Comment on: Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management DOI Creative Commons
Ann M. Witt,

Sheila Kredit

Women s Health, Journal Year: 2023, Volume and Issue: 19

Published: Jan. 1, 2023

Language: Английский

Re-thinking lactation-related nipple pain and damage DOI Creative Commons
Pamela Douglas

Women s Health, Journal Year: 2022, Volume and Issue: 18

Published: Jan. 1, 2022

Nipple pain is a common reason for premature cessation of breastfeeding. Despite the benefits breastfeeding both infant and mother, clinical support problems such as maternal nipple remains research frontier. Maternal pharmaceutical treatments, surgery bodywork interventions are commonly recommended lactation-related without evidence benefit. The frequently attributed to mammary dysbiosis, candidiasis, or anatomic anomaly (including diagnoses posterior upper lip-tie, high palate, retrognathia, subtle cranial nerve abnormalities). Although protocols universally state that improved fit hold mainstay treatment wounds, biomechanical parameters pain-free remain an omitted variable bias in almost all research. This article reviews literature concerning aetiology, classification, prevention, management nipple–areolar complex (NAC) damage. Evolutionary systems perspectives applied develop narrative synthesis heterogeneous interdisciplinary elucidating women. Lactation-related most symptom inflammation due repetitive application excessive mechanical stretching deformational forces epidermis, dermis stroma during milk removal. Keratinocytes lock together when exceed desmosome yield points, but if loads continue increase, desmosomes may rupture, resulting epithelial fracture. Mechanical deformation cause stromal micro-haemorrhage inflammation. environment skin uniquely conducive wound healing, it also exposed environmental risks. two key factors prevent treat are, first, elimination conflicting vectors force suckling removal, second, overhydration epithelium which risks moisture-associated There urgent need evaluation evidence-based intra-oral suckling.

Language: Английский

Citations

40

Emerging Insights of Staphylococcus spp. in Human mastitis DOI

Mansi Patel,

Khushal Patel

Microbial Pathogenesis, Journal Year: 2025, Volume and Issue: unknown, P. 107685 - 107685

Published: May 1, 2025

Language: Английский

Citations

0

Yoga DOI
Garima Jaiswal, Keshav Sinha

Advances in medical diagnosis, treatment, and care (AMDTC) book series, Journal Year: 2023, Volume and Issue: unknown, P. 237 - 261

Published: March 3, 2023

Breast pain, also known as mastalgia, is one of the most common clinical issues women bring to surgical outpatient department. The epidemiological, pathological, and radiological aspects are used obtain a complete view mastalgia. Most patients expressed concern about cancer rather than debilitating pain that would interfere with their everyday activities. therapy mastalgia requires high-quality radiographic pathology services. Reassurance appropriate medical treatment for source breast can help reduce morbidity improve disease's outcome. In this chapter, investigation several current therapies yoga discussed cyclical (CM). research looked into impact on psychological outcomes. results indicated biochemical trial effective side effects, primrose oil seed ineffective. To handle sufferers, integrated provides trial.

Language: Английский

Citations

6

Motherhood after Spinal Cord Injury: Breastfeeding, Autonomic Dysreflexia, and Psychosocial Health: Clinical Practice Guidelines DOI
Andrei V. Krassioukov, Stacy Elliott,

Shea Hocaloski

et al.

Topics in Spinal Cord Injury Rehabilitation, Journal Year: 2024, Volume and Issue: 30(2), P. 9 - 36

Published: May 1, 2024

The World Health Organization (WHO) recommends that children be breastfed exclusively for the first 6 months of age. This recommendation may prove challenging women with spinal cord injury (SCI) who face unique challenges and barriers to breastfeeding due impact SCI on mobility physiology. Tailored provision care from health professionals (HCPs) is important in helping navigate these potential barriers. Yet, HCPs often lack confidence SCI-specific knowledge meet needs mothers SCI. An international panel clinicians, researchers, consultants, lived experience was formed create an accessible resource can address this gap. A comprehensive survey complications, challenges, resources, quality life conducted, along environmental scan evaluate existing postpartum guidelines assess their relevance usability as recommendations after Building work, article provides evidence-based HCPs, including but not limited general practitioners, obstetricians, pediatricians, physiatrists, lactation nurses, midwives, occupational therapists, physiotherapists work prospective current

Language: Английский

Citations

1

Re-thinking benign inflammation of the lactating breast: A mechanobiological model DOI Creative Commons
Pamela Douglas

Women s Health, Journal Year: 2022, Volume and Issue: 18

Published: Jan. 1, 2022

Despite the known benefits of breastfeeding for both infant and mother, clinical support problems such as inflammation lactating breast remains a research frontier. Breast pain associated with is common reason premature weaning. Multiple diagnoses are used inflammatory conditions breast, engorgement, blocked ducts, phlegmon, mammary candidiasis, subacute mastitis, mastitis white spots, which lack agreed or evidence-based aetiology, definitions treatment. This first in series three articles review literature concerning benign lactation-related inflammation. article investigates aetiological models. A complex systems perspective applied to analyse heterogeneous interdisciplinary evidence elucidating functional anatomy physiology breast; immune system, including human milk microbiome cellular composition; effects mechanical forces during lactation; interactions between these. analysis gives rise mechanobiological model inflammation, very high intra-alveolar intra-ductal pressures hypothesized strain rupture tight junctions lactocytes ductal epithelial cells, triggering cascades capillary dilation. Resultant elevation stromal tension exerts pressure on lactiferous worsening intraluminal backpressure. Rising leucocyte cell counts alterations signs that system recruiting mechanisms downregulate feedback loops. From perspective, key mechanism prevention treatment avoidance excessively pressures, prevents critical mass cells.

Language: Английский

Citations

6

Yoga DOI
Garima Jaiswal, Mousumi Karmakar, Keshav Sinha

et al.

Advances in public policy and administration (APPA) book series, Journal Year: 2022, Volume and Issue: unknown, P. 137 - 167

Published: Dec. 16, 2022

In the current global situation, half of world is experiencing ethnic and religious conflicts that impact millions lives, particularly among women. The stress war can lead to various health issues, such as cyclical mastalgia psychosis. During times conflict, access medical treatment may be limited. However, ancient practice yoga effective in treating illnesses. This chapter will explore therapies therapy for (CM). Previous research has suggested using primrose oil, vitamins, physical activity treatments CM. there have been few studies on use mastalgia. investigation also examined psychological outcomes. results showed while biochemical clinical trials effective, they side effects, oil seed were ineffective. Integrated shown provide high-quality individuals suffering from

Language: Английский

Citations

5

Physical therapy intervention for breast symptoms in lactating women: a randomized controlled trial DOI Creative Commons
Kuan‐Yin Lin, Weide Shao, Yi‐Ju Tsai

et al.

BMC Pregnancy and Childbirth, Journal Year: 2023, Volume and Issue: 23(1)

Published: Nov. 14, 2023

Abstract Background Therapeutic ultrasound, education, and massage are the most common physical therapy interventions provided to mothers with breast symptoms. However, there is insufficient evidence on effectiveness of combination these interventions. This study aimed explore effects therapeutic symptoms in lactating women. Methods was a single-blind randomized controlled trial. Postpartum women aged from 21 45 were recruited randomly allocated one three groups (ultrasound group, sham usual care group). The severity (pain, redness, lump, general malaise), engorgement, hardness, body temperature, milk volume assessed at baseline (T1), immediately post-intervention (T2), 3 months following (T3). Results A total 37 participants included group n = 12; 13). (i.e., pain, malaise) as well significantly improved ultrasound T2 when compared T1, improvements sustained T3. engorgement lower T2. no statistically significant differences found between for all outcomes any assessment time points. Conclusions Physical may be beneficial relieving Larger trials needed confirm findings this study. Trial registration ClinicalTrials.gov (NCT04569136); Date registration: 29/09/2020.

Language: Английский

Citations

2

Author response to comment on: Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management DOI Creative Commons
Pamela Douglas

Women s Health, Journal Year: 2023, Volume and Issue: 19

Published: Jan. 1, 2023

Language: Английский

Citations

1

Nipple trauma in lactation - literature review DOI Creative Commons
Agnieszka Koberling, Katarzyna Kopcik, Jan W. Koper

et al.

Journal of Pre-Clinical and Clinical Research, Journal Year: 2023, Volume and Issue: 17(3), P. 171 - 175

Published: Aug. 8, 2023

1. Omranipour R, Vasigh M. Mastitis, Breast Abscess, and Granulomatous Mastitis. Adv Exp Med Biol. 2020;1252:53–61. Google Scholar

Language: Английский

Citations

1

Does the Academy of Breastfeeding Medicine’s Clinical Protocol #36 ‘The Mastitis Spectrum’ promote overtreatment and risk worsened outcomes for breastfeeding families? Commentary DOI Creative Commons
Pamela Douglas

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: Sept. 5, 2023

Abstract Background In 2022 the Academy of Breastfeeding Medicine (ABM) published Clinical Protocol #36: The Mastitis Spectrum, which aims to update clinical approaches management benign lactation-related breast inflammation. protocol has been timely because exponential increase in knowledge about human milk microbiome over past decade. This Commentary continue respectful debate amongst clinicians and researchers within more broadly, confident that we share a fundamental commitment promote breastfeeding support well-being lactating women, their infants families. Analysis Although #36 offers advances, it does not fulfil principles best practice implementation science for translation evidence into guidelines. inaccurately represents studies; misrepresents theoretical models as proven aetiologies; consistently attribute sources; reliably apply SORT taxonomy; relies upon single case reports. As result, various recommendations lack an evidence-base or credible underlying model. includes use ‘lymphatic drainage’ massage, therapeutic ultrasound, oral lecithin. Similarly, based on contestable model is presented fact, makes recommendation either reduce frequency removal maintain current during episode limits this advice cases ‘hyperlactation’, diagnosis ‘hyperlactation’ itself undefinable. may put women who present with inflammation at risk worsened decreased production. Conclusion some advances However, also exposes two international trends healthcare undermine health system sustainability: overdiagnosis, including by over-definition, increases overtreatment; antibiotic over-use, worsens crisis global antimicrobial resistance. recommends unnecessary ineffective interventions be accessed affluent patients advanced economies but are difficult access majority. benefit from review processes development Protocols.

Language: Английский

Citations

1