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Abstract

Breastfeeding – how to avoid problems and complications

By now, the disadvantages of not breastfeeding are universally known. Despite the intensive attempts and, without a doubt, ever-better production of formula, breast-milk remains unique in its very individual composition. Regardless of the disadvantages of not breastfeeding, the decision for breastfeeding continues to be very individual and depends largely on social standards, education, and, not lastly, on the partner's attitude.

Despite satisfactory initial breastfeeding rates, most women discontinue after only a short while. Thus, the majority does not achieve the WHO and UNICEF goal to breastfeed seven months, or even the German consensus recommendation to exclusively breastfeed five months.

The aim of the article is thus to improve medical knowledge of the physiology of breastfeeding, as well as the pathologic situation during lactation. Adequate diagnostic tools and preferably evidence based therapy recommendations could then eliminate any difficulties the mothers face, and make it easier for them to achieve the recommended breastfeeding duration.

For didactic reasons, the article is structured along a timeline – from the early prepartal consultation that should include the risk factors of early discontinuation of breastfeeding, to the physiologic and pathologic developments during the early puerperium in hospital to the later on occurring typical problems of plugged milk ducts and bacteria- associated mastitis puerperalis.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2011; 7(2): 124–137

Keywords
Breastfeeding problems, breast injuries, mastitis, milk stasis

Michael Abou-Dakn
St. Joseph Krankenhaus Berlin-Tempelhof, Berlin
Reviewer: Tarané Probst, Leipzig
und Friderike Fornoff, Frankfurt/Main

Abou-Dakn M. Stillen ... Gynakol Geburtsmed Gynakol Endokrinol 2011; 7(2): 124–137 publiziert 31.07.11 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2011 ISSN 1614-8533