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Traditionally, breastfeeding has been defined as the consumption of breastmilk by any means, be it directly at the breast, or feeding expressed breast milk. [3] When direct feeding at the breast is not possible, expressed breast milk retains many unique nutritional and immunological qualities, and as such remains the gold standard for feeding infants. [4]
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"Pump and dump" refers to the practice of disposing of breast milk rather than pumping it to be used. This may be done because the mother produces too much milk, or because the mother will be away from the baby too long without a way to store the milk, or because of concern over alcohol or some other substance that the baby should not have. [18]
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Breast milk supply augments in response to the baby's demand for milk, and decreases when milk is allowed to remain in the breasts. [ 10 ] : 18–21 [ 10 ] : 27–34 [ 22 ] [ 10 ] : 72–80 [ 117 ] When considering a possibly low milk supply, it is important to consider the difference between "perceived low milk supply" and "true low milk supply".
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One-third of these mothers return to work within 3 months after giving birth and two-thirds return within 6 months. Working outside the home is related to a shorter duration of breastfeeding, and intentions to work full-time are significantly associated with lower rates of breastfeeding initiation and shorter duration.
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