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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]
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.
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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.
The Code was developed as a global public health strategy and recommends restrictions on the marketing of breast milk substitutes, such as infant formula, to ensure that mothers are not discouraged from breastfeeding and that substitutes are used safely if needed. The Code also covers ethical considerations and regulations for the marketing of ...
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Contraindications to breastfeeding are those conditions that could compromise the health of the infant if breast milk from their mother is consumed. Examples include galactosemia, untreated HIV, untreated active tuberculosis, Human T-lymphotropic virus 1 or II, uses illicit drugs, or mothers undergoing chemotherapy or radiation treatment.