Proceedings of a symposium, satellite to the 24th International Congress of Physiological Sciences, University of Pennsylvania.

This comprehensive Monograph examines all peripheral and central mechanisms of regulating the secretion of milk from the lactating breast. The author reviews the complete female breast development, starting with the early childhood, up to pregnancy and lactation. Structural and ultrastructural data on the alveolar-ductal system, together with details of breast innervation, are used to investigate the physiological process of lactation. Readers will appreciate the special focus on reflexes, both in the child and the mother, that help to regulate maternal milk production and secretion. Following this, the author sheds a light on the composition and dynamics of milk components during the different periods of lactation. The final section of this volume focusses on practical aspects of modern breastfeeding, like the use of breast pumps or galactogogues, to influence the productivity of milk production. These fundamental principles and structural details will be particularly useful for physiologists and clinicians working in gynecology and pediatrics.

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Counseling the Nursing Mother thoroughly covers counseling techniques and how style and approach can enhance interactions with mothers, and thus the effectiveness in helping them breastfeed. By presenting topics within a counseling framework, and including practical suggestions for working with mothers, the reader will gain insights into applying knowledge and research into everyday practice, as well as understand counseling challenges and how to meet them.

Evidence-based guide that provides relevant information on breastfeeding and lactation blended with clinical suggestions for best outcomes. This includes reviews of literature, and covers the incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, clinical algorithms, and more, providing clinicians a research-based approach to breastfeeding care.

This unique health guide, herbal guide, and cookbook for breastfeeding mothers draws on traditions from around the world. Focusing on pregnancy and the postpartum, the text explores lactogenic foods and herbs and how they enhance milk production, prevent postpartum depression, increase energy, promote gentle weight loss and detox, and more.

All being done, we went to Mrs Shipmans, who is a great butter-woman; and I did see there the most of milke and cream, and the cleanest, that I ever saw in my life (29 May 1661). Among others, Sir Wm. Petty did tell me that in good earnest, he hath in his will left such parts of his estate to him that could invent such and such things -as among others, that could discover truly the way of milk coming into the breasts of a woman ... (22 March 1665). My wife tells me that she hears that my poor aunt James hath had her breast cut off here in tow- her breast having long been out of order (5 May 1665). From the Diary of Samuel Pepys, published as The Shorter Pepys (edited by R. Latham), Penguin Books (1987) The long-standing ultimate importance of research on the mammary gland is illustrated by the importance attached to cows' milk for human consumption, to human lactation and to breast cancer by Samuel Pepys and his contemporaries in the middle of the 17th century. Research has tended to develop in isolation in these three areas of continuing contemporary importance largely because in most countries, the underlying science of agricultural productivity is funded separately from the underlying science of human health and welfare.