Submitted to: Meeting Proceedings
Publication Type: Proceedings
Publication Acceptance Date: 4/1/2003
Publication Date: 4/1/2003
Citation: Hopkinson, J. 2003. Maternal and Infant Anatomy Impact Breastfeeding. In: (Berens, P., Brun, E., Edwards, R., Ellis, S., Hopkinson, J., Sullivan, H., eds.) Principals of Lactation Management. April 2003, Austin, TX. p. 11-19. Meeting Proceedings. Interpretive Summary: Not required for meeting proceedings.
Technical Abstract: The chapter reviews (in powerpoint presentation format) features of breast anatomy and features of infant oral anatomy that impact breastfeeding. Development of the mammary gland is described from infancy through post-lactational involution together with hormonal variations triggering specific changes. Normal and abnormal variations in external breast anatomy are described together with their impact on breastfeeding success. The site of production and movement of milk through the breast is portrayed visually. Principles underlying removal of milk from the mammary gland are explained. This information is incorporated in an activity designed to increase clinical skills in management of engorged breasts. The role of internal anatomical features of the mammary gland is reviewed. Development of infant oral-motor functioning is described. Sucking, breathing, and swallowing behaviors characteristic of various stages of oral motor maturation are discussed together with implications for clinical management of breastfeeding in premature, term, and compromised infants.