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Traditionally, breastfeeding has been defined as the consumption of breastmilk by any means, be it directly at the breast, or feeding expressed breast milk. [3] When direct feeding at the breast is not possible, expressed breast milk retains many unique nutritional and immunological qualities, and as such remains the gold standard for feeding infants. [4]
An adult nursing relationship (ANR) involves the suckling of milk from a person's breast on a regular basis by one or more partner(s). Successful ANRs depend on a stable and long-term relationship, as otherwise it is very difficult to maintain a steady milk flow.
Breast milk supply augments in response to the baby's demand for milk, and decreases when milk is allowed to remain in the breasts. [ 10 ] : 18–21 [ 10 ] : 27–34 [ 22 ] [ 10 ] : 72–80 [ 119 ] When considering a possibly low milk supply, it is important to consider the difference between "perceived low milk supply" and "true low milk supply".
Although biochemical markers indicate that Secretory Activation begins about 30–40 hours after birth, mothers do not typically begin feeling increased breast fullness (the sensation of milk "coming in the breast") until 50–73 hours (2–3 days) after birth. Colostrum is the first milk a breastfed baby receives.
Even though the practice may be legal or socially accepted, some mothers may nevertheless be reluctant to expose a breast in public to breastfeed [3] [4] due to actual or potential objections by other people, negative comments, or harassment. [5] It is estimated that around 63% of mothers across the world have publicly breast-fed. [6]
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Some of the worthwhile components of breast milk are compromised in the pasteurization process. However, many are not. "Donor milk retains its bioactivity despite partial or complete loss of some components" (Arnold, 1999, p. 3). The enzymes in breast milk (e.g. lipase) appear to be most affected by the heat.