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Breastfeeding Management For The Clinician, 4ed

Awarded Third Place in the 2016 AJN Book of the Year Awards in the Maternal-Child Health Category! Breastfeeding Management for the Clinician: Using the Evidence, Fourth Edition is an essential and practical reference guide for clinicians. Using a research-based approach, it includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge, this reference offers a problem-solving approach to help busy clinicians integrate the latest research into everyday clinical practice. Completely updated and revised, the Fourth Edition includes a new discussion of the vitally important newborn gut microbiome. In addition, it features new and more effective techniques for addressing breastfeeding barriers, new research, and the latest guidelines.

It is the goal of the fourth edition of Breastfeeding Management for the Clinician to provide current and relevant information on breastfeeding and lactation, blended with clinical suggestions for best outcomes in the mothers and infants entrusted to our care. Although lactation is a robust process, predating placental gestation, it has become fraught with barriers: Human lactation is only occasionally taught in nursing and medical schools, leaving a gap in healthcare providers’ ability to provide appropriate lactation care and services.

With minimal staffing on maternity units, short hospital stays, delays in community follow-up, and the resulting time crunches, breastfeeding often falls through the cracks. Absent or inappropriate care results in reduced initiation, duration, and exclusivity of breastfeeding. This text is intended to provide busy clinicians with options for clinical interventions and the rationale behind them.

Designed as a practical reference rather than a thick textbook, it is hoped that this approach provides quick access to—and help with—the more common as well as some less frequently seen conditions that clinicians are called upon to address. It is my sincere desire that the use of this book as a clinical tool results in the best outcomes for all breastfeeding mothers and infants the reader encounters.

Contents

Chapter 1 Influence of the Biospecificity of Human Milk
Chapter 2 Influence of the Maternal Anatomy and Physiology on Lactation
Chapter 3 Influence of the Infant’s Anatomy and Physiology
Chapter 4 Influence of Peripartum Factors, Birthing Practices, and Early Caretaking Behaviors
Chapter 5 First 24^8 Hours: Common Challenges
Chapter 6 Beyond the Initial 48-72 Hours: Infant Challenges
Chapter 7 Physical, Medical, and Environmental Problems and Issues
Chapter 8 Maternal Pathology: Breast and Nipple Issues
Chapter 9 Physical, Medical, Emotional, and Environmental Challenges to the Breastfeeding Mother