A Review of Quantitative Instruments for Understanding Breastfeeding Dynamics,Global Challenges

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A Review of Quantitative Instruments for Understanding Breastfeeding Dynamics
Global Challenges ( IF 4.4 ) Pub Date : 2021-07-20 , DOI: 10.1002/gch2.202100019
Matin Torabinia _{1,

2} , Steven D Rosenblatt ₃ , Bobak Mosadegh _{1,

2}

Affiliation

Breastfeeding, as a unique behavior of the postpartum period and an ideal source of nourishment, is profoundly impacted by the physiology and behavior of both mothers and infants. For more than three-quarters of a century, there has been an ongoing advancement of instruments that permit insight into the complex process of latching during breastfeeding, which includes coordinating sucking, swallowing, and breathing. Despite the available methodologies for understanding latching dynamics, there continues to be a large void in the understanding of infant latching and feeding. The causes for many breastfeeding difficulties remain unclear, and until a clearer understanding of the mechanics involved is achieved, the struggle will continue in the attempts to aid infants and mothers who struggle to breastfeed. In this review, the history of development for the most prominent tools employed to analyze breastfeeding dynamics is presented. Additionally, the importance of the most advanced instruments and systems used to understand latching dynamics is highlighted and how medical practitioners utilize them is reported. Finally, a controversial argument amongst pediatric otolaryngolo gists concerning breastfeeding difficulties is reviewed and the urgent need for quantification of latching dynamics in conjunction with milk removal rate through prospective controlled studies is discussed.

中文翻译：

了解母乳喂养动态的定量仪器综述

母乳喂养作为产后的一种独特行为和理想的营养来源，深受母亲和婴儿的生理和行为的影响。四分之三个多世纪以来，仪器不断进步，可以深入了解母乳喂养期间复杂的衔乳过程，其中包括协调吸吮、吞咽和呼吸。尽管有可用的方法来理解衔乳动态，但对婴儿衔乳和喂养的理解仍然存在很大空白。许多母乳喂养困难的原因仍不清楚，在更清楚地了解所涉及的机制之前，我们将继续努力帮助有母乳喂养困难的婴儿和母亲。在这篇综述中，介绍了用于分析母乳喂养动态的最重要工具的发展历史。此外，还强调了用于理解闭锁动力学的最先进仪器和系统的重要性，并报告了医生如何利用它们。最后，回顾了儿科耳鼻喉科医生中关于母乳喂养困难的一个有争议的论点，并讨论了通过前瞻性对照研究量化衔乳动态与乳汁排出率的迫切需要。

更新日期：2021-07-20

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