Measures of Secretory Activation for Research and Practice: An Integrative Review.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Clarisa Medina PoelinizPaula Meier

Abstract

Background: Maternal concern about inadequate milk volume commonly emerges in the first 2 weeks postpartum, a critical lactation period that includes secretory activation. This review summarizes the biology of secretory activation and evaluates the accuracy and feasibility of published measures of secretory activation. Materials and Methods: A systematic search of measures of secretory activation for mothers of healthy term and preterm infants yielded 62 abstracts. Following additional screening, 15 publications qualified for quantitative synthesis review and were evaluated with respect to accuracy (validated with another measure of secretory activation in the same mother) and feasibility (accessibility, cost, and ease of use). Results: Maternal perception of milk coming in (MP) is the most feasible measure, but its accuracy has not been established. Patterns of increase in maternal milk volume have been validated with maternal milk-borne biomarkers in breastfeeding, and breast pump-dependent mothers and normal values have been published. Accuracy of serial maternal urinary lactose concentrations has not been established for secretory activation and lacks feasibility. Maternal milk biomarkers are the accurate standard to which ...Continue Reading

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Citations

Dec 17, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Anita Esquerra-ZwiersAloka L Patel
Sep 12, 2020·The Journal of Pediatrics·Rebecca HobanPaula P Meier
Jan 12, 2021·Seminars in Perinatology·Rebecca HobanAloka L Patel
Feb 16, 2021·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Rebecca HobanCaroline Currie
Jul 29, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Anita Esquerra-ZwiersChing Tat Lai
Aug 7, 2021·Clinics in Perinatology·Isabelle Von Kohorn, Valerie Flaherman
Aug 18, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Nina A Juntereal, Diane L Spatz

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