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Background: Breast engorgement is a condition where the breast becomes firm, diffuse, painful overfilling due to infrequent or ineffective removal of milk from the breasts. Engorgement usually begins around days 3 to 7 during the postpartum period when the breast milk starts to come out. Breast engorgement tends to experience by Primiparous patients. Purpose: This study aimed to determine the effects of Aloe vera gel compression on reducing breast engorgement pain on breastfeeding mother Methods: This was an experimental study with one group pretest-posttest. The analysis was performed in a Private midwifery Practice in Sarolangun. The sample of this study was twelve postpartum women who experienced breast engorgement. The intervention of this study was using aloe vera gel, as external usage with 10 mg for every square centimeter. The pain scale was measured twice, before and after the intervention. Pain scale measurement was using NRS ( Numeric Rating Scale) Results: paired T-test results p-value of 0.002 < 0.05 indicates that aloe vera compression brings positive impact on reducing breast engorgement pain scale in postpartum women Conclusion: Aloe vera compression can relieve pain associated with breast engorgement. Therefore, this intervention may be suggested to postnatal mothers for managing breast engorgement.

ASI adalah makanan pertama yang alami untuk bayi. ASI menyediakan semua energi dan nutrisi yang dibutuhkan bayi untuk bulan-bulan pertama kehidupan. Masalah menyusui pada masa pasca persalinan salah satunya adalah sindrom ASI kurang, sehingga bayi merasa tidak puas setiap setelah menyusu, bayi sering menangis atau bayi menolak menyusu, payudara tidak membesar yang mengakibatkan gagalnya pemberian ASI pada bayi Angka cakupan ASI eksklusif di Provinsi Sulawesi Tenggara baru mencapai 35,01%, dan di wilayah Kabupaten Kolaka baru mencapai 40,1%. Alasan utama anak 0-23 bulan belum/tidak pernah disusui adalah karena ASI tidak keluar dan ASI tidak cukup (65,7%). Data menunjukkan 33,3% bayi yang berumur 0-5 bulan telah diberikan makanan prelakteal dengan jenis makanan terbanyak adalah susu formula (84,5%). Tujuan penelitian untuk mengetahui faktor yang memengaruhi produksi ASI pada ibu menyusui di RSB Harifa Kabupaten Kolaka. Sampel pada penelitian ini adalah ibu menyusui berjumlah 100 orang. Desain penelitian ini adalah studi analitik kuantitatif dengan pendekatan Cross Sectional. Hasil penelitian didapatkan, ada hubungan yang signifikan antara pola makan (p value = 0,021), pola istirahat (p value = 0,009), dukungan suami (p value = 0,005), teknik menyusui (p value = 0,021) penggunaan ASI Booster (p value = 0,025) dengan produksi ASI.Keluaran dari penelitian ini diharapkan bidan dapat menggali faktor yang dapat menjadi penyebab terganggunya produksi ASI dan dapat memberikan konseling yang tepat pada ibu dan keluarga.

Background: Breast Milk (BM) is the primary nutrient that must be given to babies. Complete breast milk nutrients help the babies' growth, development, and boost immunity. Some data found that breastfeeding triggers infant allergies. Objectives: To critically appraise the evidence of the effectiveness of the breastfeeding mother's elimination diet (ED) in treating allergies of infants ages 0-12. Methods: A literature search was conducted for publication during 2016 – 2021 using the following databases: EBSCO, Google Scholar, and Proquest with the search keywords of "Elimination Diet" AND "Allergies" AND "Breastfeeding". Eight primary articles were selected and included in the review. Results: The study revealed five themes, namely the effectiveness of the elimination diet, the variation of the elimination diet, the effects of the elimination diet, the breast milk benefit, and the support from the family and healthcare while doing the elimination diet. Conclusion: Having babies with allergies can put mothers in a dilemma situation. Fortunately, a mother can still breastfeed their babies without worrying about their babies' growth. Support from health workers and families is needed by breastfeeding mothers in doing the elimination diet consistently.

Inadequate breast milk production is the most common inhibiting factor causing the cessation of exclusive breastfeeding practices an effort to increase the rate of secretion and production of breast milk is through the use of traditional herbal medicines such as decoction and extraction of katuk leaf (Sauropus androgynus). Katuk leaf extract (Sauropus androgynus) has been known to have a variety of pharmacological activities. This paper aims to review the botany, phytochemistry, ethnopharmacology, and pharmacological activities of S. androgynus, and discuss the known chemical constituents at work in S. androgynus-induced prolactin level to increasing breast milk human. The data presented in this review were collected from published literatures as well as the electronic databases of PubMed, CNKI, Web of Science, SCI finder, ACS, Science Direct, Wiley, Springer, Taylor, Google Scholar, and a number of unpublished resources, (ex: books, and Ph.D. and M.Sc. dissertations). Searching for research articles in several databases using certain keywords breast milk human and katuk (Sauropus Androgynus) leaf literature. All abstracts retrieved were screened for inclusion. All types of articles, including case series and case reports, were included due to the lack of herbal katuk leaf clinical trials. Exclusion criteria consisted of non-English and nonhuman articles. In conclusion, there was a significant effect of katuk leaf consumption towards increasing breastmilk production volume.

Background: WHO recommended that mother breastfeeds exclusively for the fisrt six months. However, a lot of mothers do not realize it. Generally, the anxiety on milk production, the family and occupation commitment, waking up at night and perceiving uncomfortable breastfeeding in public place become the objectives of this study that is for reviewing evidence related the impact of breast pum usage on breastfeeding mother. Method: According to ArskeyO’Malley include (1)Identifying scoping review questions are conducting review focus with PICO framework (2)Identifying relevant article (3)Selecting article (4)Data Charting and (5)Arranging, summing up and reporting findings. Results: The theme of scoping review is the impact of breastfeeding success, the negative outcome of breast pump, and the factors which influence decision for mother’s milk pumping as well supporting for breast pump. Conclusion: the impact of breast pump usage affects breastfeeding duration and mother’s milk production as well as painful breast.

Background: Massage or stimulation of the spine, neurotransmitters will stimulate the medulla oblongata to directly send messages to the hypothalamus in the hypophyseposteriorly to release oxytocin, causing the breasts to release milk. The purpose of this study was to determine the effect of oxytocin massage on milk production in breastfeeding mothers in the Banda Sakti Public Health Center, Banda Sakti District, Lhokeseumawe City. Metods: The study design was an analytical study using a cross sectional approach. The population in this study were all breastfeeding mothers who were in the Banda Sakti Public Health Center Lhokseumawe totaling 40 breastfeeding mothers. The sampling method in this study is to use the total population. Where the sample of this research is the entire population, amounting to 40 respondents. The trials in this study were conducted in Hagu Teungoh Village, Banda Sakti District, Lhokseumawe City with a total of 10 respondents, 30 questions with a product moment r value of 0,70. Result: The results showed that of the 28 breastfeeding mothers who did oxytocin massage, the majority of their milk production was smooth, namely 17 people (60,7%), while of the 12 breastfeeding mothers who did not oxytocin massage the majority of their milk production was not smooth, namely 9 people (75%). Recommendation: It is hoped that it can increase respondents’ knowledge in an effort to increase milk production and can inform the impact of the failure of the breastfeeding process.

AIM: This study aims to identify implementation of hypnobreastfeeding therapy as an effort to reduce the incidence of underweight on children aged 0–6 months. METHODS: This study is a pre-experimental with pre-test and post-test design. Subjects were children aged 0–6 months who are underweight. The intervention was conducted over 2 months. Data were analyzed by univariate analysis using frequency distribution table and bivariate using McNemar test. RESULTS: Before the education through hypnobreastfeeding therapy, only 33.3% of women having a good attitude about exclusive breastfeeding to children. After the intervention for 2 months, the percentage of good attitude increase as many as 73.3% and the mother is encouraged to continue to breastfeed the child obtained that a total of 18 children (60%) of the total 30 children aged 0–6 months are underweight, which has been entered into the category of normal nutritional status. A difference in the attitude of breastfeeding and status of underweight children aged 0–6 months before and after implementation of hypnobreastfeeding therapy (p < 0.000). CONCLUSION: There are differences in the attitude of the breastfeeding mother (p = 0.012) and underweight status of children aged 0–6 months (p = 0.000) before and after the implementation of hypnobreastfeeding therapy.

Breastfeeding rates in the United States continue to be variable and are not meeting benchmarks established by Healthy People 2020. The literature indicates that although breastfeeding knowledge of providers is paramount in the success of breastfeeding mothers, most receive minimal education regarding breastfeeding management. Recognizing a lack of opportunities for nursing students to practice breastfeeding management during clinical rotations, a breastfeeding simulation program was implemented for students prior to beginning Maternal Child Health clinicals. Students reported increased confidence in caring for breastfeeding dyads and enhanced comfort when providing care to a breastfeeding mother (breastfeeding self-efficacy). This hands-on educational approach can be utilized for any provider working with breastfeeding dyads.

Nutritive diet has grabbed the center stage in current times among common men as well as researchers &food has turned into a whole damn industry. Despite of everything, Malnutrition is the largest single contributor to diseases in the world & leads to 45% of all deaths in children under 5 in developing countries. Due to interrelated mother- child nutrition, if a breastfeeding mother gets required nutrition, her kid becomes healthy. The causes of improper nutrition are variable but lack of nutritious food combinations in all classes are most important throughout the world. Ayurveda is science of individualistic need based dietetics & nutrition and describes foods accordingly. There is recommendation of a super food named Shigru (Moringa) for Sutika (lactating mothers) in Bheshajyaratnawali,taking this as reference we have conceptualized a food combination of Moringa +wheat flour+ jaggery which is super nutritious and serves as a cheap, affordable, easy to collect and easy to make, palatable preparation. When 11% of the world’s population is under nourished, need for such right food combination increases manifolds. Owing to per 100g nutritive value of these contents and their cost effectiveness, this combination has a potential to be a perfect staple dietary option for nutrition deficit individuals. It needs to be further established at large scale through RCTs so that large population can be benefitted.

Prolactin is one of the important hormones for increasing the synthesis and secretion of breast milk. Katuk (Sauropus androgunus (L) Merr) leaf biscuits are standardized and practical processed food products that are substituted with katuk leaf extract and have met the requirements as additional food for breastfeeding mothers. In addition to nutritional content, katuk leaf biscuits also contain phytochemical compounds, namely steroids and alkaloids. The purpose of this study was to determine the effect of katuk leaf biscuits on increasing serum prolactin levels of breastfeeding mothers. This research was conducted in the city of Bandung. The design used was a randomized controlled trial. The sample was 45 primiparous postpartum mothers who gave birth at the public health center for Obstetrics and Neonatal Basic Emergency Services (Puskesmas PONED) in Bandung City, consisting of 22 treatment groups and 23 control groups. Sampling is conducted by block randomization. Data were analyzed using the Independent T-test. The results showed that there was an effect of katuk leaf biscuits on increasing serum prolactin levels in breastfeeding mothers. It is suggested that katuk leaf biscuits be used as an alternative as an effort to increase breast milk production so that it can support the success of exclusive breastfeeding.

Breast milk (breast milk) has been known for many benefits, but breastfeeding is still a problem. The purpose of this study was to identify social support and motivation in breastfeeding. The design of this study is descriptive analysis using cross sectional or cross sectional approach. Sampling technique with non probability sampling with the type of purposive sampling with a sample of 43 respondents. The results showed there was a relationship of social support with the mother's motivation in giving breast milk to LBW (p

Preliminary; Nowdays, We can meet some breastfeeding mother who doesnt”t give her breast milk for her baby. It related with the preliminary study in the Kerta Timur village, Dasuk Subdistrict, Sumenep District, it is known that breastfeeding mothers who have visited during childbirth complained that they could not give their breast milk because their breast milk did not come out at all. Purpose; Analyze the Relationship of Breastfeeding mother Anxiety Mothers with the swiftness of Breast Milk (ASI). Method; This research is included as analytic research which using correlation analytic. Design In this study using the HARS Questionnaire and checklist which analyzed using the Spearman Test with 0.05 significance level. Results; Based on the Spearman correlation test, the value of ρ-value = 0,000 means that there is a relation between the anxiety of breastfeeding mothers and the swiftness of breastfeeding in BPS Kerta Timur, Dasuk District, Sumenep Regency. Conclusion; Most of breastfeeding mothers fell anxiety and more than half of breastfeeding mothers get non-expending in breast milk. There is a relationship between breastfeeding mothers anxiety with the swiftness of breast milk.

The aim of this study was to estimate radionuclide levels in breast milk and the transferred dose to their infants in Sendai (100 km from Fukushima), Japan after the 2011 Fukushima nuclear disaster. Radionuclide concentrations were analyzed in 101 specimens of breast milk collected in 2012. Median values for minimum detectable activities were 0.39, 0.34, 1.1, 1.89, and 17.1 Bq/kg for 137Cs, 134Cs, 131I, 110mAg, and 40K, respectively. Only radionuclides from 40K were detected. To estimate potential exposure and radiocesium dose, we assumed that the samples contained each minimum detectable activity level. The mean minimum detectable activity concentrations (standard deviation) of 137Cs and 134Cs were 0.42 (0.15) and 0.37 (0.14) Bq/kg, respectively. Means of estimated dietary intakes of 137Cs and 134Cs among infants were 0.35 (0.12) and 0.31 (0.11) Bq/day, respectively. The committed effective doses of radiocesium in infants aged 3 and 12 months via breastmilk were estimated at 5.6 (2.1) and 3.3 (1.2) μSv/year, respectively. Dietary intakes of 137Cs and 134Cs in breastfeeding mothers were back-calculated at 1.9 (0.71) and 1.7 (0.65) Bq/day, respectively. The study verified no discernible exposure to radionuclides among infants. The most conservative estimates were below the Japanese internal exposure limit of 1 mSv/year.

Breastfeeding is one of the best ways to feed a child because breast milk contains the most essential elements of growth through equal proportions that meet the needs of the child every day from birth to weaning age. It is the easiest and most useful food used by the child since it contains concentrated amounts of Proteins, and substances containing antimicrobials and microbes, and thus transmits additional immunity to the newborn against diseases in order to cooperate with what has been taken from the placenta during pregnancy from disease-resistant substances, and then from a health point of view, infectious and intestinal disorders are rarely present Or breastfeeding mother's breast unlike industrial milk, which is often accompanied by gastrointestinal disorders indicated by the World Health Organization in 1980, which indicated that more than ten million children have died as a result of non-breastfed from their mothers' reports. In addition, the calories contained in the amount of breast milk is much higher than the milk produced by the caloric calories in the same amount, so the child gets more food and increases the weight quickly, and psychologically, most of the research that the breastfeeding Especially in the first year prefer breast feeding because it strengthens the emotional and social bond between mother and child, the survival of the child attached to his mother's breast during breastfeeding satisfies his emotional and psychological needs and immersed him with a sense of safety and reassurance; Breastfeeding has a great impact in terms of meeting Through the imposition of values, principles, social norms, customs, customs and traditions that enable him in the future of his life to interact socially and sound with different life situations. تمهيد وتقسيم: تعتبر الرضاعة الطبيعية من ثدي الأم أفضل الوسائل لتغذية الطفل وذلک لأن لبن الأم يحتوي على أکثر العناصر الضرورية للنمو من خلال نسب متعادلة تفي بحاجات الطفل يوما بيوم منذ ولادته وحتى سن الفطام، وهو أسهل الأطعمة التي يستعملها الطفل ويستفيد منها إذ أنه يحتوي على کميات مرکزة من البروتينات المهضومة وعلى المواد المحتوية على مضادات الجراثيم والميکروبات وينقل بذلک مناعة أخرى تضاف إلى الوليد ضد الأمراض حتى تتعاون مع ما سبق أن أخذه من المشيمة أثناء الحمل من مواد مانعة للأمراض([1])، ثم أنه من الناحية الصحية فإن الاضطرابات المعدية والمعوية قلما توجد مع استخدام الرضاعة الطبيعية من ثدي الأم على عکس اللبن الصناعي الذي کثيرا ما يصاحبه اضطرابات معدية ومعوية دلت على ذلک تقارير هيئة الصحة العالمية لعام 1980م التي أشارت إلى أن أکثر من عشرة ملايين طفل قد لقوا حتفهم نتيجة عدم إرضاعهم من أمهاتهم. هذا علاوة على أن السعرات الحرارية التي تحتويها کمية من لبن الأم تفوق کثيرا ما يحتوي عليه اللبن الصناعي من السعرات الحرارية الموجودة في نفس الکمية، لذلک فإن الطفل يحصل على کمية أکبر من الطعام ويزيد وزنه بسرعة، أما عن الناحية النفسية فإن معظم البحوث إلى أن الرضاعة الطبيعية خاصة في العام الأول تفضل عن الرضاعة الصناعية لأنها تقوي الرابطة الانفعالية والاجتماعية بين الأم والطفل، فبقاء الطفل ملتصقا بصدر أمه أثناء الرضاعة يشبع احتياجاته العاطفية والنفسية ويغمره بشعور جارف من الأمان والاطمئنان؛ کما أن للرضاعة الطبيعية أثر عظيم من الناحية الاجتماعية وذلک عن طريق فرض القيم والمبادئ والمعايير الاجتماعية والعادات والأعراف والتقاليد التي تمکنه في مستقبل حياته من التفاعل الاجتماعي السليم مع مختلف مواقف الحياة([2]). لذلک کله تبرز أهمية دراسة الرضاعة الطبيعية کحق من الحقوق الشرعية للمحضون، وذلک من خلال تعريفها ومدتها ومدى وجوبها على الأم وأحکام الأجرة والظئر وأثر الرضاعة علي النحو الآتي: التمهيد: أهمية الرضاعة. المبحث الأول: في تعريف الرضاعة ومدتها في الفقه الإسلامي والقانون الوضعي. المطلب الأول : تعريف الرضاعة ومدتها في الفقه الإسلامي والقانون المطلب الثاني : مدى وجوب الرضاع على الأم في الفقه الإسلامي والقانون المبحث الثاني: في الأجرة على الرضاعة وأحکام الظئر وأثر الرضاعة على حق الحضانة في الفقه الإسلامي والقانون الوضعي. المطلب الأول : أحکام الأجرة في الرضاع في الفقه الإسلامي والقانون المطلب الثاني : أحکام الظئر في الفقه الإسلامي والقانون المطلب الثالث : أثر الإرضاع في حق الحضانة في الفقه الإسلامي والقانون الخاتمة وتتضمن: فهرس المصادر والموضوعات

Insufficiency of fulfillment ASI as the main reason a mother to stop breastfeeding early, she felt ASI owned did not affect the growth of the baby's weight (Binns, 2002). So to help smooth expenditure done with the breast milk of Moringa leaf extract and acupressure on CanCung point (CV 17). The purpose of this study was to analyze the effectiveness of moringa leaf extract and cancung point massage to increase breast milk volume in breastfeeding mothers. The design of this research is pretest and posttest group design. The population of this research is breastfeeding mother in Sanan Wetan area. The population is 20 people. The sample of this research is breastfeeding mother in Sanan Wetan area as many as 20 people. Sampling in this research use purposive sampling. The treatment in this study using Moringa leaf extract at a dose of 800 mg and a massage at the point cancung. Treatment was done 2x in a day for 1 month.The results showed an increase in points between before and after is 375 points, and there is influence between the consumption of Moringa leaves and massaging at point cancung to the increase in volume of breast milk with p = 0.000. Health workers, especially midwives in order to consider complementary therapies that Moringa leaf extract and massaging at point cancung to increase the volume of milk so that achievement can be increased breastfeeding mothers. Keywords : Moringa leaf extract, cancung point, breast milk, breastfeeding mother

© 2016 Elsevier Ltd In this article, my general aim is to give place to the experiences of breastfeeding distress which emerged during narrative research with mothers in Australia. I suggest that breastfeeding distress must be read not only in terms of the specific socio-spatial landscape through which it takes hold but also in terms of the lived and often non-compliant landscape of the body itself. Informed by accounts of the dominant context of idealized or exclusive motherhood in nations such as Australia, the UK and USA, and drawing on conceptual work concerned with connecting the cultural and corporeal through thinking about place, I explore two instances of breastfeeding distress: pain and inauthenticity. In both of these contexts women battle with the shameful fallout of being unable to perform what Rebecca Kukla describes as ‘proximate mothering’ exemplified in the figure of the breastfeeding mother exclusively able to latch her baby directly to her breasts. As I discuss, women's experiences of extreme pain during breastfeeding and their use of alternative ‘inauthentic’ modes of feeding (such as bottled pumped breastmilk or formula) shatter their expectations of living the ideal of extended maternal embodiment. Also emerging through these distressing experiences, however, is a potentially resilient awareness of the inherently misshapen nature of motherhood which always overflows its idealized state.

Working mom's busyness affects the physical and psychological condition of the mother inhibiting the smoothness of milk production. The application of hypnobreastfeeding makes the mother relaxation so as to increase the hormone prolactin and oxytocin for smooth milk production. The procedure of hypnobreastfeeding by giving a positive suggestion/affirmation sentence in the mother's unconscious mind can increase the mother's confidence in the breastfeeding process. The purpose of this study was to explain the effect of hypnobreastfeeding on breast milk production on breastfeeding working mothers. This study used one group pretest posttest design. 25 breastfeeding working mothers were taken by consecutive samping. Hypnobreastfeeding is done independently after being given 1x workshop and performed every day at least 2x a day before breastfeeding. Breastmilk production is measured for 7 days before and after hypnobreastfeeding using a measuring cup based on the volume of dairy milk in a day. The average milk production before treatment 210 ml / day and after treatment to 255 ml / day. Data analysis using paired t-test with significant value α = 0,05 got p value = 0.000 indicating hypnobreastfeeding effect to milk production in working breastfeeding mother. Nurses or other health workers may recommend hypnobreastfeeding as one of the lactation management methods to increase breastfeeding production, especially in working breastfeeding mothers.

Genistein and daidzein could stimulate the prolactin hormone that play a role in breastmilk production. Black soybean contain genistein and daidzein which has a potent to developed as the functional food for breastfeeding mothers. The purpose of this study was to get the optimal formula, determine the nutritional value, and genistein and daidzein contents of black soybean beverage. The beverages were made from 5 variations of time soaking (0, 3, 6, 9, and 12 hours). Further analysis of sensory and nutritional value from the beverages. The results showed that the beverage with 12 hours time soaking was the most preferred beverage by panelists. One serving (150 ml) of selected beverage was able to supply 3.65% of carbohydrate needs; 4.75% of protein needs; 3.33% of fat needs; and 3.68% of total energy based on Recommended Dietary Allowance of Indonesian breastfeeding mother per day. It contained 2.78 ± 0.25 mg/g of genistein and 0.087 ± 0.13 mg/g of daidzein.

Exclusive breastfeeding until 6 month is very important for baby. The proportion of mothers who exclusively breastfeed their babies up to 6 months remains low. Factors influencing the exclusive breastfeeding namely sociodemograph factors , factors pre / post delivery , and psychosocial factors. This aims of this study to identify determinant factors of exclusive breastfeeding on mother. This research method is a systematic review , by analyzing the various studies on exclusive breastfeeding. There are 17 studies. The results obtained occupational factors most studied with significant results ( median OR = 1.265 ). Psychosocial factors that have significant relationship is support of her husband (average OR = 4.716 ) and family support ( average OR = 1.770 ). Conclusions : factors influencing the exclusive breastfeeding is occupational factor. Socialization and support from people nearby, health workers, and all parties is needed for exclusive breastfeeding for six months can be achieved.

Joffe and colleagues discuss the environmental benefits of breastfeeding over formula milk.1 As a doctor and recent breastfeeding mother, I would like to emphasise that breastfeeding is not an automatic bodily function, nor is it free or resource neutral. I was unable to breastfeed exclusively, …

Inadequatemilksupplyduringthefirstfewdays’after delivery become concern from most of the women. Indonesia Health Research and Development Agency in 2010 stated that the failure of exclusive breastfeeding commonly caused by insufficient milk production. The intervention of SPEOS (EndorphinStimulation, Oxytocin Massage, and Suggestive Technique) methods are offered to post-partum mothers in increasing breast milk supply. This study aimed to identify the influence of SPEOS on breast milk supply among post-partum mothers at Primary Health Care in Cimahi Tengah Indonesia. Quasi-experimental research with non-equivalent control group design was conducted. A total of 20 postpartum mothers were involved in this studyby using accidental sampling technique. The data were taken from March to April 2018 through observation on the amount of breast milk by pumping in two times observation including before and after the SPEOS method applied. The data were analyzed by t-independent test. Ethical approval was obtained from Health Research and Ethics Committee of Institute of Health Science Jenderal Achmad Yani Cimahi No. 005/KEPK/II/2018. The result shows that the intervention group produces more breast milkasmuchas3,74cconthethirddaysoftheexperimentthanthecontrolgroup(2,04 cc).Bivariateanalysisshowspvalue0,001.Therefore,SPEOS methods gives significant influences on breast milk supply among post partum mothers. Conclusions SPEOS methods are effective in increasing low breast milk supply amongpost-partummothers.

Background: Experience in breastfeeding mothers is not to be forgotten, because almost all mothers expect the best for optimal breastfeeding. Midwifery care is given when the mother has trouble breastfeeding mother has not come out to be an experience in the sustainability of successful breastfeeding. Researchers interested in taking research in Puskesmas Tanah Kali Kedinding Surabaya because it includes the Puskesmas PONED (Services Obstetrics Neonatal Basic Emergency) which figure birth rates are higher among eight health centers PONED more and Puskesmas Soil times Kedinding for coverage breastfeeding is still below the target of East Java province by 75% and the national target of 80%, ie 54.95%. Objective: To explore the experience and expectations of Midwifery Care Psychosocial mother during childbirth facing breast milk has not come out in 0-3 days postnatal in Puskesmas Tanah Kali Kedinding Methods: This type of research is qualitative research-phenomenological hermeneutic approach. Subjects were postpartum mothers who nifasnya over 3 days and a maximum of two weeks after delivery. Samples were selected by purposive sampling. Analysis of data using analysis steps Collaizi. The results: taste experience physical complaints and psychological complaints when breast milk has not come out 0-3 days postnatal, tackling complaints, the response of the family when breast milk has not come out, the experience of midwifery care physically and psychologically when breastfeeding yet out 0-3 days postnatal, psychosocial expectations midwifery care in the face of breast milk has not come out of postnatal day 0-3. Conclusion: Psychosocial Midwifery care is given when the mother has trouble breastfeeding mother has not come out to be an experience in the sustainability of successful breastfeeding. Suggestion: standard practice of midwifery care psychosocial facing breast milk has not come out 0-3 days postnatal applied by a competent person.

The anticancer potential by breastfeeding is not fully tapped in the light of the present knowledge of the subject. Literature indicates that breastmilk has anticancer action but may underestimate its full capacity. The protective spectrum within breastmilk hints on the need for a more comprehensive understanding of it as an anticancer tool. Exclusive breastfeeding could confer protection from carcinogenesis with a greater impact than realised. A literature review was conducted using four electronic databases. Selected areas were extracted after thorough perusal of the articles. The uninitiated would take exclusive breastfeeding seriously if actively counselled as an anticancer tool. Advice on details of the breastfeeding process and holistic information on breastfeeding may endow a greater impact among the skeptics. Counselling the breastfeeding mother on information sometimes not imparted, such as on maternal nutrition, details of the process of breastfeeding, benefits of direct breastfeeding versus milk expression and her psychosocial well being may make a difference in optimising anticancer action that exists in breastmilk. Additionally, its anticancer potential provides a platform to universally improve physical and psychosocial well being of women who breastfeed. Statistics of protection by breastfeeding in some maternal and childhood cancers are evident. “Bio-geno-immuno-nutrition” of breastmilk may shield the mother and infant from carcinogenesis in more ways than appreciated. The molecular basis of mother-to-infant signals and their “energies” need to be researched. Breastfeeding as a modifiable behaviour provides cost effective nutrition with potential for both cancer immunoprophylaxis and immunotherapy.

The rate of exclusive breastfeeding that is not in accordance with the national target is influenced by several factors. Factors that influence the process of breastfeeding can come from within the mother and from outside. This research was conducted with the aim to identify the characteristics of breastfeeding mothers in the Exclusive Pumping Mama Indonesia Group. This research uses descriptive method with survey approach. The population in this study is breastfeeding mothers who are members of the Exclusive Pumping Mama Indonesia Group. Sampling was done by purposive sampling technique by adjusting the inclusion and exclusion criteria that have been set by 49 respondents. Data collection was carried out by distributing questionnaires containing the characteristics of respondents. Analysis of the data used is univariate analysis by looking at the frequency distribution of the percentages of each sub-variable characteristic of nursing mothers. The results showed that of the 49 respondents involved mostly aged 20-35 years, namely 87.5%, had a high level of education (D3 / S1) of 85.4%, 79.2% of working mothers and primiparous mothers which is as much as 68.8%. BAHASA INDONESIA Angka pemberian ASI Eksklusif tidak mencapai target nasional. Hal ini dapat disebabkan oleh beberapa faktor yang memengaruhi proses menyusui, yaitu faktor internal dan eksternal ibu. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi karakteristik ibu menyusui di Group Exclusive Pumping Mama Indonesia. Penelitian ini menggunakan metode deskriptif dengan pendekatan survei. Populasi dalam penelitian ini adalah ibu menyusui yang tergabung dalam Group Exclusive Pumping Mama Indonesia. Pengambilan sampel dilakukan dengan teknik purposive sampling sejumlah 49 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner yang berisi karakteristik responden ibu menyusui. Analisis data yang digunakan adalah analisis univariat yaitu dengan melihat distribusi frekuensi persentase dari masing-masing subvariabel karakteristik ibu menyusui. Hasil penelitian menunjukkan bahwa dari 49 responden yang terlibat sebagian besar berusia 20-35 tahun yaitu 87,5%, memiliki tingkat pendidikan tinggi (D3/S1) yaitu sebanyak 85,4 %, ibu berstatus bekerja sebanyak 79,2% dan merupakan ibu primipara yaitu sebanyak 68,8%. Direkomendasikan desain penelitian cross-sectional untuk penelitian selanjutnya agar dapat mengindentifikasi lebih jauh hubungan antar subvariabel karakteristik ibu menyusui dalam kaitannya dengan pemberian ASI eksklusif.

Maternal and child health is one of the priority aspects to consider. Based on the results of the 2012 Indonesian Demographic and Health Survey (IDHS), it was shown that the neonates mortality rate in 2012 was 19 per 1000 live births. This problem arises in part related to the problem of breastfeeding. The results of the screening for the nutritional status of toddlers at the posyandu showed that as many as 11 toddlers were malnourished, this was due to the low knowledge of mothers regarding the balanced nutrition of toddlers, poor attitudes in fulfilling balanced nutrition for toddlers, and poor culture in fulfilling toddler nutrition. The main target of this program is assistance for the formation and training of Breastfeeding Mothers' Groups in an effort to improve the health status of mothers, babies and toddlers in Penyengat Olak Village, Kec. Jambi Outside the City. The output of this program is there is an increase in community participation in improving the health of mothers and children by assisting the formation of groups of breastfeeding mothers. The implementation of the activity was started with an observation of the breastfeeding mothers research group in several Penyengat Olak village which consisted of 3 breastfeeding mothers' groups, namely in the RT. 18, RT 19, and RT 20. Each group consists of 10 people consisting of pregnant women and nursing mothers. It is hoped that the continuity of breastfeeding mother's breastfeeding program can be maintained, even though there are many factors raised by members, such as being busy taking care of the house and children, inappropriate meeting times, long distances, and so on.

Well-being is something that everyone, especially breastfeeding mothers, wants to achieve. Well-being is needed by postpartum mothers to play a new role optimally in the lactation process. The individual experience of breastfeeding is influenced by knowledge, positive affect and a lot of confidence in the breastfeeding process to achieve well-being during the postpartum psychological adaptation process. This study aims to describe the well-being of breastfeeding mothers. Literature review regarding the well-being of breastfeeding mothers using databases from ProQuest, ScienceDirect, JSTOR, and Scopus obtained from 2008-2020 with a total of 10 articles. Synthesis analysis reveals seven aspects that affect the well-being of postpartum mothers in the breastfeeding process, such as 1) family support, 2) self-efficacy, 3) initiation in the first time breastfeeding. 4) positive mood, 5) awareness of self-acceptance, 6) negative obstetric experience, 7) knowledge. Postpartum mothers can improve well-being through the management of factors that influence postpartum psychological adaptation as a positive preventive effort in increasing the ability of the lactation process to prevent ineffective breastfeeding.

Breast milk is the first, main, and best food for babies, which is scientific. Breast milk contains various nutrients needed in the process of growth and development of babies. Breast milk production can also be increased by hypnobreasfeeding relaxation. Hypnobreasfeeding helps mothers to relax their bodies, and a great way to encourage mindsets in their babies. The purpose of the study was to determine the effect of hypnobreasfeeding on increasing ASI production at pakisaji sub-district Malang district. The population is 25 respondents and the sampling technique used is total sampling with One group pre-post test design. Analysis of the data with the T-test using SPSS for Windows obtained Sig = 0,000, so 0,000

Profile of Indonesian health in 2013 showed that the percentage of exclusive breastfeeding in infants aged 0-6 months is about 61.5%. The low level scope exclusively breastfeeding can not be separated from some factors affecting and one of them is a mother motivation to give exclusively breastfeeding to their baby. The other factors affecting breastfeeding are the socio-culture economy (formal education mother, family income and status working mother). The purpose of this study was to know the relationship between economic level and mother motivation towards exclusive breastfeeding provision in infants aged 0-6 months in BPS Ummi Latifah. This study was an observational analytic with a cross sectional design. Total population are 94 breastfeeding mother. Samples was obtained by accidental sampling techniques which consisted of 48 respondents. Analysis test used kendall-tau (τ). The results showed that the relationship between economic level and mother motivation towards exclusivebreastfeeding provision in infants aged 0-6 months was 0.339 with p=0.007 and coeffi cients contingency 0.662. In conclusion, there was a strong relationship between economic level and mother motivation towards exclusive breastfeeding provision in infants aged 0-6 months in BPS Ummi Latifah.

Cauda equina syndrome is widely considered as a surgical emergency. The cause of cauda equina syndrome usually is a large central lumbar disc herniation, prolapse or sequestration. Decompression at the earliest has been suggested by many authors but the planning of surgical management becomes challenging when the patient is a breastfeeding mother. Fear of harmful effects of the drugs (administered in the mother) on the infant, always confuses clinicians regarding the treatment approach. So the multidisciplinary approach is necessary with involvement of anaesthetist, paediatrician and also a gynaecologist if necessary. Thorough knowledge of the safety of drugs to be used in operative and post operative period becomes a necessity keeping the baby into consideration. We present a case of one month postpartum female with cauda equina syndrome and present a stepwise multidisciplinary approach, which involves active contributions from surgeon, for safety of the mother and the infant.

Exclusive breastfeeding or more properly called exclusive breastfeeding. The reality in the field shows the production and ejection of breast milk is a bit of a constraint in breastfeeding. One solution to overcome the insufficiency of breast milk production is through techniques acupressure points for lactation. This study aimed to determine the effect of mother's milk production with acupressure point for lactation intervention in the work area of Muaro Paiti sub-district Kapur IX Lima Puluh Kota Regency 2018. A quasi-experimental design with control group pretest-posttest design. The study was conducted in the working area of Muaro Paiti Community Health Center in April 2018. The population was breastfeeding mother in the work area of Muaro Paiti health center which was 118 people, with purposive sampling of 16 people. Processing and data analysis is done computerized. Univariate results revealed the average production of breast milk before acupressure point for lactation intervention in breastfeeding mothers was 67,9 ml and after intervention 85. 7 ml . Bivariate results have the effect of acupressure point for lactation intervention on maternal breastmilk production in the work area of Muaro Paiti District Health Center Kapur IX Lima Puluh Kota Regency 2018 (p = 0,0005). It is expected that health workers should be able to teach acupressure point for lactation techniques in breastfeeding mothers to increase milk production for mothers with breastfeeding production

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides foods, education, and referrals to participants who are considered to be at nutritional risk. The outreach of the program is impressive, and nearly 9.17 million people participated in the program in 2010. WIC participation is associated with many positive outcomes, including improved birthweights and childhood dietary practices. Despite these benefits, WIC mothers experience lower breastfeeding rates when compared with demographically similar women who do not participate in the WIC program. According to WIC, “A breastfeeding mother and her infant shall be placed in the highest priority level.” Despite this statement and others that support breastfeeding, WIC allocates only 0.6% of its budget toward breastfeeding initiatives. Formula expenses accounted for 11.6% ($850 million) of WIC’s 2009 expenses. The inconsistency between WIC’s policies that encourage breastfeeding vs. practices that favor formula begs further examination. Research shows consistent success with peer counseling programs among WIC participants; however, little money is budgeted for these programs. Rebates included, WIC spends 25 times more on formula than on breastfeeding initiatives. The American Academy of Nursing Expert Panel on Breastfeeding is calling for a re-evaluation of how these taxpayer dollars are spent. Additionally, the American Academy of Nursing recommends a shift from formula bargaining to an investment in structured peer counseling programs. All WIC programs should offer peer counseling support services that encourage breastfeeding and meet the needs of the families they serve.

This study is based on interviews conducted with 3 breastfeeding mothers and the amount of milk her breast is little caused crying baby and mother's milk punting blisters. Meanwhile, two other women told her normal milk production. The mother said the lack of information that were made of treatments to improve the production of breast milk (ASI) and they do not know about massage oxytocin to help increase milk production. This study aimed to observe the effect of oxytocin massage to increase milk production of breastfeeding mother in Plus Mandiangin Public Health Center Bukittinggi 2016. The study design using quasi experimental method, with the approach of one group pretest and posttest. Retrieving data using a questionnaire containing questions regarding milk production mother lactating. The research sample is 21 people who were in Plus Mandiangin Public Health Center Bukittinggi. In this study showed that there is a massage effect of oxytocin to increase milk production of breastfeeding mother in Plus Mandiangin Public Health Center Bukittinggi 2016 with a p-value of 0.000. It was concluded that there is a massage effect of oxytocin to increase milk production of breastfeeding mother in Plus Mandiangin Public Health Center Bukittinggi 2016. It is expected that this study can be used as a therapy to increase milk production of breastfeeding mothers.

Exclusive breastfeeding is one program that is quite difficult to develop because it deals with various problems in social society. Until now exclusive breastfeeding coverage in Yogyakarta still has not reached the target expected. The factors that are suspected in this case is lack of exclusive breastfeeding motivation.One cause of this is husband support. The objective of this study was to analyze the relationship between husband’s support in giving brestfeeding and breastfeeding self-efficacy with mother’s exclusive breastfeeding motivation in Puskesmas Sewon II Bantul. The method of this research used non-experimental research with cross-sectional design. Respondents in this study were breastfeeding mothers who had infants

Latar Belakang; Masa menyusui sangat penting seorang ibu dan bayinya. Kelancaran produksi air susu ibu yang diberikan ke bayi dapat memberikan dampak positif terhadap keadaan gizi bayi. Tujuan; untuk melihat factor yang berhubungan dengan kelancaran produksi ASI pada ibu menyusui. Penelitian ini dilaksanakan di Puskesmas Maradekaya Kota Makassar Tahun 2016.Bahan dan Metode; Jenis penelitian yang digunakan adalah observasional dengan pendekatan Cross Sectional Study. Sampel penelitian ini adalah ibu menyusui dengan pengambilan sampel secara purposive sampling dengan jumlah 97 ibu menyusui.Hasil; diperoleh pengetahuan gizi ibu berhubungan dengan kelancaran produksi ASI pada ibu menyusui dengan nilai p (0,003), status gizi ibu berhubungan dengan kelancaran produksi ASI pada ibu menyusui dengan nilai p (0,024), pola makan berhubungan dengan kelancaran produksi ASI pada ibu menyusui dengan nilai p (0,013), pantangan makanan berhubungan dengan kelancaran produksi ASI pada ibu menyusui dengan nilai p (0,001).Kesimpulan; pengetahuan ASI dan Gizi, status gizi, pola makan dan pantangan makanan berhubungan dengan kelancaran produksi ASI pada ibu menyusui. Diharapkan kepada ibu agar menambah pengetahuan mengenai ASI dan gizi dengan cara aktif mengikuti penyuluhan, membaca informasi kesehatan melalui media cetak (pamflet) dan menyimak dari media elektronik

Multiple Sclerosis (MS) is an autoimmune neurological disease characterized by inflammation of the brain and spinal cord. Relapsing-Remitting MS is characterized by acute attacks followed by remission. Treatment is aimed at halting these attacks; therapy may last for months to years. Because MS disproportionately affects females and commonly begins during the childbearing years, clinicians treat pregnant or nursing MS patients. The intent of this review is to perform an in-depth analysis into the safety of drugs used in breastfeeding women with MS. This paper is composed of several drugs used in the treatment of MS and current research regarding their safety in breastfeeding including immunomodulators, immunosuppressants, monoclonal antibodies, corticosteroids, and drugs used for symptomatic treatment. Typically, some medications are large polar molecules which often do not pass into the milk in clinically relevant amounts. For this reason, interferon beta is likely safe for the infant when given to a breastfeeding mother. However, other drugs with particularly dangerous side effects may not be recommended. While treatment options are available and some data from clinical studies does exist, there continues to be a need for investigation and ongoing review of the medications used in breastfeeding mothers.

Do we have an ethical imperative to treat pain in women who are breastfeeding? In essence, there are two patient entities to be considered: the mother and the breastfed infant. The drugs used in the treatment of maternal pain may have potentially deleterious effects on the breastfed infant. Safety of the infant is paramount, but inadequate treatment of maternal pain seems unethical. In fact, under treatment of pain in a breastfeeding woman may make it difficult for the woman to breast feed the baby, and may contribute to maternal depression ⇓. The American Academy of Pediatrics recommends that infants be exclusively breastfed up to 6 months, followed by continuation of breastfeeding (along with complementary foods) up to the first year of life or even longer depending on the mother and the child ⇓. However, one of the factors affecting the decision to breast feed may …

The promotion of breastfeeding has been established as a global public health issue. Despite this global agenda, breastfeeding initiation and duration rates remain low in many countries. The lack of provision of adequate support to the breastfeeding mother is an important contributory factor to shorter duration of breastfeeding. Health professionals and voluntary breastfeeding supporters are in a prime position to work collaboratively to provide comprehensive support to the breastfeeding mother. However, a comparative evaluation of the breastfeeding support skills of voluntary breastfeeding supporters and health professionals has never been conducted. This study aimed to assess the breastfeeding support skills of midwives and Breastfeeding Network (BfN) supporters. Breastfeeding support skills were assessed using a between-subjects design conducted with 15 midwives and 15 BfN supporters in the north-west of England. Support skills were measured using the prevalidated Breastfeeding Support Skills Tool (BeSST), a questionnaire and video tool. Total scores on the BeSST were significantly higher in the BfN group (mean = 42.5 +/- 6.4 SD) than in the midwife group (mean = 30.7 +/- 8.2 SD) [t (26.5) = 4.4, P < 0.0001]. The BfN group has the breastfeeding support skills necessary to provide adequate assistance for breastfeeding mothers. An interagency and interdisciplinary collaborative model is crucial to developing a coherent and cohesive approach to the support infrastructure for breastfeeding women.

Introduction: Breastfeeding pattern is a form of mother's behavior in giving breast milk to her baby. Breast milk supports the growth and development of the baby. The most common immunoglobulin in breast milk is secretory immunoglobulin A (sIgA). SIgA levels can be evaluated, one of the ways, from saliva samples examination. The purpose of the research were to determine the breastfeeding pattern and its association with nutritional status and salivary secretory immunoglobulin A level in 3-to 6-month-old infants.Methods: The research with cross sectional design was conducted in Kiara Social Pediatric-Growth and Developmental Polyclinic, Cipto Mangunkusomo Hospital Jakarta. A total of 54 healthy infants subjects aged 3–6 months old were taken using consecutive sampling method. Descriptive analysis, Chi Square, and Mann-Whitney test were used. P-values 0.145), and no significant differences regarding to salivary sIgA level between good breastfeeding pattern group and poor breastfeeding pattern group (P> 0.34).Conclusion: Despite its un-significant results, this study showed that normal nutritional status tended to be more prevalent in group with good breastfeeding pattern than in poor breastfeeding pattern. Re-encouragement, socialization, and education to the breastfeeding mothers is needed to improve the good breastfeeding pattern.

1. The number of women who breastfeed their infants after returning to work is disappointingly low. Many women stop breastfeeding soon after they return to work because of lack of preparation and support. 2. Continued breastfeeding provides health and psychosocial benefits for both mother and infant. 3. The employer experiences a cost saving benefit by keeping the postpartum employee working and by keeping her infant healthy as a result of breastfeeding. 4. Occupational and environmental health nurses can help bridge the gap between the postpartum employee and her primary health care provider. One strategy is to develop a lactation program for the work setting as described in a stepwise approach.

The content of certain ingredients of human milk, such as flavonoids, depend on the types and amounts of plant products consumed and may vary from woman to woman. The aim of the study was to determine to what extent consumption of an average amount of grapefruit juice (250 ml) affected naringenin content in human milk. A total of 14 breastfeeding mothers were included in the study. The subjects remained on a diet with restricted intake of naringenin for a total of five days except on the third day, when they drank a single serving of 250 ml of grapefruit juice. A considerable subject-to-subject variability in naringenin content was observed in both initial and subsequent determinations. Baseline concentration values, which may reflect naringenin content in the milk produced by the breastfeeding mother who eat an everyday (unmodified) diet, ranged from 420.86 nmol/l to 1568.89 nmol/l, with a mean of 823.24 nmol/l. Switching to the modified diet resulted in a decrease in naringenin concentrations to the mean value of 673.89 nmol/l measured 48 hours after the switch. The highest mean values were observed four and 12 hours after consumption of the juice, equalling 908.25 nmol/l (SD ± 676.84 nmol/l) and 868.96 nmol/l (SD ± 665.54 nmol/l), respectively. Naringenin is commonly found in human milk in quantities expressed in nmol/l, and its concentrations vary from woman to woman. Consumption of 250 ml of red grapefruit juice by breastfeeding mothers does not significantly alter naringenin concentrations in their milk.

The achievement of exclusive breastfeeding is still not reach the maximum target, although the achievement target in Jember is 80%. Arjasa is one of districts with the lowest breastfeeding coverage, its amount to 14.40%. Discontinuity of breastfeeding expenditure became one of the causes. This research explained the correlation of parity and employment with breast milk expenditure on breastfeeding mother 0-6 months. This research was a correlation study with cross sectional approach which consisted of 30 breastfeeding mothers in Public Health Center of Arjasa, Jember. Data were analyzed by Spearman Rho test (α

Objective: To evaluate the training of health professionals about breastfeeding. Method: Exploratory and descriptive field study with 614 professionals who were part of the multidisciplinary team of basic care network and two hospitals in the city of Marilia / SP. The collected data were stored and analyzed using the EPI INFO vs.6.02. Results: It was found that 22.6% received no information during training; 51.0% had no training for their professional performance. Most of the professionals assess the situation to identify the problem experienced by a woman, but there are still professionals who support the decision of the breastfeeding mother to stop breastfeeding and suggest the early introduction of other foods. In addition, 50.0% of professionals consider the knowledge about breastfeeding for decision making to be important. Conclusion: This confirms the need for ongoing instruction of our team, through training for the control and management of breastfeeding.

Puerperal is likely in the occurrence of maternal deaths, and should receive health care during childbirth to be visited by a health worker at least 3 times since birth. This type of research was descriptive quantitative. The quantitative data obtained from questionnaires, using T-test. The research sample was breastfeeding mothers in the village of Balecatur as the intervention group and breastfeeding mothers in the village of Ambarketawang as the control group. There are significant differences of knowledge, behavior in the treatment of post-partum mothers between the intervention group and the control group with significant value in total of

A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.

Background In recent years closer attention has been paid to the role of fathers in both the decision about whether to breastfeed and in supporting a breastfeeding mother. This qualitative study explores couples' decision-making regarding infant feeding, parents' views on the father's role in relation to breastfeeding, and examines some dilemmas fathers face when supporting a breastfeeding partner. Methods Eighteen men and women using maternity services at the Royal Sussex County Hospital were interviewed by telephone. Results Fathers acknowledged that the decision to breastfeed should be made by the mother and a father's role was to endorse his partner's decision and provide practical and emotional support. Those who faced breastfeeding difficulties described the processes involved in deciding whether to continue. Conclusions This small study draws upon the views of men and women living in the south-east of England in a city with high rates of breastfeeding initiation. Findings may not be generalizable to the wider population. However, in this setting new parents need information about breastfeeding and support to make informed decisions about duration and further input from health professionals when facing difficulties.

An estimated 70% of mothers in the United States initiate breastfeeding annually. Mothers often discuss breastfeeding problems with their infant's pediatrician. Pediatricians may feel unsure about their role when assisting the nonpatient, breastfeeding mother. By having practical solutions and support systems in place to anticipate and tend to breastfeeding mothers' needs, pediatricians can be instrumental in preventing early weaning. The purpose of this article is to provide practical suggestions to outpatient-based pediatric health care providers when assisting the breastfeeding dyad. J Hum Lact. 24(2):335-339.