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Obstetrics
and Gynaecology
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Cha
pter III
LACTATION
(LACTATION FOSTERAGE)
Breast
feeding is the natural way by which the human infant is nourished. It
is also the best way. Alternative feeding with various formulae of artificial
milk has not stood the test of time in spite of continued attempts at
perfection and a wide publicity and encessant promotion. Mother's milk
confers immunity against some diseases, is not associated with allergic
reactions, and provides the exact composition needed by the human baby,
a composition which is both reliably constant and adjustable to the needs
of the growing baby. Besides, the psychological role of suckling in establishing
the mutual mother-infant bond has been well documented. Artificial "formula"
feeding has lost favour with the medical profession and various health
authorities including the World Health Organization have launched a campaign
in favour of the return to breast feeding, emphasizing the proven hazards
of bottle feeding. Efforts are being made at the social level in many
countries to enable even the working mother to breast-feed her infant.
Undergraduate and postgraduate medical and nursing curricula in all enlightened
institutions underline the significance of preaching and preparation for
breast feeding as a salient feature of modern antenatal care. The importance
to the infant of being breast fed is given a very special regard in Islam,
so much so that when a baby is suckled by a woman other than its natural
mother, this woman is Islamically considered a "mother in lactation"
to him, with consequent rulings that will soon be discussed. While they
are lactating, many women will cease to have menstruation for a variable
period of time that in some women continues as long as they are lactating.
This is because a hormone associated with lactation- prolactin-exerts
a suppressive action on the function of ovulation.
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At the scale of society at large-though not reliable for an individual
woman practising breast feeding instead of bottle feeding would be the
most effective method of contraception, more effective than all the currently
available methods put together, and naturally devoid of their possible
hazards.
Reference
has already been made to the ruling on lactation as a legitimate excuse
from keeping the fasting of the month of Ramadan. Other Islamic aspects
of lactation will now be considered.
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