Holdings: Breastfeeding and breast milk - from biochemistry to impact

Breastfeeding and breast milk - from biochemistry to impact: a multidisciplinary introduction

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Bibliographic Details
Format:	Book
Language:	English
Published:	Stuttgart ; New York Georg Thieme Verlag [2018]
Edition:	1. Auflage
Subjects:	Stillen Muttermilch Breastfeeding Larsson-Rosenquist Foundation Breast Milk Stillberatung Human milk Lacation Gesundheits- und Kinderkrankenpflege Allgemeinmedizin Gynäkologie Pädiatrie Geburtshilfe Pflege
Online Access:	Inhaltstext Inhaltsverzeichnis
Physical Description:	405 Seiten Illustrationen, Diagramme 24 cm x 17 cm
ISBN:	9783132204010 3132204013

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245	1	0	\|a Breastfeeding and breast milk - from biochemistry to impact \|b a multidisciplinary introduction \|c published by Family Larsson-Rosenquist Foundation
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adam_text	CONTENTS F O RE W O RD ................ .. ............................................................................................................. 5 PREFACE .............................. .. ..................................................................................................... 7 P A RTI SETTING THE SCENE 1 IN TRO D U C TIO N ................................... 18 PETER 5. HARTMANN 2 BREAST M ILK, GLOBAL HEALTH AND SUSTAINABLE D E V E LO P M E N T ......................................... 20 LEITH GREENSLADE 2.1 THE IMPORTANCE OF EMPOWERED MOTHERS................................................................................ 20 2.2 THE BENEFITS OF BREAST M ILK ...................................................................................................... 20 2.3 BREASTFEEDING AS AN EQUITY STRATEGY........................................................................................ 21 2.4 THE COST-EFFECTIVENESS OF BREASTFEEDING................................................................................ 23 2.5 BREASTFEEDINGS POOR P ERFORM ANCE .............. 23 2.6 BARRIERS TO BREASTFEEDING........................................................................................................ 24 2.7 A COLLECTIVE FAILURE TO R ESPOND............................................................................................. 25 2.8 INVESTMENTS IN BREASTFEEDING INNOVATIONS............................................................................. 26 2.9 BREAKING BREASTFEEDING BARRIERS: A CALL TO A C TIO N .................................................................. 27 2.10 BREASTFEEDING AND THE SUSTAINABLE DEVELOPMENT GOALS....................................................... 28 3 DATA COLLECTION ON INFANT F EED IN G..................................................................................... 32 MARIA QUIGLEY 3.1 DATA COLLECTION ON INFANT FEEDING .......................................................................................... 32 3.1.1 WHAT DATA NEED TO BE COLLECTED............................................................................................. 32 3.1.2 WHO COLLECTS DATA AND HOW....................................................................................................... 32 3.2 PROBLEMS W ITH DATA COLLECTION................................................................................................ 36 3.2.1 HOW EXCLUSIVE IS EXCLUSIVE BREASTFEEDING?................................................................................ 37 3.2.2 DOES BREASTFEEDING INCLUDE BREAST MILK FEEDING?..................................................................... 37 3.2.3 HOW TO COLLECT COMPLEX FEEDING DATA: PRETERM INFANTS, M U LTIP LE S....................................... 37 3.3 CONCLUSION......................................... 37 4 H OW BREASTFEEDING W ORKS: A NATOM Y AND PHYSIOLOGY O F HUMAN L A C TA TIO N ........... 39 MELINDA BOSS, PETER E. HARTMANN 4.1 INTRODUCTION.............................................................................................................................. 39 4.2 BACKGROUND.............................................................................................................................. 39 4.3 GROSS ANA TOM Y......................................................................................................................... 44 4.3.1 H ISTO RY...................................................................................................................................... 44 4.3.2 FOETAL AND PUBERTAL DEVELOPM ENT........................................................................................... 45 4.3.3 NON-LACTATING ADULT B REAST..................................................................................................... 46 4.3.4 PREGNANCY................................................................................................................................. 48 4.3.5 LACTATING BREAST......................................................................................................................... 54 4.4 PHYSIOLOGY.................................................................................................................................. 56 4.4.1 ORIGIN OF M ILK.............................................................................................................................. 56 4.4.2 SECRETORY DIFFERENTIATION........................................................................................................... 58 4.4.3 SECRETORY ACTIVATION................................................................................................................... 59 4.4.4 MILK E JECTION.............................................................................................................................. 64 4.4.5 INFANT SUCK, SWALLOW, AND BREATHE ........... .. ............................................................................... 66 4.4.6 ESTABLISHED LACTATION................................................................................................................ 67 4.4.7 REFERENCE RANGES...................................................................................................................... 70 4.5 CHANGES TO PHYSIOLOGY IN MOTHER AND IN FA N T.......................................................................... 72 4.5.1 MENSTRUAL C Y C LE ........................................................................................................................ 74 4.5.2 WEANING AND INVOLUTION............................................................................................................. 74 4.6 CONCLUSION................................................................................................................................. 75 5 W HY B RE A STFE E D IN G ? ............................................................................................................. 78 BERTHOLD KOLETZKO 5.1 IN TRO D U CTIO N .............................................................................................................................. 78 5.2 THE EVOLUTION OF LACTATION........................................................................................................ 78 5.3 ASSESSING HEALTH EFFECTS OF BREASTFEEDING............................................................................... 81 5.4 BREASTFEEDING AND MATERNAL H E A LTH ....................................................................................... 82 5.5 BREASTFEEDING AND INFANT H E A LTH ............................................................................................. 82 5.6 CONCLUSION................................................................................................................................ 86 PART 2 DIFFERENT PERSPECTIVES 6 IN TRO D U CTIO N ................................... 92 RAFAEL PEREZ-ESCAMILLA 7 HUMAN M ILK: BIOACTIVE COMPONENTS AND THEIR EFFECTS ON THE INFANT AND BEYOND. . 93 DONNA GEDDES, FOTEINI KAKULAS 7.1 WHAT SCIENCE TELLS US ABOUT HUMAN M ILK............................................................................... 93 7.2 KEY PROPERTIES OF HUMAN MILK AND THEIR FUNCTIONS............................................................... 93 7.2.1 F A T.............................................................................................................................................. 95 7.2.2 PROTEIN........................................................................................................................................ 96 7.3 CARBOHYDRATE: LACTOSE............................................................................................................. 99 7.3.1 HUMAN MILK OLIGOSACCHARIDES (H M O S)..................................................................................... 99 7.4 VITAMINS AND M INERALS............................................................................................................. 100 7.5 HUMAN MILK MICROBIOME.......................................................................................................... 101 7.6 APPETITE FACTORS........................................................................................................................ 101 7.7 METABOLITES................................................................................................................................ 102 7.8 NEW DISCOVERIES........................................................................................................................ 103 7.8.1 C ELLS........................................................................................................................................... 103 7.8.2 MICRORNA................................................................................................................................... 105 7.9 WHAT DOES THE FUTURE H O LD ? .................................................................................................. 107 8 THE PSYCHOLOGICAL EFFECTS O F B RE A S TFE E D IN G ..................................................................... 119 JENNIFER HAHN-HOLBROOK 8.1 INTRODUCTION.............................................................................................................................. 119 8.2 PSYCHOLOGICAL IMPLICATIONS FOR MOTHERS .................................................................................. 119 8.2.1 OXYTOCIN AND PROLACTIN.............................................................................................................. 119 8.2.2 MATERNAL BONDING...................................................................................................................... 120 8.2.3 MATERNAL STRESS REGULATION........................................................................................................ 121 8.2.4 MATERNAL COPING STRATEGIES...................................................................................................... 123 8.2.5 POSTPARTUM DEPRESSION........................................................................................................... 124 8.3 PSYCHOLOGICAL IMPACTS OF BREASTFEEDING ON THE IN FA N T.......................................................... 125 8.3.1 A TTA CHM E NT.............................................................................................................................. 125 8.3.2 TEMPERAMENT............................................................................................................................ 125 8.4 PSYCHOLOGICAL BARRIERS TO BREASTFEEDING .................................................................................. 126 8.4.1 SOCIETAL PRESSURES...................................................................................................................... 127 8.4.2 THE MOTHERS PARTNER................................................................................................................ 128 8.4.3 MENTAL HEALTH BARRIERS.............................................................................................................. 129 8.5 CONCLUSIONS.............................................................................................................................. 129 9 SOCIOLOGICAL AND CULTURAL INFLUENCES UPON B REASTFEEDING............................................ 137 AMY BROWN 9.1 SOCIETAL ATTITUDES TOWARDS BREASTFEEDING............................................................................. 140 9.1.1 PERCEPTIONS OF THE BREAST........................................................................................................... 140 9.1.2 PERCEPTIONS OF BREAST M ILK ........................................................................................................ 141 9.1.3 ATTITUDES TO BREASTFEEDING IN P U B LIC ........................................................................................ 141 9.1.4 ATTITUDES TOWARDS FORMULA MILK................................................................................................ 143 9.2 SOCIETAL ATTITUDES TOWARDS M OTHE RIN G................................................................................... 144 9.2.1 POSTNATAL DEPRESSION................................................................................................................ 145 9.2.2 W O RK ......................................................................................................................................... 146 9.3 FAMILIAL INFLUENCES................................................................................................................... 147 9.3.1 FATHERS/PARTNER......................................................................................................................... 148 9.3.2 A WOMANS OWN MOTHER........................................................................................................... 148 9.4 ETHNICITY, ACCULTURATION, AND RELIGION..................................................................................... 149 9.4.1 ETHNICITY IN WESTERN REGIONS................................................................................................... 149 9.4.2 A CCULTURATION........................................................................................................................... 150 9.4.3 RELIGIOUS AND CULTURAL BELIEFS................................................................................................... 150 9.5 THE WAY FORWARD...................................................................................................................... 153 9.6 S U M M A RY ................................................................................................................................. 154 10 BREASTFEEDING P ROM OTION: POLITICS AND POLICY.................................................................. 163 ASHLEY M. FOX 10.1 INTRODUCTION.............................................................................................................................. 163 10.2 THE THREE FRAMES OF BREASTFEEDING P O LITIC S ........................................................................... 165 10.2.1 BREASTFEEDING AS A WOMENS RIGHTS ISSUE ............................................................................... 165 10.2.2 BREASTFEEDING AS A CHILDRENS RIGHTS ISSUE................................................................................. 166 10.2.3 BREASTFEEDING AS A GLOBAL SOCIAL JUSTICE ISSUE........................................................................... 168 10.3 CRITIQUES AND TENSIONS IN THE THREE FRAMES........................................................................... 170 10.3.1 TENSION 1: TRADE-OFFS BETWEEN MOTHERS RIGHTS AND CHILDRENS RIGHTS FRAME.......................... 171 10.3.2 TENSION 2: DIFFERENT STANDARDS FOR DEVELOPED AND DEVELOPING COUNTRIES? ........................... 172 10.4 CONCLUSION.................................................................................................................................. 173 11 HUMAN M ILK IN ECONOMICS C O N TE X T.................................................................................... 176 SUBHASH POKHREL 11.1 ECONOMICS OF LACTATION.............................................................................................................. 176 11.1.1 BREASTFEEDING AS AN ECONOMIC DECISION..................................................................................... 176 11.1.2 PRIVATE COSTS OF BREASTFEEDING AND FORMULA FEEDING .............................................................. 178 11.1.3 SUPPORTING WOMEN WHO CHOOSE TO BREASTFEED ...................................................................... 179 11.2 ECONOMICS OF BREASTFEEDING SUPPORT....................................................................................... 179 11.2.1 BENEFITS TO INFANTS AND CHILDREN............................................................................................... 180 11.2.2 BENEFITS TO M OTHERS...................................... 181 11.2.3 BENEFITS TO NATIONAL HEALTH SYSTEMS ................................................................ 182 11.2.4 BENEFITS TO WIDER SOCIETY.......................................................................................................... 184 11.2.5 COST-EFFECTIVENESS OF BREASTFEEDING PROMOTION/SUPPORT INTERVENTIONS ................................... 184 11.3 MAKING THE BUSINESS CASE FOR BREASTFEEDING PROMOTION AND S U P P O RT ................................. 186 11.3.1 RETURN ON INVESTMENT (ROI) ANALYSIS....................................................................................... 186 11.3.2 THE ROI FROM BREASTFEEDING PROMOTION/SUPPORT INTERVENTIONS: AN EXAMPLE........................... 187 11.4 SUM M ARY................................................................................................................................... 190 12 COMMERCIAL ASPECTS O F BREASTFEEDING: PRODUCTS AND S ERVICES................................... 194 REBECCA MANNEL 12.1 IN TRO D U CTIO N .............................................................................................................................. 194 12.2 BREASTFEEDING PRODUCTS............................................................................................................. 194 12.2.1 MILK EXPRESSION........................................................................................................................... 194 12.2.2 ALTERNATIVE METHODS OF FEEDING................................................................................................ 195 12.2.3 BREASTFEEDING CHALLENGES........................................................................................................... 197 12.3 HUMAN MILK PRODUCTS................................................................................................................ 199 12.3.1 BANKED DONOR MILK...................................................................................................................... 199 12.3.2 OTHER MILK PRODUCTS................................................................................................................... 201 12.3.3 OTHER HUMAN MILK USES............................................................................................................. 201 12.3.4 MILK FROM OTHER MOTHERS........................................................................................................... 202 12.3.5 INTERNET PURCHASING OF M ILK........................................................................................................ 202 12.4 LACTATION SERVICE PROVIDERS.................................................................................................... 202 12.4.1 INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANTS.................................................................. 202 12.4.2 OTHER LACTATION TRAINING AND C ERTIFICATION ............................................................................... 203 12.4.3 MOTHER-TO-MOTHER/PEER SUPPORT................................................................................................ 204 12.4.4 LEVELS OF LACTATION CARE............................................................................................................. 204 12.4.5 INSURANCE COVERAGE................................................................................................................... 205 12.4.6 LICENSURE/REGULATION................................................................................................................ 205 12.5 CONCLUSION................................................................................................................................ 206 13 THE PROM OTION O F B RE A S TFE E D IN G ....................................................................................... 211 ROWENA MERRITT 13.1 BREASTFEEDING P RO M O TIO N ........................................................................................................ 211 13.1.1 THE MILK C O D E ........................................................................................................................... 211 13.1.2 BREASTFEEDING PROM OTION.......................................................................................................... 212 13.1.3 PROMOTIONAL WORK AND THE CODE................................................................................................ 212 13.2 SOCIAL MARKETING AND BREASTFEEDING R A TE S ............................................................................ 213 13.2.1 DEFINING CRITICAL SOCIAL M ARKETING............................................................................................. 213 13.2.2 LEARNING FROM THE C OM PETITION ............................................................................................... 213 13.2.3 THE MOTHERS PERSPECTIVE........................................................................................................ 213 13.2.4 WHAT WE K N O W ......................................................................................................................... 214 13.3 LEARNING FROM THE FORMULA MILK IN D U S TRY ............................................................................. 214 13.3.1 ADVERTISING STRATEGIES.............................................................................................................. 214 13.3.2 PROMOTION BY HEALTHCARE PROFESSIONALS .................................................................................. 215 13.4 CONCLUSIONS.............................................................................................................................. 215 14 INFANT FEEDING IN H ISTORY: AN O U TLIN E ................................................................................ 219 MAUREEN MINCHIN 14.1 OVERVIEW AND INTRODUCTION...................................................................................................... 219 14.1.1 INFANT FEEDING IN ANTIQUITY........................................................................................................ 220 14.2 THE MIDDLE AGES AND RENAISSANCE........................................................................................... 221 14.2.1 INFANT FEEDING IN THE RENAISSANCE............................................................................................. 221 14.3 17TH TO 18TH C E N TU RY................................................................................................................. 222 14.3.1 INFANT FEEDING IN THE 17TH AND 18TH CENTURY............................................................................. 222 14.4 THE 19TH C ENTURY...................................................................................................................... 223 14.4.1 INFANT FEEDING IN THE 19TH C ENTURY........................................................................................... 223 14.5 THE 20TH C ENTURY...................................................................................................................... 225 14.5.1 INFANT FEEDING IN THE 20TH C ENTURY........................................................................................... 226 14.6 THE 21ST C E N TU RY ...................................................................................................................... 231 14.6.1 INFANT FEEDING IN THE 21ST C E NTURY........................................................................................... 232 14.7 CURRENT OVERVIEW AND CONCLUSION.......................................................................................... 234 PART 3 HUMAN M ILK IN SPECIAL CIRCUMSTANCES 15 IN TRO D U C TIO N ........................................................................................................................... 242 PAULA P. MEIER 16 HUMAN M ILK IN THE NEONATAL INTENSIVE CARE U N I T .......................................................... 244 PAULA P. MEIER, BEVERLY ROSSMAN, TRICIA ]. JOHNSON, JANET L ENGSTROM, REBECCA A. HOBAN, KOUSIKI PATRA, HAROLD R. BIGGER 16.1 INTRODUCTION.............................................................................................................................. 244 16.2 HUMAN MILK FEEDINGS FOR PREMATURE INFANTS: HEALTH OUTCOMES, COSTS, AND MECHANISMS OF P RO TE C TIO N ........................................................................................................................... 244 16.2.1 HEALTH OUTCOMES OF HM FEEDINGS.......................................................................................... 244 16.2.2 COST OF HUMAN MILK FEEDINGS ................................... 246 16.2.3 PROTECTIVE MECHANISMS OF HM FOR PREMATURE IN FA N TS ............................................................. 246 16.2.4 PROTECTION VIA HM FEEDINGS..................................................................................................... 246 16.2.5 DONOR HM AS A SUPPLEMENT/SUBSTITUTE FOR H M ....................................................................... 247 16.2.6 SUMMARY - HUMAN MILK FEEDINGS FOR PREMATURE INFANTS ...................................................... 248 16.3 PRIORITISING INITIATION AND MAINTENANCE OF ESTABLISHED LACTATION IN MOTHERS OF PREMATURE INFANTS IN THE NICU................................................................................................................... 249 16.3.1 BREAST PUMP DEPENDENCY........................................................................................................ 249 16.3.2 STRATEGIES TO PRIORITISE ESTABLISHED LACTATION FOR BREAST PUMP-DEPENDENT MOTHERS ............. 250 16.3.3 SUMMARY - PRIORITISING INITIATION AND MAINTENANCE OF ESTABLISHED LACTATION......................... 252 16.4 MANAGING HUMAN MILK FEEDING IN THE N IC U .......................................................................... 252 16.4.1 VARIABILITY IN PUMPED HM IN THE NICU.............................. 252 16.4.2 SAFE HANDLING OF HUMAN MILK IN THE N IC U ............................................................................... 254 16.4.3 SUMMARY - MANAGING HUMAN MILK FEEDING............................................................................. 261 16.5 FEEDING AT BREAST IN THE NICU................................................................................................... 261 16.5.1 MATERNAL GOALS AND EXPECTATIONS............................................................................................. 261 16.5.2 DEVELOPMENTALLY-BASED BREASTFEEDING PROCESSES .................................................................... 262 16.5.3 PHYSIOLOGIC IM M ATURITY............................................................................................................. 263 16.5.4 SUMMARY - FEEDING AT B REAST ..................... 267 16.6 OVERALL S UM M ARY ............................................................................................ 267 17 A COLLECTIVE V IEW O F HUMAN M ILK B A N K IN G ....................................................................... 282 JOAO APRIGIO GUERRA DE ALMEIDA, BEN HARTMANN, KIERSTEN ISRAEL-BALLARD, GUIDO E. MORN 17.1 IN TRO D U CTIO N .............................................................................................................................. 282 17.2 INTERVIEWER: WHAT IS HUMAN MILK BANKING?............................................................................. 282 17.2.1 DEFINING HUMAN MILK BANKING................................................................................................... 282 17.2.2 HISTORY AND FUTURE...................................................................................................................... 283 17.3 WHY HUMAN MILK BANKS?........................................................................................................... 286 17.4 THE SELLING OF BREASTMILK.......................................................................................................... 289 17.4.1 EXPERT COLLECTIVE V IEW S............................................................................................................. 289 17.5 LEGAL ASPECT: GUIDELINES, STANDARDS, REGULATIONS, AND GOVERNING BODIES ........................... 290 17.6 OPENING A MILK B A N K ................................................................................................................ 294 17.6.1 EXPERT COLLECTIVE V IEW S............................................................................................................. 294 17.7 LOW-MIDDLE INCOME C O U N TRIE S................................................................................................ 299 17.7.1 EXPERT COLLECTIVE V IEW S............................................................................................................. 299 17.8 KEY CONSIDERATIONS................................................................................................................... 300 17.9 CONCLUSIONS................................................................................................................................ 301 18 P A S TE U RIS A TIO N ........................................................................................................................ 304 LUKAS CHRISTEN 18.1 INTRO D U CTIO N .............................................................................................................................. 304 18.2 PASTEURISATION M E TH O D S .......................................................................................................... 304 18.2.1 PASTEURISATION OF HUMAN M ILK .................................................................................................. 304 18.2.2 THERMAL PASTEURISATION............................................................................................................. 305 18.2.3 LTLT OR HOLDER PASTEURISATION..................................................................................................... 306 18.2.4 HTST OR FLASH PASTEURISATION..................................................................................................... 306 18.2.5 PRESSURE PASTEURISATION............................................................................................................. 306 18.2.6 ULTRASOUND PASTEURISATION OR ULTRASONICATION............................................................................ 306 18.2.7 ULTRASOUND AND THERMAL COMBINATION OR THERMO-ULTRASONICATION ......................................... 307 18.2.8 ULTRAVIOLET IRRADIATION................................................................................................................ 307 18.2.9 ELECTRON, X-RAY, AND GAMMA IRRADIATION.................................................................................. 308 18.2.10 MICROWAVE IRRADIATION................................................................................................................ 308 18.2.11 PULSED ELECTRIC F IE LD ................................................................................................................... 308 18.2.12 OSCILLATING MAGNETIC FIELD.......................................................................................................... 308 18.2.13 BACTOFUGATION (SEPARATION BY W E IG H T)..................................................................................... 308 18.2.14 FILTRATION (SEPARATION BY SIZE)..................................................................................................... 308 18.3 POTENTIAL ALTERNATIVE PASTEURISATION METHODS FOR HUMAN M ILK ........................................... 308 19 HUMAN IMMUNODEFICIENCY VIRUS (H IV )............................................................................. 313 ANNA COUTSOUDIS 19.1 RESEARCH PERSPECTIVE................................................................................................................. 313 19.1.1 DEVELOPMENT OF INFANT FEEDING GUIDELINES............................................................................. 313 19.2 RISK FACTORS FOR TRANSMISSION.................................................................................................. 315 19.2.1 NON-EXCLUSIVE BREASTFEEDING...................................................................................................... 315 19.2.2 BREAST P ATHOLOGY...................................................................................................................... 315 19.2.3 ARVS IN BREASTM ILK................................................................................................................... 315 19.3 REMAINING RESEARCH QUESTIONS............................................................................................. 315 19.3.1 ARV THERAPY.............................................................................................................................. 315 19.3.2 ARVS AND BREASTMILK COMPONENTS........................................................................................... 316 19.3.3 ROLE OF VACCINES......................................................................................................................... 316 19.4 SAFE BREASTFEEDING STRATEGIES................................................................................................ 316 19.4.1 EXCLUSIVE BREASTFEEDING IN THE FIRST 6 M ONTHS.......................................................................... 316 19.4.2 BREASTMILK PASTEURISATION/HEAT TREATMENT................................................................................ 316 19.5 INFANT FEEDING O PTIONS........................................................................................................... 317 19.5.1 DEVELOPED COUNTRIES................................................................................................................. 317 19.5.2 DEVELOPING COUNTRIES....................................................................................... 317 19.6 POLICY IMPLICATIONS OF INFANT FEEDING RECOMMENDATIONS.................................................... 318 20 BREASTFEEDING AND THE USE OF M ED ICA TIO N S..................................................................... 323 THOMAS W. HALE, TERESA ELLEN BAKER 20.1 INTRODUCTION.............................................................................................................................. 323 20.2 EVALUATING THE AGE OF THE INFANT............................................................................................. 323 20.3 NEONATAL PHARMACOKINETICS...................................................................................................... 324 20.4 MATERNAL DRUG IN HUMAN M ILK ................................................................................................ 324 20.5 BIOAVAILABILITY............................................................................................................................ 325 20.6 CALCULATING INFANT EXPOSURE...................................................................................................... 326 20.7 REVIEW OF IMPORTANT SELECTED DRUG CLASSES.......................................................................... 326 20.7.1 ANALGESICS................................................................................................................................. 326 20.7.2 ANTI-1 NFECTIVES............................................................................................................................ 328 20.7.3 ANTIDEPRESSANTS......................................................................................................................... 328 20.7.4 IMMUNE MODULATING AGENTS...................................................................................................... 330 20.7.5 MONOCLONAL ANTIBODIES.............................................................................................................. 331 20.7.6 RECREATIONAL D RU GS................................................................................................................... 331 20.7.7 DRUGS ALTERING MILK SUPPLY........................................................................................................ 333 20.8 S UM M ARY................................................................................................................................. 333 PART 4 THE WAY FORWARD 21 INTRODUCTION.............................................................................................................................. 342 LEITH GREENSLADE 22 SCALING-UP BREASTFEEDING PROTECTION, PROMOTION, AND SUPPORT PROGRAMMES .... 343 RAFAEL PEREZ-ESCAMILLA 22.1 INTRODUCTION................................................. 343 22.2 KEY PRINCIPLES FOR SCALING-UP OF BREASTFEEDING PROGRAMMES ................................................. 345 22.3 KEY CONCEPTS BEHIND SCALING-UP OF NATIONAL BREASTFEEDING PROGRAMMES ........................... 346 22.3.1 BREASTFEEDING PROTECTION, PROMOTION, AND SUPPORT.................................................................. 346 22.3.2 SCALING-UP................................................................................................................................... 346 22.3.3 IMPLEMENTATION S CIENCE........................................................................................................... 347 22.3.4 SOCIAL M ARKETING........................................................................................................................ 350 22.3.5 KEY INGREDIENTS OF SUCCESSFUL LARGE-SCALE BREASTFEEDING PROGRAMMES ..................................... 352 22.3.6 A MODEL FOR SCALING-UP OF BREASTFEEDING PROGRAMMES ............................................................ 355 22.3.7 INDICATORS FOR SCALING-UP OF BREASTFEEDING PROGRAMMES.......................................................... 356 22.4 WHO TOOL................................................................................................................................... 357 22.5 THE WORLD BREASTFEEDING TRENDS INITIATIVE (W B T).................................................................. 359 22.6 CONCLUSIONS AND VISION FOR THE FUTURE..................................................................................... 361 23 TOWARDS A COMMON UNDERSTANDING OF HUMAN L A C TA TIO N ............................................ 365 MELINDA BOSS, PETER E. HARTMANN 23.1 PREFACE...................................................................................................................................... 369 23.1.1 ALPHABETICAL LIST OF TERMS........................................................................................................... 366 PARTS ADDENDUM 24 EPILOGUE................................................................................................................................... 388 25 LIST OF FIGURES........................................................................................................................... 391 26 LIST OF TAB LE S ........................................................................................................................... 395 27 INDEX OF AUTHORS..................................................................................................................... 396 IN D E X ........................................................................................................................................ 399
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illustrated	Illustrated
indexdate	2024-07-10T08:12:18Z
institution	BVB
institution_GND	(DE-588)1170260187 (DE-588)1064287301
isbn	9783132204010 3132204013
language	English
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-030621645
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owner	DE-578 DE-19 DE-BY-UBM
owner_facet	DE-578 DE-19 DE-BY-UBM
physical	405 Seiten Illustrationen, Diagramme 24 cm x 17 cm
publishDate	2018
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publishDateSort	2018
publisher	Georg Thieme Verlag
record_format	marc
spelling	Familie Larsson-Rosenquist Stiftung (DE-588)1170260187 isb Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction published by Family Larsson-Rosenquist Foundation 1. Auflage Stuttgart ; New York Georg Thieme Verlag [2018] © 2018 405 Seiten Illustrationen, Diagramme 24 cm x 17 cm txt rdacontent n rdamedia nc rdacarrier Stillen (DE-588)4057578-0 gnd rswk-swf Muttermilch (DE-588)4040959-4 gnd rswk-swf Breastfeeding Larsson-Rosenquist Foundation Breast Milk Stillberatung Human milk Lacation Gesundheits- und Kinderkrankenpflege Allgemeinmedizin Gynäkologie Pädiatrie Geburtshilfe Pflege Stillen (DE-588)4057578-0 s Muttermilch (DE-588)4040959-4 s DE-604 Georg Thieme Verlag KG (DE-588)1064287301 pbl Erscheint auch als Online-Ausgabe, PDF 978-3-13-220411-9 Erscheint auch als Online-Ausgabe, EPUB 978-3-13-220421-8 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=670f4765019e48f5a1d159647c0933bb&prov=M&dok_var=1&dok_ext=htm Inhaltstext DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030621645&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction Stillen (DE-588)4057578-0 gnd Muttermilch (DE-588)4040959-4 gnd
subject_GND	(DE-588)4057578-0 (DE-588)4040959-4
title	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction
title_auth	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction
title_exact_search	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction
title_full	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction published by Family Larsson-Rosenquist Foundation
title_fullStr	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction published by Family Larsson-Rosenquist Foundation
title_full_unstemmed	Breastfeeding and breast milk - from biochemistry to impact a multidisciplinary introduction published by Family Larsson-Rosenquist Foundation
title_short	Breastfeeding and breast milk - from biochemistry to impact
title_sort	breastfeeding and breast milk from biochemistry to impact a multidisciplinary introduction
title_sub	a multidisciplinary introduction
topic	Stillen (DE-588)4057578-0 gnd Muttermilch (DE-588)4040959-4 gnd
topic_facet	Stillen Muttermilch
url	http://deposit.dnb.de/cgi-bin/dokserv?id=670f4765019e48f5a1d159647c0933bb&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=030621645&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
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