Influence of lactation and nutrition on health of nursing woman

Lactation contributes to the recovery of the mother after pregnancy and can affect many aspects of maternal health later in life. The short-term benefits of breastfeeding are associated with faster postpartum psychological and emotional recovery. In the long term, lactation reduces the risk of breast, ovarian and endometrial cancer, as well as a number of other diseases, more if exclusive breastfeeding continues for six months or more. Inappropriate nutrition of a nursing mother is one of the most destructive factors for her health. It is also important to remember that the amount of milk depends on the frequency of breastfeeding, and there is no evidence for foods, herbs or medications to prolong lactation or increase milk volume. A varied, balanced diet, including natural and specialized foods for nursing mothers, as well as dietary supplements, sources of vitamins and minerals, can ensure that the mother is consuming enough nutrients for both herself and her baby.

Agomelatine for postpartum depression and breastfeeding

Postpartum depression (PPD) is a common and serious mental health problem that is associated with maternal suffering and numerous negative consequences for offspring. The benefit of breastfeeding for the infant and mother is well documented; therefore, the information about the risk–benefit of antidepressants, if used while mothers are breastfeeding, is necessary for the clinician’s decision. The case series and systematic data on antidepressants in breastfeeding consist mainly of selective serotonin reuptake inhibitors (SSRIs), serotonin–norepinephrine reuptake inhibitors (SNRIs), and mirtazapine, whereas information on newer antidepressants such as agomelatine in pregnant or lactating women is rare, especially the adverse effects on the infant of the mother with PPD treated with agomelatine. To add to the limited available data, we report the case of agomelatine treatment in a breastfeeding woman with PPD. In this case report, we took advantage of the short half-life of agomelatine to reduce the potential effect on infant in the treatment of a nursing woman with PPD. The results confirm the effectiveness of agomelatine in the treatment of PPD and demonstrate the safety in breastfeeding.

**C252** Chap. 9.

This chapter includes a series of unusual cases from Maine, New Hampshire, Massachusetts, Georgia, London, and Paris. A twenty-five-year-old Maine woman with the usual symptoms of pulmonary consumption developed postpartum chest pains and a swollen leg, was treated, and all symptoms resolved. A twenty-year-old physician from New Hampshire was subject to frequent and profuse hemoptysis, up to a pint of blood at a time. Besides frequent bloodletting to obviate plethora, he conceived of the idea of the efficacy of breast milk. Of every nursing woman whom he met, he solicited permission to draw her breasts. After a year of little or no other nourishment, except cow’s milk when he could not find a supply of breast milk, he had become nearly free from hemoptysis. He died at the age of fifty-seven. An 1822 case of chest surgery and rib-resection for infection in Augusta, Georgia, was reported in the New England Journal of Medicine.

THE IMPLEMENTATION OF FASTING FIDYAH ACCORDING TO IMAM SYAFI’I IN PAYA GELI VILLAGE OF SUNGGAL DISTRICT DELI SERDANG

But there’s a scripture deduction in Al- Baqarah (184) : Meaning : “And upon those who are able (to fast, but with hardship) a ransom ( as suitable) offeeding a poor person (each day).” This verse explained that Rukhsah was given byAllah for certain person. Study of fasting fidyah according to Imam Syafi”i are: (a)senile person cause Elderly; (b) a prolonged illness that can’t possibly cure, (c).Pregnant and nursing woman who are worried for their children. (d) died person andhave a fasting load that wasn’t on Qada in his lifetime.

Tratamiento de leishmaniasis cutánea andina con ketoconazol en dos zonas de alta incidencia del Departamento de Amazonas: Reporte de Casos.

To report the use of Ketoconazole as alternative treatment for Andean Cutaneous Leishmaniasis (ACL) in two high incidence zones in Amazonas Department. Methods: It was considered patients with confirmed diagnosis of ACL whom there were difficulties for the administration of Pentavalent Antimonials. It was not considered patients below 2 years old, pregnant or nursing woman and patients with wounds bigger than 5 cm. diameter. Patients above 12 years old received Ketoconazole 600 mg. daily for 28 days; patients below 12 years old received only 200 mg. It was made clinical follow-up weekly during the treatment. There were treated 2 patients above and 2 patients below 12 years old. The two younger and one of the older had not been received any previous medical treatment, the other one had been received two previous courses of Glucantime®. The treatment was successful in the 4 cases. It was made clinical follow-up for 3 months in the younger patients and it was observed complete healing and absence of new lesions. Ketoconazole, 600 mg. daily for 28 days for below 12 years old patients and 200 mg. daily for above 12 years old patients could be considered an alternative treatment for ACL in Inguilpata and Yerbabuena Districts; in patients with or without previous Pentavalent Antimonials Treatments. ( Rev Med Hered 2002; 13: 144-147 )

Slav beliefs on changelings

Beliefs and legends that certain mythological creatures - fairies, witches, the devil, (vile, vestice, djavo, boginka, mamuna, baenik, domovoj, leshi) etc. can take away the child from the mother and exchange it for its own in the image of the abducted child, are widespread with the West and East Slavs, while with the South Slavs they are found only in the northern parts, in Pannonia. Such demonic child is most often called: podmece (with the Serbs), podvrsce (with the Croats), podmenek (with the Slovenians), odmienjec (with the Poles), odminok (with the Ukrainians), obmen (with the Russians), etc. According to the folk beliefs, a changeling differs from the other children by its sluggish growth, voraciousness, and persistent desire to harm or spite other members of the household. Slav legends mention the ways of stealing the human and planting the demonic child (a), recognizing the demonic child (b), and disposing of it and restoring the rightful child (c). In order to prevent the demon from exchanging her child, the mother must observe certain rules of conduct during pregnancy and in the 40 days following the childbirth. Certain measures of magical protection are also undertaken, as: placing sharp iron objects near the nursing woman, then brooms, leaving the candle to burn all night, burning frankincense in her presence, sprinkling her with holy water, etc. The legends on changelings were most probably adopted by the Slavs from the neighboring western peoples (Germans), and included in the already present beliefs that the birth of a child is a gift from the other world, and that the mother must take great care of the gift and be grateful for it. Otherwise, the one bestowing the gift may take it away as well.