La Leche League International (LLLI) is a non-governmental, non-profit organization that organizes advocacy, education, and training related to breastfeeding. It is present in about 89 countries.
Christine Joy Maggiore was an HIV-positive activist and promoter of HIV/AIDS denialism. She was the founder of Alive & Well AIDS Alternatives, an organization which disputes the link between HIV and AIDS and urges HIV-positive pregnant women to avoid anti-HIV medication. Maggiore authored and self-published the book What If Everything You Thought You Knew about AIDS Was Wrong?
The history and culture of breastfeeding traces changing social, medical and legal attitudes to breastfeeding, the act of feeding a child breast milk directly from breast to mouth. Breastfeeding may be performed by the infant's mother or by a surrogate, typically called a wet nurse.
Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts. Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances, contraindicated.
Breastfeeding, or nursing, is the process where breast milk is fed to a child. Breast milk may be from the breast, or may be pumped and fed to the infant. The World Health Organization (WHO) recommend that breastfeeding begin within the first hour of a baby's birth and continue as the baby wants. Health organizations, including the WHO, recommend breastfeeding exclusively for six months. This means that no other foods or drinks, other than vitamin D, are typically given. The WHO recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 years and beyond. Of the 135 million babies born every year, only 42% are breastfed within the first hour of life, only 38% of mothers practice exclusive breastfeeding during the first six months, and 58% of mothers continue breastfeeding up to the age of two years and beyond.
The social attitudes toward and legal status of breastfeeding in public vary widely in cultures around the world. In many countries, both in the Global South and in a number of Western countries, breastfeeding babies in open view of the general public is common and generally not regarded as an issue. In many parts of the world including Australia, some parts of the United States and Europe, along with some countries in Asia, women have an explicit legal right to nurse in public and in the workplace.
Mary Fisher is an American political activist, artist and author. After contracting HIV from her second husband, she has become an outspoken HIV/AIDS-activist for the prevention, education and for the compassionate treatment of people with HIV and AIDS. Fisher is particularly noted for speeches before two Republican Conventions: Houston in 1992 and San Diego in 1996. The 1992 speech has been hailed as "one of the best American speeches of the 20th Century".
Breastfeeding promotion refers to coordinated activities and policies to promote health among women, newborns and infants through breastfeeding.
In Western countries extended breastfeeding usually means breastfeeding after the age of 12 to 24 months, depending on the culture.
Dysphoric milk ejection reflex (D-MER) is a condition in which women who breastfeed develop negative emotions that begin just before the milk ejection reflex and last less than a few minutes. It is different from postpartum depression, breastfeeding aversion response (BAR), or a dislike of breastfeeding. It has been described anecdotally many times, yet one of the earliest case studies on the condition was only published in 2011, and not much research was done prior to that. Even in 2021 when the first review of published literature was done the authors noted that health care providers were still "barely [able to] recognize D-MER."
Diana West is a leading lactation consultant and author specializing on the topic of breastfeeding.
HIV in pregnancy is the presence of an HIV/AIDS infection in a woman while she is pregnant. There is a risk of HIV transmission from mother to child in three primary situations: pregnancy, childbirth, and while breastfeeding. This topic is important because the risk of viral transmission can be significantly reduced with appropriate medical intervention, and without treatment HIV/AIDS can cause significant illness and death in both the mother and child. This is exemplified by data from The Centers for Disease Control (CDC): In the United States and Puerto Rico between the years of 2014–in utero who did not become infected and 244 exposed infants who did become infected.
Nils Bergman is a Swedish specialist in perinatal neuroscience and a promoter of skin-to-skin contact between a mother and newborn.
Breastfeeding by HIV-infected mothers is the practice of breastfeeding of HIV-infected mothers and include those who may want to or are currently breastfeeding. HIV can be transmitted to the infant through breastfeeding. The risk of transmission varies and depends on the viral load in the mother's milk. An infant can be infected with HIV throughout the duration of the pregnancy or during childbirth (intrapartum).
The maternal mortality rate is 224 deaths per 100,000 births, which is the 23rd highest in the world. The mean age of mothers at birth is 19.3 years old, and the fertility rate is 5.72 children born per woman, which is the 7th highest in the world. The contraceptive rate is only 40.8%, and the birth rate is the 4th highest in the world at 42.13 births/1,000 population. Infectious disease is a key contributor to the poor health of the nation, and the risk is very high for diseases such as protozoal and bacterial diarrhea, hepatitis A, typhoid fever, malaria, dengue fever, schistosomiasis, and rabies. The adult prevalence rate of HIV/AIDS is 12.37%, which is the 7th highest in the world.
Trevor Kirczenow is a transgender health researcher and diabetes healthcare advocate. He is an author and community organizer in the field of LGBTQ lactation and infant feeding. He has run twice as a candidate for the Liberal Party of Canada.
Anna Coutsoudis is a South African public health scientist and academic who has conducted research on HIV and nutrition, specializing in the benefits of breastfeeding. An elected member of the Academy of Science of South Africa, she is a founder member and chair of iThemba Lethu, an organization for children with HIV, which provides a community-based breast milk bank.
Mary Ann Kerwin is an American lawyer and breastfeeding activist. One of the seven founders of La Leche League in 1956, she established the Colorado branch of the advocacy group and drafted state laws on behalf of women who breastfeed their infants in public and in the workplace. She was inducted into the Colorado Women's Hall of Fame in 2012.
Karithi Ruth Wanjiru Nduati is a Kenyan Pediatrician and Epidemiologist who also teaches at the University of Nairobi College of Health Sciences. She is also currently leading an interdisciplinary program through the University of Nairobi School of Medicine to educate physician-researchers to best implement HIV treatment and prevention methods backed by research. The program was funded by the Fogarty Training Grant which is a part of the PEPFAR funds the country of Kenya received.
