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Results for “Lactation Disorders”

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PubMed1985

[Malnutrition in utero and lactation: relation between the weight gained by the mothers and the development of their offspring].

Physiological weight changes in rat dams and their offspring as sequelae of malnutrition during pregnancy and lactation have been studied. Daily monitoring of the body weight as well as the consumption of food (malnutrition dams 14 g during pregnancy and 20 g during lactation) and drink in control and malnutrition dams was conducted. The number of pregnant dams that completed their pregnant period successfully was registered as well as the number and weight of the pups at birth and their evolution over a period of a month. The percentage of mortality of the pups during that period has been studied. The present results indicate a highly significant decrease in body weight in experimental dams, which determines a retardation in the physiological development of the pups, and yields a higher percentage of mortality in the experimental animals than in controls. It can thus be concluded that malnutrition in utero and during lactation affects the ratio between weight gain for dams and the physical development of their pups.

Animals↗
PubMed2001

How to assess slow growth in the breastfed infant. Birth to 3 months.

Pediatricians must monitor early breastfeeding to detect and manage breastfeeding difficulties that lead to slow weight gain and subsequent low milk production. Infant growth during the first 3 months of life provides a clear indication of breastfeeding progress. Healthy, breastfed infants lose less than 10% of birth weight and return to birth weight by age 2 weeks. They then gain weight steadily, at a minimum of 20 g per day, from age 2 weeks to 3 months. Any deviation from this pattern is cause for concern and for a thorough evaluation of the breastfeeding process. Evaluation includes history taking and physical examination for the mother and infant. Observation of a breastfeeding session by a skilled clinician is crucial. A differential diagnosis is generated, followed by a problem-oriented management plan. Special techniques may be used to assist in complicated situations. Ongoing monitoring is required until weight gain has normalized. In most cases, early intervention can restore promptly infant growth and maternal milk supply. Underlying illness of the infant or mother must be considered if weight gain and milk supply do not respond to the earlier-mentioned interventions as expected. Physicians are responsible for knowledge about additional resources and for coordination of breastfeeding care. Pediatricians have a pivotal role in achieving the goals of optimal breastfeeding and appropriate infant growth.

Aftercare↗
PubMed1985

Value of CSF lactate in the differential diagnosis between bacterial meningitis and other diseases with meningeal involvement.

Lactate concentrations in the cerebrospinal fluid of 104 patients were determined by the Monotest Lactate Kit. Lactate values were found higher in cases of bacterial meningitis than in patients not suffering from acute CNS disorders. Elevated lactate levels were also found in patients suffering from aseptic meningitis, septicemia, CNS trauma and cerebrovascular accidents, seizures and diabetes mellitus. The highest levels were found in cases of bacterial meningitis, but there was considerable overlapping between the groups. CSF lactate thus appears to have limited diagnostic value in the differential diagnosis between bacterial meningitis and other diseases with meningeal involvement.

Adolescent↗