116: 4109: 4108: 4106: 4105: 4100: 4094: 4092: 4091:Late pregnancy 4088: 4087: 4085: 4084: 4079: 4074: 4069: 4063: 4061: 4057: 4056: 4054: 4053: 4048: 4046:transplacental 4043: 4042: 4041: 4033: 4032: 4031: 4023: 4022: 4021: 4016: 4011: 4006: 4001: 3996: 3991: 3982: 3980: 3976: 3975: 3970: 3968: 3967: 3960: 3953: 3945: 3936: 3935: 3933: 3932: 3917: 3914: 3913: 3911: 3910: 3905: 3903:Maternal death 3900: 3899: 3898: 3893: 3888: 3877: 3875: 3871: 3870: 3868: 3867: 3862: 3857: 3852: 3847: 3842: 3837: 3832: 3827: 3822: 3817: 3816: 3815: 3810: 3799: 3797: 3791: 3790: 3788: 3787: 3782: 3777: 3772: 3767: 3762: 3757: 3752: 3751: 3750: 3738: 3733: 3732: 3731: 3721: 3716: 3711: 3709:Fetal distress 3706: 3705: 3704: 3694: 3689: 3683: 3681: 3675: 3674: 3671: 3670: 3668: 3667: 3666: 3665: 3660: 3655: 3650: 3645: 3640: 3628: 3627: 3626: 3616: 3615: 3614: 3609: 3604: 3599: 3594: 3578: 3573: 3572: 3571: 3569:Polyhydramnios 3566: 3558:amniotic fluid 3553: 3551: 3539: 3538: 3535: 3534: 3532: 3531: 3526: 3520: 3518: 3512: 3511: 3509: 3508: 3502: 3500: 3498:Nervous system 3494: 3493: 3491: 3490: 3485: 3480: 3475: 3470: 3465: 3460: 3455: 3449: 3447: 3436: 3435: 3433: 3432: 3427: 3422: 3417: 3412: 3406: 3404: 3395: 3389: 3388: 3386: 3385: 3380: 3379: 3378: 3376:HELLP syndrome 3368: 3362: 3360: 3345: 3344: 3342: 3341: 3336: 3331: 3326: 3321: 3316: 3315: 3314: 3309: 3304: 3299: 3294: 3289: 3279: 3273: 3271: 3267:Pregnancy with 3260: 3254: 3253: 3239: 3237: 3236: 3229: 3222: 3214: 3205: 3204: 3202: 3201: 3196: 3191: 3186: 3181: 3175: 3173: 3169: 3168: 3166: 3165: 3160: 3155: 3150: 3145: 3139: 3137: 3133: 3132: 3130: 3129: 3124: 3123: 3122: 3112: 3107: 3101: 3099: 3095: 3094: 3092: 3091: 3086: 3081: 3076: 3071: 3070: 3069: 3064: 3054: 3049: 3047:Breast atrophy 3044: 3039: 3034: 3028: 3026: 3025:and conditions 3020: 3019: 3017: 3016: 3015: 3014: 3009: 2999: 2993: 2991: 2987: 2986: 2983:Breast disease 2981: 2979: 2978: 2971: 2964: 2956: 2947: 2946: 2943: 2942: 2927: 2911: 2906: 2905: 2903: 2902:Classification 2895: 2894:External links 2892: 2889: 2888: 2839: 2814: 2807: 2789: 2770: 2763: 2739: 2715: 2679: 2660:(2): 168–173. 2644: 2622: 2588: 2569:(5): 453–469. 2553: 2529: 2520: 2491:(3): 497–502. 2466: 2445:(3): 776–789. 2425: 2398: 2355: 2336: 2317: 2304: 2269: 2258: 2214: 2185:(3): 284–287. 2165: 2146: 2120: 2071: 2044:(4): 332–336. 2028: 1965: 1940: 1914: 1884: 1841: 1800: 1781:(2): 125–128. 1758: 1723: 1696:(4): 313–318. 1680: 1637: 1602: 1573: 1532: 1489: 1463: 1444:(4): 172–176. 1428: 1379: 1360:(6): 588–594. 1344: 1323: 1298: 1291: 1273: 1232: 1198: 1149: 1122:(9): 503–506. 1106: 1081: 1070:nichd.nih.gov/ 1057: 1046:nichd.nih.gov/ 1030: 1011:(3): 793–797. 995: 960: 926: 919: 894: 873:(2): 496–506. 848: 812: 811: 809: 806: 800: 797: 789: 780: 777: 769: 766: 756: 753: 700: 697: 692: 689: 684:Main article: 681: 678: 661:infant formula 645:Main article: 642: 639: 609: 606: 604: 601: 591: 588: 547: 544: 523:Main article: 520: 517: 508:Main article: 505: 502: 483:Staphylococcus 446:Main article: 443: 440: 434: 431: 395: 392: 383: 380: 350: 347: 338: 335: 330: 327: 326: 325: 322: 319: 311:Main article: 308: 305: 304: 303: 297: 278: 273: 268: 262: 253: 248: 243: 240: 237: 234: 229: 224: 221: 216: 213: 210: 192: 185: 182: 167: 164: 161: 155: 132: 129: 110:sucking reflex 81: 80: 59: 53: 52: 44: 43: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4170: 4159: 4156: 4154: 4153:Breastfeeding 4151: 4150: 4148: 4133: 4130: 4128: 4125: 4123: 4122:Breastfeeding 4120: 4119: 4117: 4115: 4114:breastfeeding 4110: 4104: 4101: 4099: 4096: 4095: 4093: 4089: 4083: 4080: 4078: 4075: 4073: 4070: 4068: 4067:transcervical 4065: 4064: 4062: 4058: 4052: 4051:TORCH complex 4049: 4047: 4044: 4040: 4039:Toxoplasmosis 4037: 4036: 4034: 4030: 4027: 4026: 4024: 4020: 4019:Fifth disease 4017: 4015: 4012: 4010: 4007: 4005: 4002: 4000: 3997: 3995: 3992: 3990: 3987: 3986: 3984: 3983: 3981: 3977: 3973: 3966: 3961: 3959: 3954: 3952: 3947: 3946: 3943: 3931: 3930: 3926: 3919: 3918: 3915: 3909: 3906: 3904: 3901: 3897: 3894: 3892: 3889: 3887: 3884: 3883: 3882: 3879: 3878: 3876: 3872: 3866: 3863: 3861: 3858: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3833: 3831: 3828: 3826: 3823: 3821: 3818: 3814: 3811: 3809: 3806: 3805: 3804: 3801: 3800: 3798: 3796: 3792: 3786: 3785:Uterine atony 3783: 3781: 3778: 3776: 3773: 3771: 3768: 3766: 3763: 3761: 3758: 3756: 3755:Preterm birth 3753: 3749: 3746: 3745: 3744: 3743: 3739: 3737: 3734: 3730: 3727: 3726: 3725: 3722: 3720: 3717: 3715: 3712: 3710: 3707: 3703: 3700: 3699: 3698: 3695: 3693: 3690: 3688: 3685: 3684: 3682: 3680: 3676: 3664: 3661: 3659: 3656: 3654: 3651: 3649: 3646: 3644: 3641: 3639: 3636: 3635: 3634: 3633: 3629: 3625: 3622: 3621: 3620: 3617: 3613: 3610: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3589: 3588: 3587: 3583: 3579: 3577: 3574: 3570: 3567: 3565: 3562: 3561: 3560: 3559: 3555: 3554: 3552: 3550: 3546: 3540: 3530: 3527: 3525: 3522: 3521: 3519: 3517: 3513: 3507: 3504: 3503: 3501: 3499: 3495: 3489: 3488:Stretch marks 3486: 3484: 3481: 3479: 3476: 3474: 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3450: 3448: 3446: 3441: 3437: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3407: 3405: 3403: 3399: 3396: 3390: 3384: 3381: 3377: 3374: 3373: 3372: 3371:Pre-eclampsia 3369: 3367: 3364: 3363: 3361: 3359: 3354: 3350: 3346: 3340: 3337: 3335: 3332: 3330: 3327: 3325: 3322: 3320: 3317: 3313: 3310: 3308: 3305: 3303: 3300: 3298: 3295: 3293: 3290: 3288: 3285: 3284: 3283: 3280: 3278: 3275: 3274: 3272: 3270: 3264: 3261: 3259: 3255: 3251: 3247: 3243: 3240:Pathology of 3235: 3230: 3228: 3223: 3221: 3216: 3215: 3212: 3200: 3197: 3195: 3192: 3190: 3187: 3185: 3182: 3180: 3177: 3176: 3174: 3170: 3164: 3161: 3159: 3156: 3154: 3151: 3149: 3146: 3144: 3141: 3140: 3138: 3134: 3128: 3125: 3121: 3118: 3117: 3116: 3113: 3111: 3108: 3106: 3103: 3102: 3100: 3096: 3090: 3087: 3085: 3082: 3080: 3077: 3075: 3072: 3068: 3065: 3063: 3060: 3059: 3058: 3055: 3053: 3050: 3048: 3045: 3043: 3040: 3038: 3035: 3033: 3030: 3029: 3027: 3021: 3013: 3010: 3008: 3005: 3004: 3003: 3000: 2998: 2995: 2994: 2992: 2988: 2984: 2977: 2972: 2970: 2965: 2963: 2958: 2957: 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Index

Breastfeeding complications

nipple shield
Specialty
Obstetrics
pediatrics
midwifery
Edit this on Wikidata
breastfeeding
infant
child
milk
breasts
sucking reflex
breast milk
nourishment
contraindicated
American Academy of Pediatrics
La Leche League
Ankyloglossia
Formula
transient tachypnea of the newborn
surfactant deficiency
respiratory distress syndrome
tracheo-oesophageal fistula
Pain
circumcision
blood tests
vaccinations
Galactorrhea

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