Management of Common Lactation and Breastfeeding Problems

Amir, Lisa H; Livingstone, Verity

doi:10.1007/978-3-540-69743-5_5

Cited by 2 publications

(1 citation statement)

References 144 publications

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“…The World Health Organization (WHO) recommends that all infants are exclusively breastfed for the rst six months of life [2]. Breastfeeding helps to create a strong emotional and psychological bond between mother and baby and assists optimal development, growth and health [3,4]. There is compelling evidence to suggest that lactating and breastfeeding for mother and baby are associated with increased health bene ts [5].…”

Section: Introductionmentioning

confidence: 99%

Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study

Neill¹,

Eske²,

Yip³

et al. 2020

Preprint

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Background Inflammatory conditions of the lactating breast (ICLB) can cause cessation of breastfeeding and treatment for these conditions should be optimised. Therapeutic ultrasound is the most utilised physiotherapy treatment for ICLB. However, there is no evidence that guides physiotherapists on the most appropriate therapeutic ultrasound parameters to treat ICLB, with current ultrasound treatment protocols based on evidence using musculoskeletal tissue. Therefore, it is necessary to determine whether ultrasound interacts with breast and musculoskeletal tissue differently. This study aimed to determine the difference between breast and calf muscle tissue for perception of heating from therapeutic ultrasound; and the therapeutic ultrasound intensity required to perceive warmth in healthy lactating breast tissue.Methods Fifty adult lactating women who had exclusively breastfed infants aged 6 months or fewer, were recruited from a private physiotherapy clinic in Queensland, Australia. Consent was obtained to participate in this repeated measures within subject descriptive observational study. Therapeutic ultrasound was sequentially applied to the breast and calf; in a randomly assigned order; using a continuous duty cycle of 1 MHz, 1Wcm2 intensity for an initial period of 5 minutes. Intensity was then increased by 0.1Wcm2 every 30 seconds. The intensity at which participants reported first perceived warmth and then most tolerable warmth for the breast and the calf was recorded.Results First warmth was perceived at lower intensities in the breast (Z=-3.637, p < 0.001), but there was no difference between locations for most tolerable warmth (Z=-1.165, p = 0.244). Factors associated with intensity for perception of first warmth were antidepressant use (β 0.369 95% confidence interval [95%CI: 0.103–0.635], p = 0.007) and location (β 0.286 [95%CI: 0.055–0.516], p = 0.015). Body mass index (BMI) was the only factor associated with intensity for most tolerable warmth (β 0.024 [95%CI: 0.004–0.044], p = 0.017). The range of intensities required to perceive heating in the breast were 1-2.5Wcm2.Conclusions As perception of breast and calf warmth was different, therapeutic ultrasound parameters used to treat musculoskeletal conditions may not be appropriate for ICLB. Antidepressant use and BMI influenced heat perception, highlighting the need to screen for these factors prior to therapeutic ultrasound intervention.

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Section: Introductionmentioning

confidence: 99%

Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study

Neill¹,

Eske²,

Yip³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

The everyday life information seeking behaviours of first-time mothers

Loudon

Buchanan

Ruthven

2016

Journal of Documentation

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The authors are grateful to the mothers and staff from the support group and representatives from the local health and library services, who all very generously shared their time and experiences. Structured AbstractPurpose The study investigates the everyday life information seeking behaviours of first-time mothers, as they encounter new, significant and pressing information needs which arise alongside their new responsibilities.Design/methodology/approach -A qualitative approach, combining narrative interviews with participatory methods to facilitate engagement and remain sensitive to the social context.Findings -Mothers particularly valued the experiential nature of information received from peers or family members. However, fear of judgment influenced their use of interpersonal sources, both onand off-line. Their accounts of information seeking contained instances of confusion, tension, conflict, and information overload. F information needs from others, including healthcare professionals.Research limitations/implications -There was a notable absence of younger (<20 y.o.) and/or less educated mothers in the study. This corresponds to previous findings which report that very young mothers are reluctant to participate in support groups with older mothers. They remain an understudied and potentially marginalised group. Practical implications -The findings show how social support groups can mitigate for societal information within a trusted environment. The study highlights the importance of healthcare and information services professionals remaining sensitive to such pressures. Relatedly, the finding that public libraries are used very little has implications for audience engagement and service provision.Originality/value -Focused upon firstof parenthood, the study provides insight into how relationships and experiences with information gatekeepers and others influences information seeking behaviours. Provides evidence that fear of judgment can influence information seeking behaviour, helping us to understand why some information sources, although considered important and useful, can be used very little.

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Management of Common Lactation and Breastfeeding Problems

Cited by 2 publications

References 144 publications

Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study

Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study

The everyday life information seeking behaviours of first-time mothers

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