subject: breastfeeding counseling

The Woman Helping Military Moms Breastfeed

The Woman Helping Military Moms Breastfeed

Back in the 1990s, when she had her first child, Robyn Roche-Paull was an aircraft mechanic in the United States Navy. She knew she wanted to breastfeed as long as possible, but her maternity leave was six weeks long, and then, in theory, she could be deployed to any part of the world. At that time, there was no military policy to facilitate pumping at her workplace, though she persevered. She would pump in the supply closet or the bathroom. “It was very, very difficult. The outlet I needed to plug my pump in was right by the bathroom door, and people would come in an out all the time—so the door was always opening to the hallway, with me standing right there,” she explains. Read More...

Colostrum Through a Cultural Lens

Colostrum Through a Cultural Lens

In the first hours and days after a human baby is born, mothers aren't producing the white biofluid that typically comes to mind when we think about milk. They synthesize a yellowish milk known as colostrum or "pre-milk." Colostrum is the first substance human infants are adapted to consume, and despite being low in fat, colostrum plays many roles in the developing neonate. Historically and cross-culturally, colostrum was viewed very differently than it is amongst industrialized populations today. Read More...

Drugs to Prevent HIV Infection are Barely Present in Human Milk

Drugs to Prevent HIV Infection are Barely Present in Human Milk

The World Health Organization considers someone with more than a 3% chance of contracting HIV in the next year to have a “substantial” risk of infection. This is important because it is the cut-off for which the WHO recommends taking anti-retroviral drugs, like tenofovir, to reduce the odds of infection. Breastfeeding women in sub-Saharan Africa easily meet this risk threshold. But medical professionals are discouraged from offering the drug to these women because of WHO warning labels about potential adverse reactions in nursing infants. That advice may now change, paving the way for many more at-risk women to receive HIV prophylaxis. A new study shows that when infants consume human milk from a woman taking tenofovir in combination with emtricitabine, they are exposed to extremely low levels of The World Health Organization considers someone with more than a 3% chance of contracting HIV in the next year to have a “substantial” risk of infection. This is important because it is the cut-off for which the WHO recommends taking anti-retroviral drugs, like tenofovir, to reduce the odds of infection. A new study shows that when infants consume human milk from a woman taking tenofovir in combination with emtricitabine, they are exposed to extremely low levels of either drug.drug. Therefore, the infants’ likelihood of experiencing adverse reactions is virtually non-existent. Read More...

From Bench to Bedside: Translating Milk Science at the Clinician-Patient Interface

From Bench to Bedside: Translating Milk Science at the Clinician-Patient Interface

Emerging empirical research from chemistry, microbiology, animal science, nutrition, pediatrics, and evolutionary anthropology is accelerating our understanding of the magic of milk. Understanding the context and experiences of mothers of different races highlights the persistence of health care deficits that perpetuate breastfeeding disparities. Read More...