Birth is a significant life event and generally a happy one. Although labor is often challenging, it can also be empowering, with mothers experiencing elation and strength. Unfortunately, for other women, birth can be difficult, can be overwhelming, and can lead to psychological trauma. Some women may experience depression and posttraumatic stress disorder (PTSD) following their births. These effects can last for years and can cause difficulties in women’s relationships with their partners and their babies. Difficult births can also negatively affect breastfeeding. This article describes the prevalence of PTSD after childbirth and summarizes the symptoms so that International Board Certified Lactation Consultants (IBCLCs) can help recognize it and refer mothers to appropriate resources.
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- Go to article: Childbirth-Related Posttraumatic Stress Disorder: Symptoms and Impact on BreastfeedingSource:
Difficulty with breastfeeding in the newborn and new mother population is all too common, and too little is known about the type of healthcare assistance most relevant to these families. Therefore, 18 mothers were interviewed for their experiences with suboptimal breastfeeding and their perceptions of the healthcare they had received for the problem. These mothers attended an interdisciplinary breastfeeding clinic (midwifery and chiropractic) on the south coast of England. The goal of this study was to better understand mothers’ preferences in healthcare resources to facilitate the most efficient and effective assistance to improve breastfeeding for mothers and infants. The main themes were that mothers desired ongoing reassurance and contextualized, nonconflicting advice that was specific to their baby.
- Go to article: Raynaud’s Phenomenon, Candidiasis, and Nipple Pain Strategies for Differential Diagnosis and Care
Breastfeeding pain is the second most common reason women stop breastfeeding (Strong, 2011); therefore it should be recognized early and treated promptly. Often pain from primary Raynaud’s Phenomenon of the Nipple (RP-n) imitates Candidiasis, misleading providers who prescribe antifungal medications. Unfortunately, the correct diagnosis comes after multiple doses of medication and no improvement in breastfeeding pain. Antifungals can further complicate diagnosis because they can cause nipple vasospasm as a side-effect of treatment (Bonyata, 2011). This article presents a case study of RP-n mistaken for Candidiasis. Evidenced-based treatment strategies, education, and close follow-up are minimum standards of care for women with breastfeeding pain. Fragmented healthcare systems can interfere with coordinated, evidence-based care. Raynaud’s and Candidiasis can present in very similar manners resulting in a clinical dilemma for providers. However, excellent systematic clinical assessment focusing on the characteristics of the pain can help to differentiate between the two conditions. An algorithm to assist providers in differentiating between the two has been developed.
Lactation consultants understand the mechanisms and research supporting breastfeeding's positive impact on infant mortality reduction, including lifelong health outcomes and associated cost savings. Lactation services can enhance the success of programs intended to improve infant mortality rates, health outcomes, and cost effectiveness.
As leaders serving the Ohio Lactation Consultant Association (OLCA), we pursued engagement with Ohio Department of Medicaid policy chiefs to ensure incorporation of these facts as programs are created to improve health and optimize allocation of Medicaid resources.
After a productive meeting, we specifically proposed that professional lactation services be standard care and fully integrated across the healthcare continuum regardless of setting and ability to pay.
In this report, 2 women, whose infants were unable to transfer sufficient milk from the breast when solely breastfeeding, established and maintained their milk supplies using double electric breast pumps. After a delayed initiation of pumping, and without an infant influencing production, these women experienced hyperlactation. Milk storage soon became problematic. Each woman attempted to downregulate her supply by pumping less often for fewer minutes each time, yet both experienced increased production after their infants were 1 month old. This case report investigates why, with decreasing breast stimulus, their milk supplies increased. Commonality between these women was a shared history of long-term use of progestin-only birth control pills and/or injections, followed by infertility issues prior to getting pregnant. We’ve noted a potential association between hyperlactation and the long-term use of progestin-only birth control in two women. This information may be significant in our understanding of basic lactation physiology and potential external ramifications previously not researched.