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Musculoskeletal Impairment: Causes of Pain with Breastfeeding Insight into 11 Cases / Christiane Charette in Breastfeeding Medicine, Vol. 14, n°8 (Octobre 2019)
Titre : Musculoskeletal Impairment: Causes of Pain with Breastfeeding Insight into 11 Cases Type de document : texte imprimé Auteurs : Christiane Charette, Auteur ; Liette Théroux, Auteur Année de publication : 2019 Article en page(s) : pp.603-608 Langues : Anglais (eng) Catégories : Douleur
Pathologie du système ostéoarticulaire
Prise en charge de la douleur
Mots-clés : Trouble musculosquelettique tms Note de contenu : "Objective: To determine the possible relationship between pain experienced by mothers with breastfeeding and musculoskeletal impairment commonly seen in physiotherapy practice. Evidence-based principles of the evaluation and treatment of musculoskeletal impairment used in physiotherapy practice were applied and adapted to manage pain experienced by mothers with breastfeeding.
Subjects and Methods: This report describes 11 mothers referred to a breastfeeding clinic for pain with breastfeeding. Mothers were initially assessed by a physician and a nurse clinician, both International Board-Certified Lactation Consultants, to rule out causes of breast or nipple pain. When the cause remained unexplained, it was deemed musculoskeletal, and mothers were referred to a physiotherapist for assessment and treatment with manual orthopedic therapy and mobilization of the myofascial system."
[extrait de l'article]
in Breastfeeding Medicine > Vol. 14, n°8 (Octobre 2019) . - pp.603-608[article]Site-Specific Onset of Low Bone Density and Correlation of Bone Turnover Markers in Exclusive Breastfeeding Mothers / Jarinthorn Teerapornpuntakit in Breastfeeding Medicine, Vol. 12, n°6 (Juillet - Août 2017)
Titre : Site-Specific Onset of Low Bone Density and Correlation of Bone Turnover Markers in Exclusive Breastfeeding Mothers Type de document : texte imprimé Auteurs : Jarinthorn Teerapornpuntakit, Auteur ; Pharuhas Chanprapaph, Auteur ; Nitsara Karoonuthaisiri, Auteur Année de publication : 2017 Article en page(s) : pp. 331-337 Langues : Anglais (eng) Catégories : Calcium
Pathologie du système ostéoarticulaire
Physiologie de l'appareil locomoteur
Résumé : "Purpose: Lactation often affects calcium metabolism and induces bone loss. Calcium supplementation and a high calcium diet are recommended to prevent bone loss, especially during inadequate calcium intake. Our study aimed at determining bone loss in breastfeeding mothers, and if it occurred, whether it was site specific and there were correlations between serum bone turnover markers.
Materials and Methods: Since the 6-month exclusive breastfeeding is usually recommended in several countries, our study examined bone mineral density (BMD) in early (1–2 month), mid (3–4 month)-, and late (5–6 month) lactation compared with nonpregnant, nonlactating control women. Site-specific bone loss was monitored in lumbar vertebrae and femora. Bone turnover markers, that is, C-terminal telopeptide of type 1 collagen and N-terminal propeptide of type 1 collagen (P1NP), were determined by electrochemiluminescence immunoassays.
Results: The onset of bone loss in exclusive breastfeeding mothers was site specific, for example, in the lumbar bone at mid-lactation and in the femoral bone in late lactation. Serum ionized calcium levels in late lactation were lower than the normal levels. In addition, a correlation was found between bone turnover marker, P1NP, and femoral BMD.
Conclusions: The onset of bone loss in exclusive breastfeeding mothers was site specific, and the lumbar bone was a vulnerable and perhaps better representative site for bone loss detection. It was suggested that the optimal starting time for calcium supplementation should be before the mid-lactation when the bone loss was observed. In addition, the biochemical marker that best predicted the onset of bone loss in lactating women was P1NP." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°6 (Juillet - Août 2017) . - pp. 331-337[article]