Lactation Flashcards
What are two functions of the breasts?
- Nutrition of the young
- Spacing of pregnancies
Where do the lactiferous ducts join the skin?
At the nipple
What causes the granular texture on the surface of the areola?
Sebaceous glands
What comprises the majority of breast tissue?
Adipose tissue from the pectoral fat pad
What is the function of Cooper’s ligaments?
Lift and support to the breasts
Breasts are modified ____ glands and are derived from _____ that arise between the axilla, armpit and groin
Sweat glands
Milk crests
Describe the embryological development of the breast.
- Development starts ~6wks gestational age
- Primary bud is a downgrowth of the dermis
- Secondary bud develops into primary buds and form the lactiferous ducts
- Breast bud lumen develops as gestation progresses
- Canalisation induced by placental steroids
What is witch’s milk and why does it form?
- Breasts are fully developed at birth and could produce milk
- Exposure to placental steroids and maternal hormones can cause production of witch’s milk
What effect does oestrogen and progesterone have on the breast during puberty?
- Promote growth of alveolar buds during menstrual cycle
- Successive cycles cause increased growth
What effect do the following hormones have on breast development and lactation?
- Oestrogen
- Progesterone
- Prolactin
- Growth hormone
- Insulin and cortisol
- Oestrogen: mitogen, essential for growth
- Progesterone: branching of ducts
- Prolactin: milk prod., alveolar development
- Growth hormone: same family as prolactin
- Insulin and cortisol: alveolar cell growth
What prevents milk production from occurring during pregnancy?
Inhibition by progesterone
- Prevents production
- Prevents milk ejection (smooth muscle relaxant)
What effect does baby suckling on the nipple have on hormone production?
- Prolactin
- Dopamine
- VIP
- Oxytocin
- Induces secretion of prolactin by anterior pituitary
- Decreases dopamine secretion
- Induces secretion of VIP (vasoactive intestinal peptide), acts on lactotrophs
- Synthesis and secretion of oxytocin from the posterior pituitary
What is the effect of oxytocin on the breast?
Induces contraction of myoepithelial cells of alveoli, causing injection of milk into ducts
What is the effect of prolactin on the breast?
Induces production of milk proteins
Through what mechanism does prolactin suppress FSH and LH?
Thought to be through effect on kisspeptin neurons in the hypothalamus