Metagenomic Analysis of Milk of Healthy and Mastitis-Suffering Women
Conclusion: Human milk contains a complex microbial metagenome constituted by the genomes of bacteria, archaea, viruses, fungi, and protozoa. In mastitis cases, the milk microbiome reflects a loss of bacterial diversity and a high increase of the sequences related to the presumptive etiological agents. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Jimenez, E., de Andres, J., Manrique, M., Pareja-Tobes, P., Tobes, R., Martinez-Blanch, J. F., Codoner, F. M., Ramon, D., Fernandez, L., Rodriguez, J. M. Tags: Original Research Source Type: research

Pasteurized Donor Human Milk Maintains Microbiological Purity for 4 Days at 4{degrees}C
Conclusion: There was no evidence of microbes in PDHM as dispensed by HMBANA milk banks when defrosted and stored at 4ºC for up to 9 days. Extended storage of PDHM in the NICU could reduce waste of donor milk, thereby increasing availability of human milk to vulnerable neonatal patients. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Vickers, A. M., Starks-Solis, S., Hill, D. R., Newburg, D. S. Tags: Original Research Source Type: research

Early Provision of Mother's Own Milk and Other Predictors of Successful Breast Milk Feeding after Very Preterm Birth: A Regional Observational Study
Conclusion: It is possible to achieve high rates of BMF in very preterm infants. High intake of MOM early in the postnatal period is strongly related to exclusive BMF at 36 weeks PMA. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Wilson, E., Christensson, K., Brandt, L., Altman, M., Bonamy, A.-K. Tags: Original Research Source Type: research

Direct-Breastfeeding Premature Infants in the Neonatal Intensive Care Unit
Conclusion: Mothers should be supported to breastfeed before using bottles in the NICU. In addition, goal setting is important for prenatal care providers to discuss with all mothers early in pregnancy, especially those at high risk for premature delivery. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Briere, C.-E., McGrath, J. M., Cong, X., Brownell, E., Cusson, R. Tags: Original Research Source Type: research

Breastfeeding Patterns in Preterm Infants Born at 28-33 Gestational Weeks
Conclusion: Mothers reported large variations in breastfeeding patterns, with higher median breastfeeding session frequencies than previously described in term infants in affluent settings. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Oras, P., Blomqvist, Y. T., Nyqvist, K. H., Gradin, M., Rubertsson, C., Hellstrom-Westas, L., Funkquist, E.-L. Tags: Original Research Source Type: research

Narcolepsy Treated with Racemic Amphetamine during Pregnancy and Breastfeeding
This case report describes a woman with narcolepsy treated with racemic amphetamine (rac-amphetamine) during pregnancy and breastfeeding with follow-up on the infant’s development up to 10 months of age. The pregnancy outcome and the pharmacokinetics of rac-amphetamine were studied during breastfeeding. The pregnancy and the delivery were uneventful. Concentrations of rac-amphetamine were determined in the plasma of the mother and infant, and in the breast milk with a liquid chromatography–mass spectrometry method. Samples were obtained at 2, 5, and 9 weeks postpartum. The transfer of rac-amphetamine to the bre...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Ohman, I., Wikner, B. N., Beck, O., Sarman, I. Tags: Case Reports Source Type: research

Gastrointestinal Side Effects in the Baby of a Breastfeeding Woman Treated with Low-Dose Fluvoxamine
Depression and anxiety disorders are frequently seen in the postpartum period. Primary pharmacological agents for these disorders are antidepressants, especially selective serotonin reuptake inhibitors. Despite no adverse reports, data on safety for the maternal use of fluvoxamine on breastfed infants are limited. This case report presents diarrhea and vomiting in the breastfed baby of a woman using fluvoxamine at 50 mg/d. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Uguz, F. Tags: Case Reports Source Type: research

Antepartum Mastitis: A Rare Occurrence
Puerperal or lactational mastitis is an inflammatory condition of the breast that is commonly encountered in breastfeeding mothers. It occurs most commonly in the postpartum period, generally in the first 6 weeks of breastfeeding. In contrast, antepartum mastitis is an uncommon condition, and if not treated adequately, it may be complicated by the formation of a breast abscess. The authors present a case of a 24-year-old, second gravida mother who developed unilateral antepartum mastitis with abscess formation at 34 weeks of gestation, which was initially treated with antibiotics and surgical drainage. However, her symptom...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Malik, S., Patil, V. A., Korday, C. S., Shah, D. P. Tags: Case Reports Source Type: research

Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity: A Systematic Review
Although breastfeeding initiation rates have increased substantially in many developed countries over the past several decades, breastfeeding duration and exclusivity remain suboptimal. In the antenatal period, both group and individual education interventions have been implemented to improve breastfeeding. The purpose of this review was to compare the effectiveness of group and individual antenatal professional education on breastfeeding exclusivity and duration. A systematic search of the literature was conducted using Medline (1946-June 2014), PubMed (1883-June 2014), the Cumulative Index to Nursing and Allied Health Li...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Wong, K. L., Tarrant, M., Lok, K. Y. W. Tags: Reviews Source Type: research

Safety of Popular Herbal Supplements in Lactating Women
The objectives of this review were to evaluate the safety of popular dietary supplements in breastfeeding mothers and the effects on the infants. Nine of the most popular herbal dietary supplements were identified based on the 2011 US market report of the top 10 selling botanicals and the most frequently received inquiries by the Ruth A. Lawrence Lactation Study Center at the University of Rochester Medical Center. Relevant publications were identified through June 2014 using PubMed and EMBASE; tertiary references, including the Drugs and Lactation Database and Natural Medicine Comprehensive Database, were also reviewed. T...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Amer, M. R., Cipriano, G. C., Venci, J. V., Gandhi, M. A. Tags: Reviews Source Type: research

How Research on Charitable Giving Can Inform Strategies to Promote Human Milk Donations to Milk Banks
Many hospitalized preterm infants do not exclusively receive mother’s own milk, so milk from another mother may be sought. Previous research indicated that just 1% of US women who express breast milk actually donate it for another family. Therefore, strategies to boost donation rates should be identified. We draw upon the experimental literature on charitable giving of monetary donations to offer 6 strategies to promote breast milk donations to milk banks in North America. These strategies include (1) highlighting a potential identifiable recipient of donated breast milk as opposed to highlighting groups of potential...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Stevens, J., Keim, S. A. Tags: Insights in Policy Source Type: research

Lessons Learned from a Student-Led Breastfeeding Support Initiative at a US Urban Public University
This article describes the work of 2 graduate students to successfully establish a dedicated space at their US urban public university for the purpose of expressing breast milk. A 3-pronged strategy was implemented to create a dedicated lactation space: (1) collecting data to support the establishment of the room, (2) raising awareness of legislation related to protection of breastfeeding, and (3) community organizing and advocacy. After nearly 18 months of advocacy and planning, the campus’ dedicated lactation room was opened for use in March 2012. Two years later, the room remains a valuable resource and is used, o...
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Dinour, L. M., Beharie, N. Tags: Insights in Practice Source Type: research

Human Milk for Sale: Buyer Beware!
(Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Chapman, D. J. Tags: Research Spotlight Source Type: research

JHL at 30
(Source: Journal of Human Lactation)
Source: Journal of Human Lactation - July 16, 2015 Category: Nursing Authors: Merewood, A. Tags: Editorial Source Type: research

Membership Application
(Source: Journal of Human Lactation)
Source: Journal of Human Lactation - April 13, 2015 Category: Nursing Tags: Membership Application Source Type: research