1 Lactation Lactogenesis milk initiation Milk Secretion 1

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Lactation • Lactogenesis- milk initiation • Milk Secretion- (1) sufficient production of the anterior pituitary hormone prolactin (2) maternal nutrition • Prolactin and Oxytocin are essential for synthesis and release of milk. • Milk Ejection- movement of milk from alveoli, where it is secreted to the mouth of the infant is an active process within the breast. This process is brought by the LET DOWN REFLEX or milk ejection reflex. • Milk Ingestion- last stage of human lactation 2

Maternal Breastfeeding Reflexes • Prolactin Reflex key lactogenic hormone in initiating and maintaining milk secretion, produced by the anterior pituitary gland, resulting from the infant’s sucking of the breast 3

Maternal Breastfeeding Reflexes • Nipple Erection Reflex stimulation of the breast nipple by the infant’s mouth גירוי הפטמה על ידי קירבת פה התינוק 4

Maternal Breastfeeding Reflexes • "Let Down Reflex” Milk ejection by the hormone oxytocin על ידי oxytocin - " "זרימת החלב 5

Infant Breastfeeding Reflexes • Rooting • Sucking • Swallowing 6

חלב אם q Colostrum q Transitional Milk q Mature Milk q Fore Milk q Hind Milk 7

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