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glands that secrete hormones directly into the blood or lymph |
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development of mammary tissue and related structures |
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-starts from 16-20 weeks of pregnancy
-beginning of secretory cellular activity
-accumulation of colostrum (from 10-12 weeks) |
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Triggered by the delivery of the placenta it starts 30-72 hours after placental delivery |
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-switch from endocrine to autocrine control
-onset of copious milk production
-also known as galactopoesis
-day 9- involution |
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breasts are capable of full lactation from |
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any tissue that covers a surface, lines a cavity, and that, in addition, performs and of various secretory, transporting, or regulatory functions |
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progesterone role during pregnancy |
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Definition
-hormone/steroid that increases during pregnancy
-stimulates lobular growth but suppresses secretory activity
-sensitizes cells to the effect of insulin and growth factors
-secreted by ovaries and placenta |
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-hormone increases during pregnancy
-stimulates ductular sprouting
-secreted by placenta and ovaries |
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Definition
-hormone secreted by placenta
-accelerate breast growth during pregnancy |
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Definition
-pregnancy hormone
-accelerates breast tissue growth
-can test in pregnancy tests |
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Definition
-form of estrogen
-sex hormone required for mammary growth and epithelial proliferation during pregnancy |
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Definition
-steroid hormones
-enhance formation of the lobules during pregnancy
-synthesized in the adrenal cortex |
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Definition
a specific kind of hormone
4 cycloalkane rings that are joined to each other |
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prolactin's role in pregnancy |
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Definition
-hormone that increase during pregnancy and completes mammary gland growth
-secreted by anterior pituitary gland
-stimulates prolactin receptor sites on alveolar cell surfaces
-kept in check by progesterone and PIF (dopamine) |
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3 hormones needed for lactation to begin |
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Definition
1. prolactin
2. hydro-cortizone
3. insulin |
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Definition
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hormones that drop following placental expulsion (lactogenisis II) |
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Definition
progesterone
estrogen
placental lactogen |
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rises at onset of lactogenisis II |
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Definition
citrate
alpha-lactalbumin
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lactogenisis II can be delayed by... |
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Definition
-placental retention
-too much fluid during labor
-type 1diabetes |
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Definition
lactogenisis III- maintanence of lactation |
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Definition
Feedback Inhibitor of Lactation
-small whey protein
-slows milk synthesis when breast is full |
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Definition
region of the brain- main control center for nervous system
-regulates sleep, body temp, appetite and milk production |
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Definition
18.76 kcal/oz.
67 kcal/dl. |
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calories in mature breast milk |
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Definition
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Definition
-cessation of milk production
-40 days after last breastfeeding
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glandular/milk making tissue
-responsible for production, secretion, and transport of milk |
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Definition
structural parts of the breast
-connective tissue
-blood vessels
-nerves
-lymphatics |
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Definition
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number of milk pores (nipple openings) |
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ratio glandular:fat tissue in breast |
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65% of glandular tissues is found... |
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Definition
milk secreting cells
aka- secretory alveolar epithelium |
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Definition
encases alveolus and contracts in response to oxytocin- MER |
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most important intercostal nerves |
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Definition
4th- runs from deep to superficial
-divides into 5 branches
-lateral branch most important
-located at 5 and 7 o'clock
also 5th and 6th |
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-congenital problem
-under development of breasts |
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hypoplasia of the lower medial quadrent |
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normal breasts, could be small but tissue is uniform and adequate |
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hypoplasia of the lower medial and lateral quadrants |
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severe constrictions
minimal breast base
very tubular |
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Definition
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3 "S"s for breast assesment |
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prolactin inhibiting factor
believed to be dopamine inhibiting prolactin secretion from the anterior pituitary gland |
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Lactogenisis I: pituitary hormones |
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Definition
1. prolactin- nipple growth
2. growth hormone
3. thyroid stimulating hormone |
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lactogenisis I: placental hormones and their effects |
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Definition
1. estrogen- ductal system
2. progesterone- lobes, lobules, and alveolar growth
3. HPL (human placental lactogen)- areolar growth |
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lactogenisis I: hormones produced by ovaries |
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Definition
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% of energy consumption used by mammary glands |
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Definition
35% compared to 25% used by the brain |
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4 hormones necessary for lactogenisis II |
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Definition
prolactin
insulin
oxytocin
cortisol |
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Definition
-needed in small amounts to make alpha-lactobumin
-high amounts= stress hormone, inhibits lactation
-increases blood pressure and blood sugar |
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Definition
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average # of MER per breastfeeding session |
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-a whey protein
-encouraged by low cortisol levels
-helps make lactose
-HAMLET
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Definition
-produced in posterior pituitary
-50-100m U needed to elicit MER
-increases chest temperature
-effects Mom's mood |
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Definition
-breast lump, similar to a cyst
-filled with milk
-round, freely moving
-usually happens after weaning
-may need surgical draining |
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-cancer visible on the nipple
-looks like eczema
-most common after menopause |
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average rate of milk synthesis |
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Definition
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5 milk synthesis pathways |
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Definition
Pathway 1= protein secretion
Pathway 2= lactose secretion
Pathway 3= milk fat synthesis
Pathway 4= monovalent ion secretion
Pathway 5= plasma protein secretion |
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Definition
-cellular post office
-processes and packages macromolecules, proteins, and lipids after they are made |
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-milk sugar
-indigestible by the infant but feeds a beneficial gut bacteria |
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