Clinical Pearl

AAP’s Relationship with Formula Companies

AAP’s Relationship with Formula Companies

This Clinical Pearl comes from Rob Revelette MD, PhD, FAAP. Dr. Revelette is a pediatrician and former president of the Kentucky Chapter of the American Academy of Pediatrics (AAP). In his following essay, Dr. Revelette outlines and questions the AAP's relationship...

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AAP’s Relationship with Formula Companies

Sweetening our approach to neonatal hypoglycemia

Looking for a non-invasive, formula-free, and effective approach to treating transient neonatal hypoglycemia? Use of 40% oral glucose gel has been shown to reduce NICU admission, appropriately treat transient neonatal hypoglycemia, be well tolerated, been shown as...

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Insufficient breastmilk: The Zinc connection

Insufficient breastmilk: The Zinc connection

You've tried everything to help a mother make more milk, but nothing seems to be working. Maybe it's genetic. Genetic variations in the ZnT2 transport mechanism may be the culprit. Zinc is essential to many cellular processes, including the synthesis of breastmilk. ...

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Insufficient breastmilk: The Zinc connection

Can mastitis be prevented?

Mastitis is always an unwelcome guest for breastfeeding mothers. New treatments for mastitis involving the administration of probiotics instead of antibiotics have been successfully used to outsmart bacterial multiresistance to antibiotics, biofilm formation, and...

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Insufficient breastmilk: The Zinc connection

Hand-ily Increase Fat Content in Early Milk

Breastmilk obtained within the first 48–72 hours after delivery by manual expression contains a higher fat content than breastmilk obtained by an electric pump.  The higher fat content of manually expressed breastmilk during the first 72 hours following delivery may...

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Emu Oil May Enhance Areolar Hydration

Emu Oil May Enhance Areolar Hydration

 According to a recent article in the Journal of Evidence-Based Complementary and Alternative Medicine, prophylactic application of emu oil improves areolar skin barrier function that can help prevent sore nipples. Appropriate areolar hydration serves as one of a...

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Insufficient breastmilk: The Zinc connection

Delivering Vitamin D

It may not be the breastmilk that has a vitamin D deficiency, but the dietary vitamin D recommendation for the lactating mother! The common notion that low concentrations of vitamin D in human milk is a defect in design has prompted the recommendation for vitamin D...

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AAP’s Relationship with Formula Companies

Syncopated Sucking

Did you know...live, organized, entrained, rhythmic sounds or music can improve sustained sucking patterns in term and preterm infants! Akca & Aytekin (2014) studied the effect of soothing noise on the sucking outcomes of full term infants as measured on the LATCH...

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AAP’s Relationship with Formula Companies

Seeing yellow—the eyes have it!

Just how long should jaundice last in a breastfed baby? Should we jump to intervene after 1 week, 2 weeks, 3 weeks? Researchers (1) have shown that it is normal for 20% to 30% of predominantly breastfed newborns to be jaundiced at 3 to 4 weeks and for 30% to 40% of...

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