Written and edited by leading physicians, Breastfeeding: A Guide for the Medical Profession, 9th Edition, offers comprehensive, dependable information and guidance in this multifaceted field. Award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence, ensure that you’re brought fully up to date on everything from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding—all in a highly readable, easily accessible desk reference.
Helps you make appropriate drug recommendations, treat conditions associated with breastfeeding, and provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle.
Includes numerous charts and tables throughout, with an emphasis on the scientific, chemical, and physiological underpinnings of breastfeeding. Appendices contain additional charts and tables, including the complete collection of clinical protocols on breastfeeding and human milk from the Academy of Breastfeeding Medicine.
Features new chapters on breast conditions and their management in the breastfeeding mother, breastfeeding and chest-feeding for LGBTQ families, breastfeeding during disasters, and establishing a breastfeeding practice or academic department.
Provides significant updates on physiology and biochemistry of lactation; medications and herbal preparations in breast milk; transmission of infectious disease through breast milk; allergy and its relationship with breastfeeding, exposure, and avoidance; premature infants and breastfeeding; and practical management of the mother-infant nursing couple.
Offers authoritative and fresh perspectives from new associate editors: neonatologist Dr. Larry Noble, obstetrician Dr. Alison Stuebe, and pediatrician and lactation specialist Dr. Casey Rosen-Carole.
Covers patient-centered counseling, the cellular composition of human breast milk, microbiota of the breast and human milk, and the multifunctional roles of human milk oligosaccharides (HMOs).
1. Lawrence: Breastfeeding - p. Cover 2. Cover image - p. Cover 3. Title page - p. iii 4. Copyright - p. iv 5. Dedication - p. iv 6. List of Contributors - p. vii 7. Foreword from the Eighth Edition - p. ix 8. Preface - p. xi 9. Online References - p. xii 10. 1. Breastfeeding in a New Era - p. 1 11. 2. Anatomy of the Breast - p. 38 12. 3. Physiology of Lactation - p. 58 13. 4. Biochemistry of Human Milk - p. 93 14. Abstract - p. 93 15. Normal Variations In Human Milk - p. 94 16. Stages of Lactation - p. 97 17. Lactogenesis Stage II - p. 103 18. Carbohydrates - p. 119 19. Minerals - p. 122 20. Trace Elements - p. 125 21. Vitamins - p. 130 22. Enzymes - p. 137 23. Hormones - p. 140 24. Bile Salts - p. 144 25. Epidermal Growth Factor - p. 144 26. 5. Host-Resistance Factors and Immunologic Significance of Human Milk - p. 145 27. Abstract - p. 145 28. Overview - p. 145 29. Protective Effect of Breast Milk - p. 147 30. Dose-Response Relationship - p. 147 31. Developmental Deficiencies In Infants’ Immune Systems - p. 148 32. Bioactive Factors - p. 148 33. Mucosal Immunity - p. 149 34. Cellular Components of Human Colostrum and Milk - p. 150 35. Survival of Maternal Milk Cells - p. 156 36. Humoral Factors - p. 157 37. Other Bioactive Factors - p. 162 38. Mucosal Immune System - p. 173 39. Toll-Like Receptors - p. 174 40. Microbiota - p. 175 41. Genetics and Epigenetics - p. 185 42. Effectiveness of Human Milk in Controlling Infection - p. 187 43. Antiinflammatory Properties - p. 189 44. Allergic Protective Properties (See on Human Milk as Prophylaxis in Allergy) - p. 191 45. Protection Against Chronic Disease in Childhood - p. 192 46. Summary - p. 192 47. 6. Population Health and Informed Feeding Decisions - p. 193 48. 7. Practical Management of the Nursing “Dyad” - p. 206 49. 8. Maternal Nutrition and Supplements for Mother and Infant - p. 247 50. 9. Weaning - p. 278 51. 10. Normal Growth, Growth Faltering, and Obesity in Breastfed Infants - p. 298 52. 11. Medications, Herbal Preparations, and Natural Products in Breast Milk - p. 326 53. Abstract - p. 326 54. Misinterpretation of Drug Data - p. 326 55. Possible Risk of Drug Appearing in Breast Milk - p. 327 56. Important Variables Regarding Medications In Human Breast Milk - p. 328 57. Infant Related Medication Factors - p. 328 58. Characteristics of Drugs - p. 328 59. Pharmacokinetic Principles - p. 331 60. Infant-Related Factors - p. 332 61. Milk-to-Plasma Ratio for Drugs is Usually Not Useful - p. 334 62. Evaluating Drug Data - p. 334 63. Safety for Infant - p. 334 64. Correlation of Drug Safety in Pregnancy and Lactation - p. 335 65. Classification Systems - p. 336 66. Specific Drug Groups - p. 337 67. Drugs of Abuse and Alcohol - p. 342 68. Herbs and Herbal Teas - p. 347 69. Galactagogues - p. 355 70. Lactation Suppression - p. 357 71. Cardiovascular Drugs and Diuretics - p. 358 72. Central Nervous System Drugs - p. 363 73. Psychotherapeutic Agents - p. 366 74. Migraines and Headaches - p. 373 75. Medications for Autoimmune Disorders in Lactation - p. 378 76. Pesticides and Pollutants - p. 378 77. Radioactive Materials - p. 386 78. Dermatologic Medication - p. 387 79. Immunizations - p. 391 80. Summary of Medications in Breast Milk - p. 392 81. 12. Transmission of Infectious Diseases Through Breast Milk and Breastfeeding - p. 393 82. Abstract - p. 393 83. Evidence for Transmission - p. 393 84. Infection-Control Considerations - p. 394 85. Misadministration of Breast Milk - p. 398 86. Clinical Syndromes and Conditions - p. 399 87. Bacterial Infections - p. 399 88. Staphylococcal Infections - p. 404 89. Streptococcal Infections - p. 407 90. Viral Infections - p. 414 91. Hepatitis in the Mother - p. 420 92. Human Papillomavirus - p. 427 93. Retroviruses - p. 430 94. Spirochetes - p. 449 95. Parasites - p. 450 96. Candida Infections - p. 454 97. Summary - p. 456 98. 13. Breastfeeding Infants With Problems - p. 457 99. Abstract - p. 457 100. Procedures and Surgery - p. 457 101. Perinatal Issues - p. 459 102. Gastrointestinal Diseases - p. 463 103. Respiratory Illness and Otitis Media - p. 465 104. Metabolic Disease - p. 467 105. Neurologically Impaired Infants - p. 472 106. Endocrine Diseases - p. 474 107. Hyperbilirubinemia and Jaundice - p. 476 108. Suckling Problems Related to Anatomy and Neural Disorders - p. 485 109. Intestinal Tract Disorders - p. 492 110. Malformations of central nervous system - p. 497 111. Congenital Heart Disease - p. 498 112. Sudden Infant Death Syndrome - p. 499 113. Oral Health - p. 500 114. 14. Premature Infants and Breastfeeding - p. 502 115. Abstract - p. 502 116. Benefits of Human Milk for the Preterm - p. 502 117. Gastrointestinal Tract Development - p. 503 118. Gastrointestinal Priming - p. 504 119. Colostrum - p. 507 120. Low-Birth-Weight Infants - p. 507 121. Optimal Growth for Premature Infants - p. 510 122. Special Properties of Preterm Milk - p. 510 123. Use of Human Milk - p. 516 124. Gastrointestinal Characteristics of Premature Infants - p. 520 125. Use of Human Milk for Premature Infants - p. 521 126. Supplementation of Mother’s Own Milk or Pooled Human Milk - p. 523 127. Artificial Fortification of Human Milk - p. 524 128. Fortification of Human Milk with Human Milk - p. 527 129. Long-Term Follow-Up of Growth Parameters in Infants with Very Low-Birth-Weight - p. 529 130. Antimicrobial Properties of Preterm Breast Milk - p. 530 131. Donor Milk - p. 533 132. Kangaroo Care and Skin-to-Skin Care - p. 534 133. Milk Production by Mothers of Premature Infants - p. 535 134. Who Produces Milk for Low-Birth-Weight or Small-For-Gestational-Age Infants? - p. 538 135. Feeding the Near-Term Infant (35 TO 37 Weeks’ Gestation) at the Breast - p. 539 136. Premature Infants of 28 6/7 Weeks to 32 6/7 Weeks - p. 539 137. Breastfeeding the Extremely Premature Infant - p. 540 138. Small-For-Gestational-Age Infants - p. 541 139. Transitioning from Hospital to Home - p. 542 140. Improving Milk Production - p. 543 141. Concluding Recommendations - p. 543 142. 15. Medical Complications of Mothers - p. 546 143. 16. Breast Conditions in the Breastfeeding Mother - p. 572 144. 17. Human Milk and Atopic Disease - p. 594 145. 18. Breastfeeding and Return to Work or School - p. 611 146. 19. Induced Lactation and Relactation (Including Nursing an Adopted Baby) and Cross-Nursing - p. 628 147. 20. Chestfeeding and Lactation Care for LGBTQ+ Families (Lesbian, Gay, Bisexual, Transgender, Queer, Plus) - p. 646 148. 21. Reproductive Function During Lactation - p. 651 149. 22. The Collection and Storage of Human Milk and Human Milk Banking - p. 662 150. 23. Infant Feeding After a Disaster - p. 695 151. 24. Establishing a Breastfeeding Medicine Practice or Academic Department - p. 704 152. 25. Breastfeeding Support Groups and Community Resources - p. 710 153. 26. Educating and Training Medical Professionals - p. 719 154. Appendices - p. 726 155. Appendix A. Composition of Human Milk - p. 729 156. Appendix B. Normal Serum Values for Breastfed Infants - p. 731 157. Appendix C. Herbals and Natural Products - p. 733 158. Appendix D. Precautions and Breastfeeding Recommendations for Selected Maternal Infections - p. 738 159. Appendix E. Manual Expression of Breast Milk - p. 754 160. Appendix F. Measurements of Weight Loss and Growth in Breastfed Infants - p. 756 161. Appendix G. Organizations Supporting Breastfeeding and Promoting Lactation Knowledge - p. 761 162. Appendix H. Breastfeeding Health Supervision - p. 768 163. ABM Clinical Protocols - p. 781 164. ABM Clinical Protocol #1: Guidelines for Blood Glucose Monitoring and Treatment of Hypoglycemia in Term and Late-Preterm Neonates, Revised 2014 - p. 782 165. ABM Clinical Protocol #2: Guidelines for Hospital Discharge of the Breastfeeding Term Newborn and Mother: “The Going Home Protocol,” Revised 2014 - p. 790 166. ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017 - p. 796 167. ABM Clinical Protocol #4: Mastitis, Revised March 2014 - p. 807 168. ABM Clinical Protocol #5: Peripartum Breastfeeding Management for the Healthy Mother and Infant at Term, Revision 2013 - p. 812 169. Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019 - p. 818 170. ABM Clinical Protocol #7: Model Maternity Policy Supportive of Breastfeeding - p. 830 171. ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017 - p. 847 172. ABM Clinical Protocol #9: Use of Galactagogues in Initiating or Augmenting Maternal Milk Production, Second Revision 2018 - p. 853 173. ABM Clinical Protocol #10: Breastfeeding the Late Preterm (34–36 6/7 Weeks of Gestation) and Early Term Infants (37–38 6/7 Weeks of Gestation), Second Revision 2016 - p. 862 174. ABM Clinical Protocol #11: Guidelines for the Evaluation and Management of Neonatal Ankyloglossia and Its Complications in the Breastfeeding Dyad: The Academy of Breastfeeding Medicine: ABM Protocols - p. 870 175. ABM Clinical Protocol #12: Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home, Revised 2018 - p. 874 176. ABM Clinical Protocol #13: Contraception During Breastfeeding, Revised 2015 - p. 882 177. ABM Clinical Protocol #14: Breastfeeding-Friendly Physician’s Office: Optimizing Care for Infants and Children, Revised 2013 - p. 892 178. ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 - p. 899 179. ABM Clinical Protocol #16: Breastfeeding the Hypotonic Infant, Revision 2016 - p. 906 180. ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate—Revised 2019 - p. 912 181. ABM Clinical Protocol #18: Use of Antidepressants in Breastfeeding Mothers - p. 920 182. ABM Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Setting, Revision 2015 - p. 930 183. ABM Clinical Protocol #20: Engorgement, Revised 2016 - p. 937 184. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015 - p. 942 185. ABM Clinical Protocol #22: Guidelines for Management of Jaundice in the Breastfeeding Infant 35 Weeks or More of Gestation—Revised 2017 - p. 950 186. ABM Clinical Protocol #23: Nonpharmacological Management of Procedure-Related Pain in the Breastfeeding Infant, Revised 2016 - p. 959 187. ABM Clinical Protocol #24: Allergic Proctocolitis in the Exclusively Breastfed Infant - p. 965 188. ABM Clinical Protocol #25: Recommendations for Preprocedural Fasting for the Breastfed Infant: ‘‘NPO’’ Guidelines - p. 971 189. ABM Clinical Protocol #26: Persistent Pain with Breastfeeding - p. 978 190. ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes - p. 987 191. ABM Clinical Protocol #28: Peripartum Analgesia and Anesthesia for the Breastfeeding Mother - p. 993 192. ABM Clinical Protocol #29: Iron, Zinc, and Vitamin D Supplementation During Breastfeeding - p. 1002 193. ABM Clinical Protocol #30: Breast Masses, Breast Complaints, and Diagnostic Breast Imaging in the Lactating Woman - p. 1010 194. ABM Clinical Protocol #31: Radiology and Nuclear Medicine Studies in Lactating Women - p. 1017 195. ABM Clinical Protocol #32: Management of Hyperlactation - p. 1023 196. ABM Clinical Protocol #33: Lactation Care for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Plus Patients - p. 1038.e1 197. ABM Clinical Protocol #34: Breast Cancer and Breastfeeding - p. 1038.e11 198. Educational Objectives and Skills for the Physician with Respect to Breastfeeding, Revised 2018 - p. 1029 199. Medical Education for Basic Proficiency in Breastfeeding - p. 1039 200. Glossary - p. 1041 201. References - p. e1 202. Chapter 1 - p. e1 203. Chapter 2 - p. e7 204. Chapter 3 - p. e9 205. Chapter 4 - p. e12 206. Chapter 5 - p. e19 207. Chapter 6 - p. e30 208. Chapter 7 - p. e32 209. Chapter 8 - p. e40 210. Chapter 9 - p. e46 211. Chapter 10 - p. e50 212. Chapter 11 - p. e57 213. Chapter 12 - p. e66 214. Chapter 13 - p. e90 215. Chapter 14 - p. e102 216. Chapter 15 - p. e109 217. Chapter 16 - p. e117 218. Chapter 17 - p. e121 219. Chapter 18 - p. e125 220. Chapter 19 - p. e129 221. Chapter 20 - p. e131 222. Chapter 21 - p. e132 223. Chapter 22 - p. e134 224. Chapter 23 - p. e140 225. Chapter 24 - p. e142 226. Chapter 25 - p. e143 227. Chapter 26 - p. e145 228. Appendix C - p. e147 229. Appendix E - p. e148 230. Appendix F - p. e149 231. Appendix H - p. e150 232. Appendix J - p. e151 233. Index - p. 1049 234. Confidence is ClinicalKey - p. 1072
Written and edited by leading physicians, Breastfeeding: A Guide for the Medical Profession, 9th Edition, offers comprehensive, dependable information and guidance in this multifaceted field. Award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence, ensure that you’re brought fully up to date on everything from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding—all in a highly readable, easily accessible desk reference.
Helps you make appropriate drug recommendations, treat conditions associated with breastfeeding, and provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle.
Includes numerous charts and tables throughout, with an emphasis on the scientific, chemical, and physiological underpinnings of breastfeeding. Appendices contain additional charts and tables, including the complete collection of clinical protocols on breastfeeding and human milk from the Academy of Breastfeeding Medicine.
Features new chapters on breast conditions and their management in the breastfeeding mother, breastfeeding and chest-feeding for LGBTQ families, breastfeeding during disasters, and establishing a breastfeeding practice or academic department.
Provides significant updates on physiology and biochemistry of lactation; medications and herbal preparations in breast milk; transmission of infectious disease through breast milk; allergy and its relationship with breastfeeding, exposure, and avoidance; premature infants and breastfeeding; and practical management of the mother-infant nursing couple.
Offers authoritative and fresh perspectives from new associate editors: neonatologist Dr. Larry Noble, obstetrician Dr. Alison Stuebe, and pediatrician and lactation specialist Dr. Casey Rosen-Carole.
Covers patient-centered counseling, the cellular composition of human breast milk, microbiota of the breast and human milk, and the multifunctional roles of human milk oligosaccharides (HMOs).
1. Lawrence: Breastfeeding - p. Cover 2. Cover image - p. Cover 3. Title page - p. iii 4. Copyright - p. iv 5. Dedication - p. iv 6. List of Contributors - p. vii 7. Foreword from the Eighth Edition - p. ix 8. Preface - p. xi 9. Online References - p. xii 10. 1. Breastfeeding in a New Era - p. 1 11. 2. Anatomy of the Breast - p. 38 12. 3. Physiology of Lactation - p. 58 13. 4. Biochemistry of Human Milk - p. 93 14. Abstract - p. 93 15. Normal Variations In Human Milk - p. 94 16. Stages of Lactation - p. 97 17. Lactogenesis Stage II - p. 103 18. Carbohydrates - p. 119 19. Minerals - p. 122 20. Trace Elements - p. 125 21. Vitamins - p. 130 22. Enzymes - p. 137 23. Hormones - p. 140 24. Bile Salts - p. 144 25. Epidermal Growth Factor - p. 144 26. 5. Host-Resistance Factors and Immunologic Significance of Human Milk - p. 145 27. Abstract - p. 145 28. Overview - p. 145 29. Protective Effect of Breast Milk - p. 147 30. Dose-Response Relationship - p. 147 31. Developmental Deficiencies In Infants’ Immune Systems - p. 148 32. Bioactive Factors - p. 148 33. Mucosal Immunity - p. 149 34. Cellular Components of Human Colostrum and Milk - p. 150 35. Survival of Maternal Milk Cells - p. 156 36. Humoral Factors - p. 157 37. Other Bioactive Factors - p. 162 38. Mucosal Immune System - p. 173 39. Toll-Like Receptors - p. 174 40. Microbiota - p. 175 41. Genetics and Epigenetics - p. 185 42. Effectiveness of Human Milk in Controlling Infection - p. 187 43. Antiinflammatory Properties - p. 189 44. Allergic Protective Properties (See on Human Milk as Prophylaxis in Allergy) - p. 191 45. Protection Against Chronic Disease in Childhood - p. 192 46. Summary - p. 192 47. 6. Population Health and Informed Feeding Decisions - p. 193 48. 7. Practical Management of the Nursing “Dyad” - p. 206 49. 8. Maternal Nutrition and Supplements for Mother and Infant - p. 247 50. 9. Weaning - p. 278 51. 10. Normal Growth, Growth Faltering, and Obesity in Breastfed Infants - p. 298 52. 11. Medications, Herbal Preparations, and Natural Products in Breast Milk - p. 326 53. Abstract - p. 326 54. Misinterpretation of Drug Data - p. 326 55. Possible Risk of Drug Appearing in Breast Milk - p. 327 56. Important Variables Regarding Medications In Human Breast Milk - p. 328 57. Infant Related Medication Factors - p. 328 58. Characteristics of Drugs - p. 328 59. Pharmacokinetic Principles - p. 331 60. Infant-Related Factors - p. 332 61. Milk-to-Plasma Ratio for Drugs is Usually Not Useful - p. 334 62. Evaluating Drug Data - p. 334 63. Safety for Infant - p. 334 64. Correlation of Drug Safety in Pregnancy and Lactation - p. 335 65. Classification Systems - p. 336 66. Specific Drug Groups - p. 337 67. Drugs of Abuse and Alcohol - p. 342 68. Herbs and Herbal Teas - p. 347 69. Galactagogues - p. 355 70. Lactation Suppression - p. 357 71. Cardiovascular Drugs and Diuretics - p. 358 72. Central Nervous System Drugs - p. 363 73. Psychotherapeutic Agents - p. 366 74. Migraines and Headaches - p. 373 75. Medications for Autoimmune Disorders in Lactation - p. 378 76. Pesticides and Pollutants - p. 378 77. Radioactive Materials - p. 386 78. Dermatologic Medication - p. 387 79. Immunizations - p. 391 80. Summary of Medications in Breast Milk - p. 392 81. 12. Transmission of Infectious Diseases Through Breast Milk and Breastfeeding - p. 393 82. Abstract - p. 393 83. Evidence for Transmission - p. 393 84. Infection-Control Considerations - p. 394 85. Misadministration of Breast Milk - p. 398 86. Clinical Syndromes and Conditions - p. 399 87. Bacterial Infections - p. 399 88. Staphylococcal Infections - p. 404 89. Streptococcal Infections - p. 407 90. Viral Infections - p. 414 91. Hepatitis in the Mother - p. 420 92. Human Papillomavirus - p. 427 93. Retroviruses - p. 430 94. Spirochetes - p. 449 95. Parasites - p. 450 96. Candida Infections - p. 454 97. Summary - p. 456 98. 13. Breastfeeding Infants With Problems - p. 457 99. Abstract - p. 457 100. Procedures and Surgery - p. 457 101. Perinatal Issues - p. 459 102. Gastrointestinal Diseases - p. 463 103. Respiratory Illness and Otitis Media - p. 465 104. Metabolic Disease - p. 467 105. Neurologically Impaired Infants - p. 472 106. Endocrine Diseases - p. 474 107. Hyperbilirubinemia and Jaundice - p. 476 108. Suckling Problems Related to Anatomy and Neural Disorders - p. 485 109. Intestinal Tract Disorders - p. 492 110. Malformations of central nervous system - p. 497 111. Congenital Heart Disease - p. 498 112. Sudden Infant Death Syndrome - p. 499 113. Oral Health - p. 500 114. 14. Premature Infants and Breastfeeding - p. 502 115. Abstract - p. 502 116. Benefits of Human Milk for the Preterm - p. 502 117. Gastrointestinal Tract Development - p. 503 118. Gastrointestinal Priming - p. 504 119. Colostrum - p. 507 120. Low-Birth-Weight Infants - p. 507 121. Optimal Growth for Premature Infants - p. 510 122. Special Properties of Preterm Milk - p. 510 123. Use of Human Milk - p. 516 124. Gastrointestinal Characteristics of Premature Infants - p. 520 125. Use of Human Milk for Premature Infants - p. 521 126. Supplementation of Mother’s Own Milk or Pooled Human Milk - p. 523 127. Artificial Fortification of Human Milk - p. 524 128. Fortification of Human Milk with Human Milk - p. 527 129. Long-Term Follow-Up of Growth Parameters in Infants with Very Low-Birth-Weight - p. 529 130. Antimicrobial Properties of Preterm Breast Milk - p. 530 131. Donor Milk - p. 533 132. Kangaroo Care and Skin-to-Skin Care - p. 534 133. Milk Production by Mothers of Premature Infants - p. 535 134. Who Produces Milk for Low-Birth-Weight or Small-For-Gestational-Age Infants? - p. 538 135. Feeding the Near-Term Infant (35 TO 37 Weeks’ Gestation) at the Breast - p. 539 136. Premature Infants of 28 6/7 Weeks to 32 6/7 Weeks - p. 539 137. Breastfeeding the Extremely Premature Infant - p. 540 138. Small-For-Gestational-Age Infants - p. 541 139. Transitioning from Hospital to Home - p. 542 140. Improving Milk Production - p. 543 141. Concluding Recommendations - p. 543 142. 15. Medical Complications of Mothers - p. 546 143. 16. Breast Conditions in the Breastfeeding Mother - p. 572 144. 17. Human Milk and Atopic Disease - p. 594 145. 18. Breastfeeding and Return to Work or School - p. 611 146. 19. Induced Lactation and Relactation (Including Nursing an Adopted Baby) and Cross-Nursing - p. 628 147. 20. Chestfeeding and Lactation Care for LGBTQ+ Families (Lesbian, Gay, Bisexual, Transgender, Queer, Plus) - p. 646 148. 21. Reproductive Function During Lactation - p. 651 149. 22. The Collection and Storage of Human Milk and Human Milk Banking - p. 662 150. 23. Infant Feeding After a Disaster - p. 695 151. 24. Establishing a Breastfeeding Medicine Practice or Academic Department - p. 704 152. 25. Breastfeeding Support Groups and Community Resources - p. 710 153. 26. Educating and Training Medical Professionals - p. 719 154. Appendices - p. 726 155. Appendix A. Composition of Human Milk - p. 729 156. Appendix B. Normal Serum Values for Breastfed Infants - p. 731 157. Appendix C. Herbals and Natural Products - p. 733 158. Appendix D. Precautions and Breastfeeding Recommendations for Selected Maternal Infections - p. 738 159. Appendix E. Manual Expression of Breast Milk - p. 754 160. Appendix F. Measurements of Weight Loss and Growth in Breastfed Infants - p. 756 161. Appendix G. Organizations Supporting Breastfeeding and Promoting Lactation Knowledge - p. 761 162. Appendix H. Breastfeeding Health Supervision - p. 768 163. ABM Clinical Protocols - p. 781 164. ABM Clinical Protocol #1: Guidelines for Blood Glucose Monitoring and Treatment of Hypoglycemia in Term and Late-Preterm Neonates, Revised 2014 - p. 782 165. ABM Clinical Protocol #2: Guidelines for Hospital Discharge of the Breastfeeding Term Newborn and Mother: “The Going Home Protocol,” Revised 2014 - p. 790 166. ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017 - p. 796 167. ABM Clinical Protocol #4: Mastitis, Revised March 2014 - p. 807 168. ABM Clinical Protocol #5: Peripartum Breastfeeding Management for the Healthy Mother and Infant at Term, Revision 2013 - p. 812 169. Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019 - p. 818 170. ABM Clinical Protocol #7: Model Maternity Policy Supportive of Breastfeeding - p. 830 171. ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017 - p. 847 172. ABM Clinical Protocol #9: Use of Galactagogues in Initiating or Augmenting Maternal Milk Production, Second Revision 2018 - p. 853 173. ABM Clinical Protocol #10: Breastfeeding the Late Preterm (34–36 6/7 Weeks of Gestation) and Early Term Infants (37–38 6/7 Weeks of Gestation), Second Revision 2016 - p. 862 174. ABM Clinical Protocol #11: Guidelines for the Evaluation and Management of Neonatal Ankyloglossia and Its Complications in the Breastfeeding Dyad: The Academy of Breastfeeding Medicine: ABM Protocols - p. 870 175. ABM Clinical Protocol #12: Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home, Revised 2018 - p. 874 176. ABM Clinical Protocol #13: Contraception During Breastfeeding, Revised 2015 - p. 882 177. ABM Clinical Protocol #14: Breastfeeding-Friendly Physician’s Office: Optimizing Care for Infants and Children, Revised 2013 - p. 892 178. ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 - p. 899 179. ABM Clinical Protocol #16: Breastfeeding the Hypotonic Infant, Revision 2016 - p. 906 180. ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate—Revised 2019 - p. 912 181. ABM Clinical Protocol #18: Use of Antidepressants in Breastfeeding Mothers - p. 920 182. ABM Clinical Protocol #19: Breastfeeding Promotion in the Prenatal Setting, Revision 2015 - p. 930 183. ABM Clinical Protocol #20: Engorgement, Revised 2016 - p. 937 184. ABM Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015 - p. 942 185. ABM Clinical Protocol #22: Guidelines for Management of Jaundice in the Breastfeeding Infant 35 Weeks or More of Gestation—Revised 2017 - p. 950 186. ABM Clinical Protocol #23: Nonpharmacological Management of Procedure-Related Pain in the Breastfeeding Infant, Revised 2016 - p. 959 187. ABM Clinical Protocol #24: Allergic Proctocolitis in the Exclusively Breastfed Infant - p. 965 188. ABM Clinical Protocol #25: Recommendations for Preprocedural Fasting for the Breastfed Infant: ‘‘NPO’’ Guidelines - p. 971 189. ABM Clinical Protocol #26: Persistent Pain with Breastfeeding - p. 978 190. ABM Clinical Protocol #27: Breastfeeding an Infant or Young Child with Insulin-Dependent Diabetes - p. 987 191. ABM Clinical Protocol #28: Peripartum Analgesia and Anesthesia for the Breastfeeding Mother - p. 993 192. ABM Clinical Protocol #29: Iron, Zinc, and Vitamin D Supplementation During Breastfeeding - p. 1002 193. ABM Clinical Protocol #30: Breast Masses, Breast Complaints, and Diagnostic Breast Imaging in the Lactating Woman - p. 1010 194. ABM Clinical Protocol #31: Radiology and Nuclear Medicine Studies in Lactating Women - p. 1017 195. ABM Clinical Protocol #32: Management of Hyperlactation - p. 1023 196. ABM Clinical Protocol #33: Lactation Care for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Plus Patients - p. 1038.e1 197. ABM Clinical Protocol #34: Breast Cancer and Breastfeeding - p. 1038.e11 198. Educational Objectives and Skills for the Physician with Respect to Breastfeeding, Revised 2018 - p. 1029 199. Medical Education for Basic Proficiency in Breastfeeding - p. 1039 200. Glossary - p. 1041 201. References - p. e1 202. Chapter 1 - p. e1 203. Chapter 2 - p. e7 204. Chapter 3 - p. e9 205. Chapter 4 - p. e12 206. Chapter 5 - p. e19 207. Chapter 6 - p. e30 208. Chapter 7 - p. e32 209. Chapter 8 - p. e40 210. Chapter 9 - p. e46 211. Chapter 10 - p. e50 212. Chapter 11 - p. e57 213. Chapter 12 - p. e66 214. Chapter 13 - p. e90 215. Chapter 14 - p. e102 216. Chapter 15 - p. e109 217. Chapter 16 - p. e117 218. Chapter 17 - p. e121 219. Chapter 18 - p. e125 220. Chapter 19 - p. e129 221. Chapter 20 - p. e131 222. Chapter 21 - p. e132 223. Chapter 22 - p. e134 224. Chapter 23 - p. e140 225. Chapter 24 - p. e142 226. Chapter 25 - p. e143 227. Chapter 26 - p. e145 228. Appendix C - p. e147 229. Appendix E - p. e148 230. Appendix F - p. e149 231. Appendix H - p. e150 232. Appendix J - p. e151 233. Index - p. 1049 234. Confidence is ClinicalKey - p. 1072