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    <meta name="author" content="Denise Fisher" />
    <meta name="course" content="ES12" />
    <meta name="topic" content="contents" />
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    <meta name="copyright" content="2011 Health e-Learning" />
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    <title>Course contents</title>
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    <div id="content">
      <h1>Course contents</h1>
      <h2>Introduction</h2>
      <ol>
        <li>
          <a href="topic_0-1.html">1 Introduction</a>
        </li>
      </ol>
      <h2>Case Study A (Joanne)</h2>
      <ol>
        <li>
          <a href="topic_1-0.html">1 Case Study A (Joanne)</a>
        </li>
      </ol>
      <h2>Discussing breastfeeding</h2>
      <ol>
        <li>
          <a href="topic_1-1.html">1 Discussing breastfeeding</a>
        </li>
      </ol>
      <h2>What information to give</h2>
      <ol>
        <li>1 <a href="topic_1-2.html#Disadvantages_of_Breast_Milk_Substitutes">Disadvantages of Breast Milk Substitutes</a></li>
      </ol>
      <h2>Effects of Breastfeeding alternatives</h2>
      <ol>
        <li>
          <a href="topic_1-3.html">1 Effects of Breastfeeding alternatives</a>
        </li>
      </ol>
      <h2>Common breastfeeding concerns</h2>
      <ol>
        <li>1 <a href="topic_1-4.html#"></a><ol><li>1.1 <a href="topic_1-4.html#"></a><ol><li>1.1.1 <a href="topic_1-4.html#Encourage_acquiring_knowledge_and_support_networks">Encourage acquiring knowledge and support networks</a><ol><li>1.1.1.1 <a href="topic_1-4.html#"></a></li></ol></li><li>1.1.2 <a href="topic_1-4.html#Discuss_the_most_appropriate_outcome_depending_on_individual_circumstances">Discuss the most appropriate outcome depending on individual circumstances</a><ol><li>1.1.2.1 <a href="topic_1-4.html#"></a></li></ol></li><li>1.1.3 <a href="topic_1-4.html#Encourage_both_parents_to_develop_their_own_unique_roles">Encourage both parents to develop their own unique roles</a><ol><li>1.1.3.1 <a href="topic_1-4.html#"></a></li></ol></li><li>1.1.4 <a href="topic_1-4.html#Support_breastfeeding_with_confidence_anywhere_the_mother_and_baby_may_be">Support breastfeeding with confidence, anywhere the mother and baby may be</a><ol><li>1.1.4.1 <a href="topic_1-4.html#"></a></li></ol></li><li>1.1.5 <a href="topic_1-4.html#Assist_women_to_quit_smoking_and_limit_alcohol_intake_while_breastfeeding_but_it_s_better_to_be_breastfed_than_formula_fed_even_if_the_mother_smokes.">Assist women to quit smoking and limit alcohol intake while breastfeeding, but it's better to be breastfed than formula fed even if the mother smokes.</a><ol><li>1.1.5.1 <a href="topic_1-4.html#"></a></li></ol></li><li>1.1.6 <a href="topic_1-4.html#Discuss_healthy_eating_for_maternal_well-being">Discuss healthy eating for maternal well-being</a><ol><li>1.1.6.1 <a href="topic_1-4.html#"></a></li></ol></li></ol></li></ol></li>
      </ol>
      <h2>Breast examination</h2>
      <ol>
        <li>1 <a href="topic_1-5.html#"></a></li>
        <li>2 <a href="topic_1-5.html#What_anatomical_variations_would_give_rise_to_concerns_">What anatomical variations would give rise to concerns?</a></li>
      </ol>
      <h2>Contraindications to breastfeeding</h2>
      <ol>
        <li>1 <a href="topic_1-6.html#"></a><ol><li>1.1 <a href="topic_1-6.html#Active_tuberculosis">Active tuberculosis</a><ol><li>1.1.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.2 <a href="topic_1-6.html#HIV">HIV</a><ol><li>1.2.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.3 <a href="topic_1-6.html#Human_T-cell_Leukaemia_Virus_Type_1">Human T-cell Leukaemia Virus Type 1</a><ol><li>1.3.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.4 <a href="topic_1-6.html#Brucellosis">Brucellosis</a><ol><li>1.4.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.5 <a href="topic_1-6.html#Medications">Medications</a><ol><li>1.5.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.6 <a href="topic_1-6.html#Illicit_drug_use">Illicit drug use</a><ol><li>1.6.1 <a href="topic_1-6.html#"></a></li></ol></li><li>1.7 <a href="topic_1-6.html#Classic_galactosaemia_and_some_inborn_errors_of_metabolism_in_the_infant">Classic galactosaemia and some inborn errors of metabolism in the infant</a><ol><li>1.7.1 <a href="topic_1-6.html#"></a></li></ol></li></ol></li>
        <li>2 <a href="topic_1-6.html#Conditions_that_are_NOT_a_contraindication_to_breastfeeding.">Conditions that are NOT a contraindication to breastfeeding.</a><ol><li>2.1 <a href="topic_1-6.html#Hepatitis_B">Hepatitis B</a><ol><li>2.1.1 <a href="topic_1-6.html#"></a></li></ol></li><li>2.2 <a href="topic_1-6.html#Hepatitis_C">Hepatitis C</a><ol><li>2.2.1 <a href="topic_1-6.html#"></a></li></ol></li><li>2.3 <a href="topic_1-6.html#Pregnancy">Pregnancy</a><ol><li>2.3.1 <a href="topic_1-6.html#"></a></li></ol></li></ol></li>
      </ol>
      <h2>Conditions related to lactation outcomes</h2>
      <ol>
        <li>
          <a href="topic_1-7.html">1 Conditions related to lactation outcomes</a>
        </li>
      </ol>
      <h2>Medications</h2>
      <ol>
        <li>
          <a href="topic_1-8.html">1 Medications</a>
        </li>
      </ol>
      <h2>Case Study B (Joanne)</h2>
      <ol>
        <li>
          <a href="topic_2-0.html">1 Case Study B (Joanne)</a>
        </li>
      </ol>
      <h2>Preparation Before Birth</h2>
      <ol>
        <li>
          <a href="topic_2-1.html">1 Preparation Before Birth</a>
        </li>
      </ol>
      <h2>Birthing Factors that Affect Breastfeeding</h2>
      <ol>
        <li>1 <a href="topic_2-2.html#Labour_Analgesia">Labour Analgesia</a></li>
        <li>2 <a href="topic_2-2.html#Near-term_Birth">Near-term Birth</a></li>
      </ol>
      <h2>Management After Birth</h2>
      <ol>
        <li>1 <a href="topic_2-3.html#Step_4_-_Place_Rosie_in_skin-to-skin_contact">Step 4 - Place Rosie in skin-to-skin contact</a></li>
        <li>2 <a href="topic_2-3.html#Step_5_-_Show_Joanne_how_to_breastfeed_and_how_to_maintain_lactation_even_if_she_should_be_separated_from_Rosie">Step 5 - Show Joanne how to breastfeed and how to maintain lactation even if she should be separated from Rosie</a></li>
        <li>3 <a href="topic_2-3.html#Step_6_-_Give_Rosie_no_food_or_drink_other_than_breastmilk_unless_medically_indicated">Step 6 - Give Rosie no food or drink other than breastmilk, unless medically indicated</a></li>
        <li>4 <a href="topic_2-3.html#Step_7_-_Practice_rooming-in_allow_Joanne_and_Rosie_to_remain_together_24_hours_a_day">Step 7 - Practice rooming-in, allow Joanne and Rosie to remain together 24 hours a day</a></li>
        <li>5 <a href="topic_2-3.html#Step_8_-_Encourage_breastfeeding_on_demand">Step 8 - Encourage breastfeeding on demand</a></li>
        <li>6 <a href="topic_2-3.html#Step_9_-_Give_Rosie_no_artificial_teats_or_dummies">Step 9 - Give Rosie no artificial teats or dummies</a></li>
      </ol>
      <h2>Poor Attachment</h2>
      <ol>
        <li>
          <a href="topic_2-4.html">1 Poor Attachment</a>
        </li>
      </ol>
      <h2>Hypoglycaemia</h2>
      <ol>
        <li>1 <a href="topic_2-5.html#Which_infants_are_at_risk_and_should_be_monitored_">Which infants are at risk and should be monitored?</a></li>
        <li>2 <a href="topic_2-5.html#About_Hypoglycaemia">About Hypoglycaemia</a><ol><li>2.1 <a href="topic_2-5.html#Treatment">Treatment</a></li></ol></li>
      </ol>
      <h2>Relationship between Jaundice and Breastfeeding</h2>
      <ol>
        <li>1 <a href="topic_2-6.html#Would_there_be_any_concern_about_Rosie_developing_jaundice_at_this_time_">Would there be any concern about Rosie developing jaundice at this time?</a></li>
      </ol>
      <h2>Case Study C (Joanne)</h2>
      <ol>
        <li>
          <a href="topic_3-0.html">1 Case Study C (Joanne)</a>
        </li>
      </ol>
      <h2>Early problems</h2>
      <ol>
        <li>
          <a href="topic_3-1.html">1 Early problems</a>
        </li>
      </ol>
      <h2>Risk of SIDS</h2>
      <ol>
        <li>
          <a href="topic_3-2.html">1 Risk of SIDS</a>
        </li>
      </ol>
      <h2>Contraception</h2>
      <ol>
        <li>
          <a href="topic_3-3.html">1 Contraception</a>
        </li>
      </ol>
      <h2>Milk composition</h2>
      <ol>
        <li>1 <a href="topic_3-4.html#Breastmilk_Composition">Breastmilk Composition</a><ol><li>1.1 <a href="topic_3-4.html#Carbohydrates">Carbohydrates</a><ol><li>1.1.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.2 <a href="topic_3-4.html#Protein_and_non-protein_nitrogen">Protein and non-protein nitrogen</a><ol><li>1.2.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.3 <a href="topic_3-4.html#Fat">Fat</a><ol><li>1.3.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.4 <a href="topic_3-4.html#Vitamins">Vitamins</a><ol><li>1.4.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.5 <a href="topic_3-4.html#Minerals">Minerals</a><ol><li>1.5.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.6 <a href="topic_3-4.html#Changes_in_milk_composition">Changes in milk composition</a><ol><li>1.6.1 <a href="topic_3-4.html#"></a></li></ol></li><li>1.7 <a href="topic_3-4.html#Milk_yield">Milk yield</a><ol><li>1.7.1 <a href="topic_3-4.html#"></a></li></ol></li></ol></li>
      </ol>
      <h2>Slowing of growth</h2>
      <ol>
        <li>
          <a href="topic_3-5.html">1 Slowing of growth</a>
        </li>
      </ol>
      <h2>Introducing solids</h2>
      <ol>
        <li>
          <a href="topic_3-6.html">1 Introducing solids</a>
        </li>
      </ol>
      <h2>Weaning</h2>
      <ol>
        <li>
          <a href="topic_3-7.html">1 Weaning</a>
        </li>
      </ol>
      <h2>Case Study D (Sally)</h2>
      <ol>
        <li>
          <a href="topic_4-0.html">1 Case Study D (Sally)</a>
        </li>
      </ol>
      <h2>Initial assessment</h2>
      <ol>
        <li>1 <a href="topic_4-1.html#"></a><ol><li>1.1 <a href="topic_4-1.html#Questions_related_to_adequacy_of_breast_milk_intake_in_the_infant">Questions related to adequacy of breast milk intake in the infant</a><ol><li>1.1.1 <a href="topic_4-1.html#"></a></li></ol></li><li>1.2 <a href="topic_4-1.html#Questions_about_breast_or_nipple_problems_and_maternal_confidence">Questions about breast or nipple problems and maternal confidence</a><ol><li>1.2.1 <a href="topic_4-1.html#"></a></li></ol></li><li>1.3 <a href="topic_4-1.html#Infant_examination">Infant examination</a><ol><li>1.3.1 <a href="topic_4-1.html#"></a></li></ol></li></ol></li>
      </ol>
      <h2>Milk production</h2>
      <ol>
        <li>1 <a href="topic_4-2.html#What_initiates_and_controls_milk_production_">What initiates and controls milk production?</a></li>
        <li>2 <a href="topic_4-2.html#Risk_factors_for_a_delay_in_Lactogenesis_II">Risk factors for a delay in Lactogenesis II</a></li>
      </ol>
      <h2>Causes of inadequate infant growth</h2>
      <ol>
        <li>1 <a href="topic_4-3.html#"></a><ol><li>1.1 <a href="topic_4-3.html#Reduced_milk_intake_due_to_feeding_patterns_or_routines">Reduced milk intake due to feeding patterns or routines</a><ol><li>1.1.1 <a href="topic_4-3.html#"></a></li></ol></li><li>1.2 <a href="topic_4-3.html#Low_milk_supply">Low milk supply</a><ol><li>1.2.1 <a href="topic_4-3.html#"></a></li></ol></li><li>1.3 <a href="topic_4-3.html#Difficulty_transferring_milk">Difficulty transferring milk</a><ol><li>1.3.1 <a href="topic_4-3.html#"></a></li></ol></li><li>1.4 <a href="topic_4-3.html#Increased_energy_expenditure">Increased energy expenditure</a><ol><li>1.4.1 <a href="topic_4-3.html#"></a></li></ol></li></ol></li>
      </ol>
      <h2>Increasing milk supply</h2>
      <ol>
        <li>1 <a href="topic_4-4.html#Increase_breast_drainage">Increase breast drainage</a></li>
        <li>2 <a href="topic_4-4.html#Food_and_rest">Food and rest</a></li>
        <li>3 <a href="topic_4-4.html#Galactagogues">Galactagogues</a></li>
        <li>4 <a href="topic_4-4.html#Supplementation">Supplementation</a></li>
      </ol>
      <h2>Case Study E (Anna)</h2>
      <ol>
        <li>
          <a href="topic_5-0.html">1 Case Study E (Anna)</a>
        </li>
      </ol>
      <h2>Sore nipples</h2>
      <ol>
        <li>1 <a href="topic_5-1.html#What_is_good_attachment_">What is good attachment?</a></li>
        <li>2 <a href="topic_5-1.html#What_to_look_for_when_assessing_positioning_and_attachment">What to look for when assessing positioning and attachment</a></li>
      </ol>
      <h2>Factors causing nipple damage</h2>
      <ol>
        <li>1 <a href="topic_5-2.html#Engorgement">Engorgement</a></li>
        <li>2 <a href="topic_5-2.html#Anatomical_variations_of_mother">Anatomical variations of mother</a></li>
        <li>3 <a href="topic_5-2.html#Anatomical_variations_of_the_infant">Anatomical variations of the infant</a></li>
        <li>4 <a href="topic_5-2.html#Neurological_issues_with_the_infant">Neurological issues with the infant</a></li>
        <li>5 <a href="topic_5-2.html#Inappropriate_use_of_lactation_aids">Inappropriate use of lactation aids</a></li>
        <li>6 <a href="topic_5-2.html#High_intra-oral_pressure">High intra-oral pressure</a></li>
      </ol>
      <h2>General treatment for sore nipples</h2>
      <ol>
        <li>1 <a href="topic_5-3.html#Assess_positioning_and_attachment">Assess positioning and attachment</a></li>
        <li>2 <a href="topic_5-3.html#Advice_about_breastfeeds">Advice about breastfeeds</a></li>
        <li>3 <a href="topic_5-3.html#Advice_about_nipple_treatment">Advice about nipple treatment</a></li>
        <li>4 <a href="topic_5-3.html#Lactation_aids">Lactation aids</a></li>
        <li>5 <a href="topic_5-3.html#Rest_nipples">Rest nipples</a></li>
      </ol>
      <h2>Further causes of nipple pain</h2>
      <ol>
        <li>1 <a href="topic_5-4.html#Infection">Infection</a></li>
        <li>2 <a href="topic_5-4.html#Vasospasm">Vasospasm</a></li>
        <li>3 <a href="topic_5-4.html#Other_dermatological_conditions">Other dermatological conditions</a></li>
      </ol>
      <h2>Mastitis – diagnosis</h2>
      <ol>
        <li>1 <a href="topic_5-5.html#What_may_predispose_Anna_to_developing_mastitis_">What may predispose Anna to developing mastitis?</a></li>
      </ol>
      <h2>Mastitis – treatment and complications</h2>
      <ol>
        <li>1 <a href="topic_5-6.html#Effective_milk_removal_breast_drainage">Effective milk removal/breast drainage</a><ol><li>1.1 <a href="topic_5-6.html#"></a><ol><li>1.1.1 <a href="topic_5-6.html#Analgesia">Analgesia</a><ol><li>1.1.1.1 <a href="topic_5-6.html#"></a></li></ol></li><li>1.1.2 <a href="topic_5-6.html#Antibiotics">Antibiotics</a><ol><li>1.1.2.1 <a href="topic_5-6.html#"></a></li></ol></li><li>1.1.3 <a href="topic_5-6.html#Supportive_measures">Supportive measures</a><ol><li>1.1.3.1 <a href="topic_5-6.html#"></a></li></ol></li><li>1.1.4 <a href="topic_5-6.html#The_infant">The infant</a><ol><li>1.1.4.1 <a href="topic_5-6.html#"></a></li></ol></li></ol></li></ol></li>
        <li>2 <a href="topic_5-6.html#What_complications_may_arise_from_mastitis_">What complications may arise from mastitis?</a><ol><li>2.1 <a href="topic_5-6.html#"></a><ol><li>2.1.1 <a href="topic_5-6.html#Recurrent_mastitis">Recurrent mastitis</a><ol><li>2.1.1.1 <a href="topic_5-6.html#"></a></li></ol></li><li>2.1.2 <a href="topic_5-6.html#Candida_infection">Candida infection</a><ol><li>2.1.2.1 <a href="topic_5-6.html#"></a></li></ol></li></ol></li></ol></li>
        <li>3 <a href="topic_5-6.html#Occasionally_a_woman_with_mastitis_develops_a_breast_abscess._What_would_predispose_Anna_to_a_breast_abscess_">Occasionally, a woman with mastitis develops a breast abscess. What would predispose Anna to a breast abscess?</a></li>
        <li>4 <a href="topic_5-6.html#What_symptoms_or_signs_would_make_you_suspect_a_breast_abscess_">What symptoms or signs would make you suspect a breast abscess?</a></li>
        <li>5 <a href="topic_5-6.html#How_would_you_investigate_a_suspected_breast_abscess_and_what_would_be_the_most_appropriate_treatment_">How would you investigate a suspected breast abscess, and what would be the most appropriate treatment?</a><ol><li>5.1 <a href="topic_5-6.html#"></a><ol><li>5.1.1 <a href="topic_5-6.html#Ultrasound">Ultrasound</a><ol><li>5.1.1.1 <a href="topic_5-6.html#"></a></li></ol></li><li>5.1.2 <a href="topic_5-6.html#Abscess_drainage">Abscess drainage</a><ol><li>5.1.2.1 <a href="topic_5-6.html#"></a></li></ol></li><li>5.1.3 <a href="topic_5-6.html#Antibiotics">Antibiotics</a><ol><li>5.1.3.1 <a href="topic_5-6.html#"></a></li></ol></li><li>5.1.4 <a href="topic_5-6.html#Breast_emptying">Breast emptying</a><ol><li>5.1.4.1 <a href="topic_5-6.html#"></a></li></ol></li></ol></li></ol></li>
      </ol>
      <h2>In conclusion</h2>
      <ol>
        <li>
          <a href="topic_6-0.html">1 In conclusion</a>
        </li>
      </ol>
    </div>
    <div id="menu">
      <h1>Breastfeeding Essentials</h1>
      <ol>
        <li>0.1 <a href="topic_0-1.html">Introduction</a></li>
        <li>1.0 <a href="topic_1-0.html">Case Study A (Joanne)</a><ol><li>1.1 <a href="topic_1-1.html">Discussing breastfeeding</a></li><li>1.2 <a href="topic_1-2.html">What information to give</a></li><li>1.3 <a href="topic_1-3.html">Effects of Breastfeeding alternatives</a></li><li>1.4 <a href="topic_1-4.html">Common breastfeeding concerns</a></li><li>1.5 <a href="topic_1-5.html">Breast examination</a></li><li>1.6 <a href="topic_1-6.html">Contraindications to breastfeeding</a></li><li>1.7 <a href="topic_1-7.html">Conditions related to lactation outcomes</a></li><li>1.8 <a href="topic_1-8.html">Medications</a></li></ol></li>
        <li>2.0 <a href="topic_2-0.html">Case Study B (Joanne)</a><ol><li>2.1 <a href="topic_2-1.html">Preparation Before Birth</a></li><li>2.2 <a href="topic_2-2.html">Birthing Factors that Affect Breastfeeding</a></li><li>2.3 <a href="topic_2-3.html">Management After Birth</a></li><li>2.4 <a href="topic_2-4.html">Poor Attachment</a></li><li>2.5 <a href="topic_2-5.html">Hypoglycaemia</a></li><li>2.6 <a href="topic_2-6.html">Relationship between Jaundice and Breastfeeding</a></li></ol></li>
        <li>3.0 <a href="topic_3-0.html">Case Study C (Joanne)</a><ol><li>3.1 <a href="topic_3-1.html">Early problems</a></li><li>3.2 <a href="topic_3-2.html">Risk of SIDS</a></li><li>3.3 <a href="topic_3-3.html">Contraception</a></li><li>3.4 <a href="topic_3-4.html">Milk composition</a></li><li>3.5 <a href="topic_3-5.html">Slowing of growth</a></li><li>3.6 <a href="topic_3-6.html">Introducing solids</a></li><li>3.7 <a href="topic_3-7.html">Weaning</a></li></ol></li>
        <li>4.0 <a href="topic_4-0.html">Case Study D (Sally)</a><ol><li>4.1 <a href="topic_4-1.html">Initial assessment</a></li><li>4.2 <a href="topic_4-2.html">Milk production</a></li><li>4.3 <a href="topic_4-3.html">Causes of inadequate infant growth</a></li><li>4.4 <a href="topic_4-4.html">Increasing milk supply</a></li></ol></li>
        <li>5.0 <a href="topic_5-0.html">Case Study E (Anna)</a><ol><li>5.1 <a href="topic_5-1.html">Sore nipples</a></li><li>5.2 <a href="topic_5-2.html">Factors causing nipple damage</a></li><li>5.3 <a href="topic_5-3.html">General treatment for sore nipples</a></li><li>5.4 <a href="topic_5-4.html">Further causes of nipple pain</a></li><li>5.5 <a href="topic_5-5.html">Mastitis – diagnosis</a></li><li>5.6 <a href="topic_5-6.html">Mastitis – treatment and complications</a></li></ol></li>
        <li>6.0 <a href="topic_6-0.html">In conclusion</a><hr /></li>
        <li class="appendix"> <a href="references.html">List of references</a></li>
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        <li class="appendix"> <a href="full.html">Print version</a></li>
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