Clinician's Guide to Breastfeeding: Evidenced-Based Evaluation and Management

ISBN-13: 9783319181936 / Angielski / Miękka / 2015 / 168 str.

Linda Dahl

Opis

Medical literature for health care practitioners on the evaluation and treatment of breastfeeding issues has been disjointed, conflicting, and difficult to find. The field of breastfeeding medicine itself is nonexistent--there are no "breastfeeding doctors" who are specifically trained to understand this complex and interactive process. While much of the literature about breastfeeding describes how it "should" work, there is currently nothing available to explain why it often fails and how to treat it.Clinician's Guide to Breastfeeding: Evidence-based Evaluation and Management is written for health care practitioners who work with breastfeeding mothers; physicians, nurses, nurse practitioners, and lactation consultants. It provides clear information and clinically tested strategies to help professionals guide new mothers to breastfeed successfully. The first of its kind to consider the entirety of the breastfeeding experience, Clinician's Guide to Breastfeeding is written by Dr. Linda D. Dahl, a leading expert on the subject. It is a comprehensive review of breastfeeding, covering objective analyses of ideal or "normal" nursing, as well as the evaluation and treatment of abnormal nursing, including case studies to illustrate the treatment decision-making process.

Spis treści

Title Page

Dedication

Preface

Part 1: Normal Nursing

Chapter 1: Breastfeeding Basics

            1.1       Breastfeeding---Desire Versus Reality

            1.2       The Dyad in Focus

            1.3       Components of Successful Breastfeeding

                        1.3.1    Finding the Breast

                        1.3.2  

 The Gape

                        1.3.3    Breast Position and Suck Reflex

                        1.3.4    Keeping the Breast in Position

                        1.3.5    Observing the Latch

Chapter 2: Anatomy and Physiology of Breastfeeding

            2.1       Anatomy

                        2.1.1    Anatomy of the Infant

                        2.1.2    External Anatomy of the Mother

t-size: 13.3333330154419px;">                        2.1.3    Internal Anatomy of the Mother

            2.2       Physiology

                        2.2.1    Hormone Effects and Regulation

                        2.2.2    Lactogenesis

                        2.2.3    Galact opoesis (Maintenance of Lactation)

Chapter 3: Milk Supply and Regulation

            3.1       Milk supply

                        3.1.1    

The Breast’s Milk-Making Capacity

                   

    3.1.2    Global Regulation---Maternal

                        3.1.3    Local Regulation---Baby

            3.2 High-volume Milk Producers: Oversupply, or Hyperlactation

            3.3 Maternal Nutrition

Chapter 4:  The Progression of Nursing

            4.1 Early Breastfeeding---The First Week and Month of Nursing

                4.1.1 The Initial Latch

                 4.1.2 Week 1

                 4.1.3 Weeks 2 through 4

             4.2 Long-term Changes

Part 2: Abnormal Nursing

Chapter 5:  Breastfeeding Evaluation---The History

            5.1       Importance of the Evaluation

            5.2       Taking the History

                        Breastfeeding Questionnaire

            5.3       Evaluation of the History---Baby

           

; 5.4       Evaluation of the History---Mother

Chapter 6:  Breastfeeding Evaluation---The Physical Exam

   

;        6.1       The Mother’s Breasts

                        6.1.1    Flat or Inverted Nipples

                        6.1.2    Breast Size

                        6.1.3    Hypoplasia

                        6.1.4    Breast Scars

                        6.1.5    Nipple piercing(s)

an style="font-size: 13.3333330154419px;">                        6.1.6    Breast Engorgement or Tautness

                        6.1.7   &nbs

p;Raynaud’s Phenomenon

                        6.1.8    Inflammation

                        6.1.9    Infection

            6.2       Baby

                        6.2.1    Head

                        6.2.2    Jaw

           

;             6.2.3    Palate

                        6.2.4    Upper Lip

                &

nbsp;       6.2.5    Tongue

                        6.2.6    Neck

                        6.2.7    Gape

                        6.2.8    Suck

            6.3  Mother and Baby Nursing

Chapter 7:  Treatments

            7

.1 Treatment Goals

            7.2 Baby Treatments

                        7.2.1Nursing Positions

      &n

bsp;                 7.2.2 Cranial Osteopathy

                        7.2.3 Nipple Shields

                        7.2.4 Alternative Forms of Feed

ing and Supplemental Nursing Systems

                        7.2.5    Frenulectomy

                        7.2.6 &nb

sp;  Nipple Aversion

            7.3 Mother Treatments

                        7.3.1 Flat or Inverted Nipples

                &n

bsp;       7.3.2 Superficial Infections and Inflammation

                        7.3.3 Inflammation/Infection

                        7.3.3.1Engorgement

                        7.3.3.2 Plugged Ducts

                        7.3.3.3 Mastitis

 

                      7.3.4 Supply Issues

                         7.3.4.1 Pumping Methods for Low Supply

                        7.3.4.2 Emptying to Manage Oversupply

                        7.3.4.3             Galactagogues

Chapter 8:  Abnormal Nursing Case Scenarios

            8.1       Common Breastfeeding Problems

            8.2       Case 1

            8.3       Case 2

            8.4       Case 3

            8.5       Case 4

            8.6       Case 5   

O autorze

Dr. Linda Dahl is a board certified otolaryngologist and surgeon specializing in the evaluation and treatment of adult and pediatric patients. She received her medical degree at the University of Minnesota Medical School and completed her residency at Albert Einstein College of Medicine.  In addition to her general ENT private practice, Dr. Dahl is one of a few otolaryngologists in the country who specializes in breastfeeding. Treating over a thousand babies a year, she has one of the largest breastfeeding practices in the world. She has also written and co-written articles published in scientific journals.  Dr. Dahl maintains privileges at several New York City hospitals and lectures at medical conferences and hospitals.