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Lactating Women (lactating + woman)
Selected AbstractsThe "smellscape" of mother's breast: Effects of odor masking and selective unmasking on neonatal arousal, oral, and visual responsesDEVELOPMENTAL PSYCHOBIOLOGY, Issue 2 2007Sébastien Doucet Abstract Lactating women emit odor cues that release activity in newborns. Such cues may be carried in various substrates, including milk or areolar secretions. The present study aimed to examine the responses of infants facing their mother's breast and to sort out the source(s) of active volatile compounds emitted by the lactating breast. Infants (aged 3,4 days) were presented their mother's breast in two consecutive trials of 90 s each: a scentless condition (breast entirely covered with a transparent film) paired with one of four odorous conditions (fully exposed breast: n,=,15; nipple only exposed: 15; areola only exposed: 13; and milk exposed: 12). The infants were more orally activated when facing any of the odorous breast conditions than when facing the scentless breast. They cried earlier and longer, and opened their eyes less, when facing the scentless breast. Nipple, Areola, and Milk odors appeared to be equivalent to the whole breast odor in stimulating oral activity and in delaying crying onset. This study shows that volatile compounds originating in areolar secretions or milk release mouthing, stimulate eye opening, and delay and reduce crying in newborns. © 2007 Wiley Periodicals, Inc. Dev Psychobiol 49: 129,138, 2007. [source] Lactational State Modifies Alcohol Pharmacokinetics in WomenALCOHOLISM, Issue 6 2007Marta Yanina Pepino Background: Given the physiological adaptations of the digestive system during lactation, the present study tested the hypothesis that lactation alters alcohol pharmacokinetics. Methods: Lactating women who were exclusively breastfeeding a 2- to 5-month-old infant and 2 control groups of nonlactating women were studied. The first control group consisted of women who were exclusively formula-feeding similarly aged infants, whereas the other consisted of women who had never given birth. A within-subjects design study was conducted such that women drank a 0.4 g/kg dose of alcohol following a 12-hour overnight fast during one test session (fasted condition) or 60 minutes after consuming a standard breakfast during the other (fed condition). Blood alcohol concentration (BAC) levels and mood states were obtained at fixed intervals before and after alcohol consumption. Results: Under both conditions, the resultant BAC levels at each time point were significantly lower and the area under the blood alcohol time curve were significantly smaller in lactating women when compared with the 2 groups of nonlactating women. That such changes were due to lactation per se and not due to recent parturient events was suggested by the finding that alcohol pharmacokinetics of nonlactating mothers, who were tested at a similar time postpartum, were no different from women who had never given birth. Despite lower BAC levels in lactating mothers, there were no significant differences among the 3 groups of women in the stimulant effects of alcohol. However, lactating women did differ in the sedative effects of alcohol when compared with nulliparous but not formula-feeding mothers. That is, both groups of parous women felt sedated for shorter periods of time when compared with nulliparous women. Conclusions: The systemic availability of alcohol was diminished during lactation. However, the reduced availability of alcohol in lactating women did not result in corresponding changes in the subjective effects of alcohol. [source] MotherSafe: Review of three years of counselling by an Australian teratology Information ServiceAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2009Joy Marie LIM Background: MotherSafe was established in January 2000 at the Royal Hospital for Women as Australia's first ,purpose-built' Teratogen Information Service and since then has received over 75 000 calls regarding exposures during pregnancy and lactation. Aim: To describe the patterns of use of MotherSafe over a three-year period. Methods: Retrospective descriptive epidemiological study using data from the database established at MotherSafe. Records from all the calls logged at MotherSafe between January 2005 and December 2007 were analysed to determine total number of calls, demographic characteristics of callers, including age, caller category and postcode, reason for call, source of referral and type of exposure. Results: A total of 47 138 calls were recorded to the MotherSafe service from January 2005 to December 2007. The majority of calls were regarding exposures in pregnancy (55%) and breast-feeding (38%). Average age of patients was 32.3 years. Of the calls made, 81.9% (38 485 of 46 968) were by consumers (the pregnant or lactating woman herself or a relative). The most common primary exposure categories were: over-the-counter medications (11.3%), psychotropic medication (9.0%), herbal or vitamin products (8.2%), antibiotics (7.0%), gastrointestinal medications (6.8%) and topical products (6.6%). Forty per cent of callers enquired about multiple exposures. Conclusions: The utilisation of MotherSafe by consumers and general practitioners continues to increase, reflecting the strong demand for a teratogen counselling service that provides high-quality, evidence-based information on exposures during pregnancy and lactation. [source] Long chain polyunsaturated fatty acids (LC-PUFA) and perinatal developmentACTA PAEDIATRICA, Issue 4 2001B Koletzko This paper reports on the conclusions of a workshop on the role of long chain polyunsaturated fatty acids (LC-PUFA) in maternal and child health The attending investigators involved in the majority of randomized trials examining LC-PUFA status and functional outcomes summarize the current knowledge in the field and make recommendations for dietary practice. Only studies published in full or in abstract form were used as our working knowledge base. Conclusions: For healthy infants we recommend and strongly support breastfeeding as the preferred method of feeding, which supplies preformed LC-PUFA. Infant formulas for term infants should contain at least 0.2% of total fatty acids as docosahexaenoic acid (DHA) and 0.35% as arachidonic acid (AA). Since preterm infants are born with much less total body DHA and AA, we suggest that preterm infant formulas should include at least 0.35% DHA and 0.4% AA. Higher levels might confer additional benefits and should be further investigated because optimal dietary intakes for term and preterm infants remain to be defined. For pregnant and lactating women we consider it premature to recommend specific LC-PUFA intakes. However, it seems prudent for pregnant and lactating women to include some food sources of DHA in their diet in view of their assumed increase in LC-PUFA demand and the relationship between maternal and foetal DHA status. [source] Relevance of European alignment for micronutrients' recommendation regarding pregnant and lactating women, infants, children and adolescents: an insight into preliminary steps of EURRECAMATERNAL & CHILD NUTRITION, Issue 2010Irene Cetin No abstract is available for this article. [source] Diet, energy expenditure, and body composition of lactating Ribeirinha women in the brazilian amazonAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 5 2007Barbara A. Piperata Lactation is the most energetically demanding part of human reproduction; yet, compared with pregnancy, we know little about the strategies women in different settings employ to cope with these increased energy demands. This paper takes a biocultural approach and reports longitudinal data on the anthropometry, dietary intakes and energy expenditure of a sample of 23 rural, lactating Ribeirinha women living in subsistence-based communities in the eastern Amazon. The dietary intakes of these lactating women were insufficient to meet their lactating energy needs and were least sufficient during resguardo, a 40-day period in the immediate postpartum when the women observed a series of food taboos and work restrictions. Instead, the women in this study met the increased energy demands of lactation by drawing on their energy reserves and reducing their energy expenditure in physical activity. The women showed a significant reduction in weight (P < 0.001), BMI (P < 0.001) and in circumferences (hip, P = 0.01; waist, P = 0.03) and skinfolds (thigh, P = 0.03) in the gluteal femoral region. Total daily energy expenditure (TDEE) was lowest during resguardo and increased as lactation progressed (P = 0.01). While the practice of resguardo reduced maternal energy expenditure and allowed women more time to spend with their newborn infants, it came at a cost (low dietary intake), which appears to be related to the loss of the adult woman from subsistence activities. By taking a biocultural approach this study illustrates the role the social environment plays in shaping the experience of lactating women. Am. J. Hum. Biol., 2007. © 2007 Wiley-Liss, Inc. [source] Does Female Disadvantage Mean Lower Access to Food?POPULATION AND DEVELOPMENT REVIEW, Issue 3 2000Laurie F. DeRose The literature on gender differentials in nutrition demonstrates that the calorie intake of females is generally as adequate as that of males at all ages. Female disadvantage in micronutrient intake is, however, frequent. Pregnant and lactating women are disadvantaged relative to both men and other women. In South Asia there is evidence that boys are advantaged over girls in food intake at some ages, but the evidence for male advantage in access to health care is far stronger. The authors argue that nutrition interventions are best targeted when the incidence of female disadvantage is better understood and, similarly, that interventions to improve women's status should be focused on objectives other than calorie intake in most communities. However, standards for measuring adequacy incorporate norms for female body size and physical activity that may uncritically accept the notion that females are more physically passive. Maintaining adequacy by these standards could perpetuate low levels of female functioning. [source] Determination of bisphenol A in human breast milk by HPLC with column-switching and ,uorescence detectionBIOMEDICAL CHROMATOGRAPHY, Issue 8 2004Yen Sun Abstract A highly sensitive HPLC method was developed for the determination of xenoestrogenic compound, bisphenol A (BPA) in human breast milk samples. After a two-step liquid,liquid extraction, BPA was derivatized with ,uorescent labeling reagent, 4-(4,5-diphenyl-1H -imidazol-2-yl)benzoyl chloride (DIB-Cl). The excess ,uorescent reagent could be removed effectively using a column-switching system. The separation of DIB-BPA from endogenous materials in milk was carried out on two C18 columns and ,uorescence intensity was monitored at 475 nm with the excitation of 350 nm. A good linearity (r = 0.994) was observed of BPA in the concentration range of 0.2,5.0 ng mL,1 in breast milk, and the detection limit was 0.11 ng mL,1 at a signal-to-noise ratio of 3. Intra- and inter-day precision (RSD, %) were less than 8.7 and 10.4, respectively. Twenty-three breast milk samples of healthy lactating women were analyzed for the BPA concentration; the mean value was 0.61 ± 0.20 ng mL,1, with no correlation to the lipid content of milk samples. Copyright © 2004 John Wiley & Sons, Ltd. [source] The relationship between breast milk leptin and neonatal weight gainACTA PAEDIATRICA, Issue 4 2009Hakan Doneray Abstract Aim: To investigate whether change in leptin content of breast milk during lactation acts on neonatal body weight gain. Methods: In total 15 lactating women and their 15 term infants were involved in the study. Breast milk and neonatal serum samples were obtained from the same women and their neonates on the 1st day and any day between the 21st and 30th days after birth. Breast milk and serum leptin concentrations were determined by radioimmunoassay. Anthropometric indexes of the infants were recorded. Results: The study was completed with 15 multiparious mothers aged 19,37 years and their infants. The mean collection time of the first samples after birth was 6.07 ± 1.94 h. The leptin level in the mature milk was significantly higher than in the colostrum (p < 0.001). Neonatal weight and height were significantly increased on 21,30 lactation days compared to 1st day of lactation (p < 0.05 and p < 0.001, respectively). The leptin concentration in the mature milk was negatively correlated with delta BMI (r =,0.53; p < 0.05). The delta breast milk leptin concentration was also found to be inversely correlated with delta BMI (r =,0.529; p < 0.05). Conclusion: The results of this study have suggested that change in the leptin content of breast milk during lactation might play a role in the regulation of weight gain in healthy neonates. [source] |