Lactogenesis II Onset Following Prolonged Delay in a Mother With a Nonfunctioning Macroadenoma Treated With Cabergoline: A Case Study in Persistence

2020 ◽  
pp. CLINLACT-D-20-00014
Author(s):  
Georgette Suzanne Bartell

IntroductionThis is a case of a 31-year-old woman who experienced headaches and visual changes in her 15th week of pregnancy and was diagnosed with a macroadenoma.TreatmentShe started a dopamine agonist, a prolactin inhibitor, at that time to treat these symptoms and continued it for 2 weeks after the birth, a total of 13 weeks.Goal and OutcomeThe mother’s goal was to provide her own milk for her infant. She began to express milk the day of her infant’s birth but obtained only drops for the first 2 months. Using a breast pump and, later, hand expression, this mother was able to finally express more than drops per day. She achieved a full milk supply, 750 mL per day, 21 weeks following delivery, when 2–3 weeks is the average. She continued expressing milk achieving over 900 mL per day when the infant was 24 weeks old.ConclusionIn this case where cabergoline was discontinued after the birth, persistent pumping and hand expression was enough to initiate milk production. This case study reports this mother’s experience with continued expression despite no increasing volumes in the first 2 months. This confirms that with a diagnosis and treatment of this type, milk production is possible with persistent expression.

2020 ◽  
pp. 089033442097633
Author(s):  
Zainab AbdulHadi Al-Mohsen ◽  
Hasan Frookh Jamal

Introduction With the prevalence of infertility increasing worldwide, many are seeking adoption to fulfill the need to start or expand their family. However, one of the challenges mothers face is the lack of the early maternal bond with the adopted infant, which typically starts during pregnancy, and then continues after birth, while providing care and nourishment to the infant. Breastfeeding is proven to strengthen the maternal–infant bond and provides numerous benefits to the dyad. Reports of induced lactation in non-biological mothers are uncommon, they are even more uncommon to find in women with a history of breast cancer. Main issue The induction of lactation in a Muslim adoptive mother who had a history of breast cancer. Management Pharmacologic methods, which included galactagogues Domperidone and fenugreek, in addition to non-pharmacologic methods that included breast stimulation by using a breast pump. The participant was able to provide her own milk for her adopted infant. Conclusion When provided with proper support, an adopting mother with a history of breast radiation was able to breastfeed. The participant’s need to provide her own expressed milk was met; although, she was counseled on the possibility that her milk production will most likely not be sufficient to entirely meet the infant’s needs. Determination and support definitely have a role in cases where the influence of past treatment on human milk production is not known.


2012 ◽  
Vol 2 (2) ◽  
pp. 408-409
Author(s):  
Dr. A. Serma Saravana Pandian ◽  
◽  
Dr. K. N. Selvakumar Dr. K. N. Selvakumar ◽  
Dr. M. Prabu Dr. M. Prabu

2021 ◽  
pp. 089033442199107 ◽  
Author(s):  
Wei Liu ◽  
Yujie Liu ◽  
Zhenjun Liu ◽  
Changxin Hong ◽  
Jian Liu ◽  
...  

Introduction During the Coronavirus Disease 2019 global pandemic, maternal and newborn wellbeing has received much attention. Detailed reports of infected women breastfeeding their infants are uncommon. Due to incomplete information available, full data about those infants’ outcomes are lacking, and evidence of infectivity through breastfeeding has not been documented. Main Issue Here, we report about a mother who breastfed her infant until she was confirmed with the SARS-Cov-2 infection. After follow-up, we have confirmed that the infant, who was breastfed by the infected mother, was not infected. Methods A 33-year-old woman gave birth to a full-term male infant on November 8, 2019. Since birth, she had been exclusively breastfeeding the baby until she was confirmed with the SARS-Cov-2 infection on February 8, 2020. She was hospitalized, isolated from her baby, and stopped breastfeeding. Even though she remained asymptomatic, her milk was expressed using a breast pump and discarded. The mother’s milk sample was collected on February 9, 2020, and the result of the nucleic acid test for COVID-19 was negative. Her infant was asymptomatic and remained virus negative. Her laboratory findings and chest Computed Tomography imaging was normal. She was treated according to the national protocol with aerosolized interferon α2β, lopinavir/ritonavir and ribavirin. Her serum SARS-CoV-2 specific antibodies(IgG and IgM) tested positive when discharged. She returned to breastfeeding after discharge. Conclusion Our findings suggest that breastfeeding may be less of a risk than anticipated. Additional research is needed to explore this possibility.


2017 ◽  
Vol 2 (1) ◽  
pp. 127-133
Author(s):  
Rini Afrida ◽  
Edy Marsudi ◽  
Ismayani Ismayani

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PRODUKSI SUSU KAMBING PERAH PERANAKAN ETAWA (PE) DI DESA LIMPOK KECAMATAN DARUSSALAM KABUPATEN ACEH BESAR (STUDI KASUS DI UD. ATJEH LIVESTOCK FARM) OLEH Rini Afrida / Agribisnis Universitas Syiah Kuala  ABSTRAK Susu kambing perah merupakan komoditas yang cukup penting di Indonesia. Penelitian ini bertujuan untuk  Menganalisis pengaruh jumlah pemberian pakan hijauan dan  ampas tahu terhadap  produksi susu kambing perah di UD. Atjeh Livestock Farm yang berada  di Desa Limpok Kecamatan Darussalam Kabupaten Aceh Besar. Metode penelitian yang digunakan adalah metode studi kasus dengan objek penelitian seluruh kambing perah peranakan etawa (PE) yang memproduksi susu di UD. Atjeh Livestock Farm. Metode analisis yang digunakan dalam penelitian ini adalah Model Cobb Douglas. Hasil penelitian menunjukkan bahwa variabel jumlah pakan hijauan dan ampas tahu mempunyai pengaruh nyata baik secara  serempak  maupun parsial terhadap produksi   susu, dimana diperoleh nilai dari uji serempak untuk   Fhit = 138.415 sedangkan untuk Ftabel = 3.98, karena nilai Fhit = 138.415   Ftabel = 3.98, maka kesimpulan yang dapat diambil adalah menolak H0. Artinya variabel hijauan  dan ampas tahu secara bersama – sama mempunyai pengaruh nyata terhadap produksi susu kambing perah, sedangkan dari uji parsial diperoleh nilai variabel hijauan untuk thitung = 4,016 sedangkan ttabelnya = 2,17881, karena nilai thitung= 4,016   ttabel = 2,17881, maka kesimpulan yang dapat diambil adalah menolak H0. Begitu juga untuk  variabel ampas tahu  diperoleh nilai untuk thitung =  2,255 sedangkan ttabelnya = 2,17881, karena nilai thitung = 2,255   ttabel = 2,17881, maka kesimpulan yang dapat diambil adalah menolak H0. Artinya  variabel hijauan maupun ampas tahu mempunyai pengaruh nyata terhadap produksi susu kambing perah.ANALYSIS OF THE FACTORS AFFECTING THE PRODUCTION OF GOAT MILK DAIRY CROSSBREED ETAWA (PE) IN THE LIMPOK VILLAGE SUB-DISTRICTS OF DARUSSALAM ACEH BESAR REGENCY(A Case Study in UD. Atjeh Livestock Farm)ABSTRACT Dairy goat milk is a commodity that is quite important in Indonesia. This study aimed to analyze the influence of the number of feeding forage and pulp out of the milk production of dairy goats in UD. Atjeh Livestock Farm that are in the Limpok village sub-district of Darussalam Aceh Besar regency. The method used is the case study method with the object of study throughout the dairy goat hybrid etawa (PE), which produces milk in UD. Atjeh Livestock Farm. The analytical method used in this study is a model Cobb Douglas. The results showed that the variable amount of green feed and tofu has a real influence both simultaneously and partially to the production of milk, which gained the value of simultaneous test for Fcount = 138.415 whereas for Ftable = 3.98, because the value Fcount = 138.415   Ftable = 3.98, the conclusions that can be drawn is to reject H 0. This means that the variable forages and pulp out together have a significant effect on the milk production of dairy goats, whereas the values obtained from the partial test variable forage for tcount = 4,016 whereas ttable = 2,17881, because the value of tcount= 4,016   ttable = 2,17881, the conclusions that can be drawn is to reject H 0. Likewise for variable pulp out obtained value for tcount =  2,255 whereas ttable  = 2,17881, because the value of tcount = 2,255   ttable = 2,17881, the conclusions that can be drawn is to reject H 0. This means that the variable forage or pulp out has a significant effect on the milk production of dairy goats.  


Author(s):  
D.J. Barker ◽  
D.A. Clark ◽  
E.R. Thom ◽  
J.N. Couchman ◽  
R.N. Burton ◽  
...  

A desirable option for increasing milk yield per farm is to increase milk production in summer without compromising peak-season production or the duration of lactation. The dairy industry has a goal to achieve a 4% per month post-peak decline of milk production. The effect of five pasture types and two summer water regimes on predicted farm milk yield, in Northland, Waikato, Manawatu and Canterbury was measured over 1 year. Two pasture treatments, resident pasture and Grasslands Nui ryegrass, were common to all sites. A third pasture treatment varied between sites: triple mix (Grasslands Advance tall fescue, Grasslands Kara cocksfoot, and Grasslands Maru phalaris) at the Manawatu site; the same triple mix but with Grasslands Raki paspalum at the Northland site; and low-endophyte ryegrass and Grasslands Kahu timothy (LER) at the Canterbury site; all sown treatments included red and white clover. All five pasture types were included at the Waikato site. On average for all pasture types, water deficit reduced summer herbage accumulation (HA) to 79, 68, 43 and 18% of irrigated controls, and annual HA to 88, 80, 73 and 63% of irrigated controls in Northland, Waikato, Manawatu and Canterbury, respectively. Since farm milk yield predicted by UDDER was highly correlated with annual HA (R2 = 83%), the effects of pasture type and water deficit on milk yield were similar to effects on HA. Seasonal and annual HA differed among the five pasture types at each of the four sites. The most important factor affecting predicted farm milk yield was annual HA, with relatively little effect from the seasonal pattern of pasture growth. Differences in shapes of the predicted milk supply curves for various treatments occurred, particularly when drought forced early drying-off. The best predicted summer milk yield was for the Canterbury irrigated LER pasture treatment, a 6.8% per month postpeak decline of milk production. Keywords: farm milk yield, farm system modelling, forage supply, pasture species, water deficit


Author(s):  
Najmudin Najmudin

The results shows that there are changes of social capital of dairy farmers groups in the process of institutionalization of SAMESTA cooperatives. The change is the impact of the conditions of Indonesian dairy. These changes occur in several elements of social capital, as follows: (1) Value, as a guide and reinforcement of farmers’ positive behavior. The existing values among farmers are klangenan (like), titen (scrutinize deeply), honesty, and togetherness. These values ​​become the fuel that forces the farmers to relate each other and realize the more transparent and fairer cooperative. This case shows the influence of cultural values ​​on the farmers’ economic behavior. They calculate inputs and outputs, and make some adjustments to prevent them from losing and calculate the standard number of cows that they have. (2) Trust changes positively, especially by raising the milk price from farmers, although it gives a risk to the cooperative income. This decision is expected to increase the farmers' ethos, thus impacts on the increase of milk production. (3) Networks, in which the relationship between farmers firstly occurs in hamlet area, then it extends the network beyond those limits. Farmers from different villages are connected naturally. This inter-subject's relationship occurs due to the same goals, which are wishes to be more dignified, prosperous, and get fair treatment.


2020 ◽  
pp. 29-35
Author(s):  
Vladimir K. Lyadov ◽  
Vasiliy A. Pushkaryov ◽  
Ekaterina V. Cherepanova ◽  
R.R. Faiskhanova ◽  
Rinat R. Urazin

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