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PubMed1990

The effect of breastfeeding promotion on the infertile postpartum period.

A new project is testing whether a breastfeeding promotion program will change breastfeeding behavior and the length of postpartum amenorrhea. The control group and 100 of the eventual 400 experimental subjects have been recruited. The program consists of workshops, prenatal care, maternity ward postpartum care, early home visits, and a breastfeeding outpatient clinic. Early results seem to indicate decreased use of pacifiers and foods and fluids other than breast milk by women in the study group.

Breast Feeding↗
PubMed1990

Characterization of the change in type I and II insulin-like growth factor receptors of bovine mammary tissue during the pre- and postpartum periods.

Type I and II receptors for the insulin-like growth factors (IGF) were characterized in microsomes from bovine mammary tissue. Specific binding of [125I]IGF-I increased linearly with increasing microsomal protein concentrations. In contrast, IGF-II binding showed a curvilinear relationship over the concentration range tested, with a maximum at 120 micrograms/ml. Kinetic studies conducted at 4 C showed the binding reactions to be reversible. Competition studies showed recombinant human IGF-I (rh-IGF-I) to be 8-, 18-, and 1000-fold more potent at inhibiting [125I]rh-IGF-I binding than recombinant bovine IGF-II (rb-IGF-II), multiplication-stimulating activity, and insulin, respectively. rbIGF-II was 1.8- and 6-fold more potent at inhibiting [125I]rbIGF-II binding than rhIGF-II and multiplication-stimulating activity. Specific binding of [125I]IGF-I and -II was measured in microsomes prepared from cows (n = 47) ranging from 138 days prepartum to 411 days postpartum. IGF-I binding declined during the prepartum period, increased 75% with the onset of lactation, and then declined during the postpartum period. Scatchard analysis showed the presence of a single class of high affinity binding sites for both ligands, with type II receptors being about 10-fold more prevalent than type I receptors. The survey and Scatchard data support the conclusion that the onset of lactation coincides with an increase in the number of type I receptors present in mammary tissue. This increase supports the contention that IGF-I may play an important role in modulating the metabolic activity of the bovine mammary gland.

Animals↗
PubMedDate not supplied

Change in maternal concerns during the 6 weeks postpartum period: a study of primaparous mothers in Dar es Salaam, Tanzania.

The purpose of this study was to describe the postpartum concerns of primiparas. A cohort study included 79 mothers in Dar es Salaam, Tanzania. Mothers sorted topics into worry, interest, and confidence. Trends of decreasing worry and increasing interest and confidence for baby-related and mother-related topics were observed from 1 to 6 weeks. At 1 week mothers worried about baby's eyes, respiration, temperature, safety, and crying; but, at 6 weeks only crying was a problem. Need for information was constant about general health, baby behavior, and care of the baby. At 1 week mothers worried about swollen perineum, and feeling tired and nervous. They wanted information about preventing hemorrhage and infection and taking care of the perineum, breasts, and nipples. Trends of increasing worry and decreasing confidence were observed with respect to family relationships. At 6 weeks, mothers worried about the husband/partner's reaction to themselves and to the baby. Confidence in relatives' reaction to themselves and the baby decreased. Being aware of the changes in the way concerns are expressed may guide nursing/midwifery interventions for mothers as to the content and timing.

Adult↗
PubMed1994

Prolactin response to suckling in a group of fully breast feeding women during the early postpartum period.

Prolactin response to suckling was studied in a group of fully breast feeding women (N = 58) between 4-6 weeks postpartum. Basal, suckling stimulated and the increment of prolactin showed wide individual variations. Basal prolactin concentrations varied from 140 to 4,600 mIU/l, suckling stimulated prolactin from 400 to 5,600 mIU/l and the increment of prolactin from 40 to 4,160 mIU/l. Basal (p = 0.0395) and suckling stimulated (p = 0.0423) prolactin concentrations significantly increased as the number of night breast feeds increased and the suckling stimulated (p = 0.0218) prolactin concentrations significantly increased as the number of breast feeds/24 h increased. However, the magnitude of the rise in prolactin in response to suckling was not dependent on basal prolactin concentration. Basal, suckling stimulated or the increment of prolactin were not significantly different between subjects having different breast feeding frequencies, when the subjects were grouped according to the number of breast feeds. These differences may be due to the large individual variation in prolactin concentrations seen in women having similar breast feeding frequencies which may arise from individual variations in hypothalamic--pituitary response to suckling.

Adult↗