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Back Issue Vol 13 No 3 November 2005 Breastfeeding, the natural state: Highlights of the ABA conference Peta Harvey Breastfeeding Review: 13(3): 5-6 Abstract not available Letter to the editor Why do women stop breastfeeding? A closer look at 'not enough milk' among Israeli women in the Negev Region Lisa Helen Amir and Julie Cwikel Abstract The aim of this study was to describe the breastfeeding experience of a sample of Israeli women. A random telephone survey of women, aged between 25 and 42, who had children under the age of 18 and were resident in the Negev Region of Israel (N=302), was conducted. Women had an average of three children each (range 1-11) and most breastfed for less than three months. The most common reason given for not breastfeeding or breastfeeding less than three months was 'not enough milk' (90/205; 44%). A four-factor solution was extracted from a factor analysis of the reasons that women gave for stopping breastfeeding before three months or for not initiating breastfeeding. The four factors were: personal concerns (body image, tired, return to work); need help (wants husband to help, child unwell, didn't like breastfeeding), uncomfortable (nipple/breast pain, didn't like breastfeeding) and not confident (not enough milk). Women most frequently report that they stopped breastfeeding because they have insufficient milk, yet the lack of any consistent sociodemographic correlation indicates that this may be a universal way of expressing lack of confidence in breastfeeding Breastfeeding Review: 13(3): 7-13 Key words: breastfeeding, insufficient milk, factor analysis Lactation courses and other events Breastfeeding: maintaining an irreplaceable immunological resource Miriam H. Labbok, David Clark and Armond S. Goldman Reprinted from Nature Rev Immunol 2004 4: 565-572 Abstract Breastfeeding - the main source of active and passive immunity in the vulnerable early months and years of life - is considered to be the most effective preventive means of reducing the death rate of children under five. Given this, one must wonder why it has slipped quietly down the priorities of the global health and development agendas. In this era of public-private partnerships, can its role as an irreplaceable immunological resource help keep it at the top of global agendas? Breastfeeding Review: 13(3): 15-22 Reprinted from Nature Reviews Immunology 2004, 4: 565-572 Turner's Syndrome and breastfeeding Rosemary Parker Abstract Prior to the development of successful in vitro fertilisation techniques (IVF), in particular the donor egg program, women with Turner's Syndrome were not able to conceive or carry a pregnancy to term. Therefore the question of lactation was not an issue for these women. Some associated conditions of Turner's Syndrome and IVF therapy include diabetes, hypertension and elevated stress levels. These conditions and the features of Turner's Syndrome may contribute to difficulty in establishing lactation and require appropriate planning and support for the mother to successfully lactate and establish the breastfeeding of her baby. This report is a case study set in a major regional referral hospital in Victoria, Australia. Breastfeeding Review: 13(3): 23-25 Key words: Turner's Syndrome, breastfeeding Research Summaries Mary Paton Research Award Book Review