Mylee

RESOURCES

EVIDENCE BASED. SCIENCE BACKED

version Nov2020

Milk maturation indicator and Insights.
Milk maturation is NOT a medical term, It is a measure developed by MyMilk professional team to assist you and your lactation professional to better understand your day to day routine breastfeeding progress (Tap below to read more).

Milk maturation is NOT a medical term, but rather a measure developed by MyMilk professional team to assist you and your lactation professional to better understand your day to day routine breastfeeding progress.
This measurement cannot diagnose adequacy or inadequacy of baby feeding, and does NOT imply anything about milk sample nutritional quality.
This measurement does not substitute direct breastfeeding evaluation by a caregiver. 

Milk maturation % widget is computed by measuring the electrical resistance of individual milk sample, and placing it on the range determined by mymilk by measurements from thousands of milk samples throughout days 1-150 after birth, from hundreds of mothers, to full term, healthy, singleton babies.

The full range is 5%-120%.
5% corresponds to earliest milk samples, whereas 100% corresponds to advanced exclusive breastfeeding beyond 30 days after birth.

Widget Color indication For each day after birth, the color of the index indicates whether the sample is above(Green)/below (Orange) the 15th percentile of samples scanned by MyMilk systems, from mothers in predominant breastfeeding in comparable day ranges. 

Color cannot diagnose adequacy/inadequacy of baby feeding.

Day from birth prediction What day or day-range after birth does your best recent sample corresponds to (“behaves like”), when compared to samples from other mothers in predominant breastfeeding. This can help you understand how similar or different your sample maturation % is compared to other mothers’ in MyMilk sample data-set at any specific time after birth.

Milk maturation % derived insights, and personal goals are developed by MyMilk professional team.

Breast imbalance Milk maturation % is compared between breasts to generate breast imbalance insights, and restricted milk flow insights. This indication is not intended and cannot serve to diagnose any medical condition in the breast.

For more information about the science behind the milk maturation indicator, go to www.mymilklab.com/myleescience

Curated Tips, Insights and Content.
The following content in the Mylee App was adapted by MyMilk professional team, according to information curated from clinical protocols, governmental guidelines and scientific peer-reviewed studies, as listed below (Tap on each title to read more).

Baby weight for age chart are derived from WHO child growth standards, based on WHO weight-for-age percentiles tables for 13 weeks, for boys and girls. 

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization, 2006.

Average daily weight gain is calculated by subtracting the most recent logged baby weight from most recent previously logged baby weight, and dividing the result by the number of days between the two weighing dates. Weekly weight gain is calculated by multiply daily weight gain by 7.  Weight gain below 5th percentile for each age group is presented in red, color is for purpose of attention and is not intended to diagnose adequate or inadequate weight gain (WHO child growth standards; weight velocity (g/d) tables for boys and girls).

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Growth velocity based on weight, length and head circumference: Methods and development. Geneva: World Health Organization, 2009

Breastfeeding Efficiency Quiz is based on the LATCH score, a commonly used breastfeeding charting system and documentation tool for gathering information and assessing individual breastfeeding sessions for evaluating effectiveness of early breast-feeding and subsequent evaluation for charting progress. System includes standardized questions and numerical score adapted from Jensen et al 1994. LATCH scores identify areas of needed intervention and help with their reporting in a straightforward way. Self-assessment of LATCH by a mother, does not substitute a face to face latch score by a lactation professional.

Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs. 1994 Jan; Principels & Practice 23(1):27-32.

Breastfeeding confidence quiz is based on Mother Infant Breastfeeding Satisfaction Scale (MIBSS) sub-scale for H & H lactation scale.

Humenick, S. S., Hill, P. D., & Wilhelm, S. (1997). Postnatal factors encouraging sustained breastfeeding among primiparas and multiparas. The Journal of Perinatal Education, 6(3), 33–45.
Hill, P. D., & Humenick, S. S. (1996). Development of the H & H lactation scale. Nursing Research, 45(3), 136–140

Number of wet and dirty Diapers are based on UNICEF Breastfeeding assessment tool for assessing baby’s breastfeeding (UNICEF UK Baby Friendly Initiative).

Implementing Baby Friendly standards resources– Breastfeeding Assessment Tools, The baby friendly initiative, UNICEF UK, 2018

Early Breastfeeding practices (e.g. hand expression, skin to skin, artificial teats, pacifier and bottles introduction), are adapted based on UNICEF UK Baby Friendly Initiative standards, NHS UK pregnancy and baby guide media for mothers issued Breastfeeding Problems, and ABM clinical Protocols #2, #7, #14 published by the Academy of Breastfeeding Medicine.

UNICEF UK BABY FRIENDLY INITIATIVE: GUIDE TO THE STANDARDS – SECOND EDITION, The baby friendly initiative, UNICEF UK, 2017.
NHS UK . Your pregnancy and baby guide – Breastfeeding Problems. https://www.nhs.uk/conditions/pregnancy-and-baby/problems-breastfeeding/
Evans A,  et al. The Academy of Breastfeeding Medicine.
ABM clinical Protocol 2: Guidelines for Hospital Discharge of the Breastfeeding Term Newborn and Mother: ‘‘The Going Home Protocol,’’ . Breastfeeding Medicine, volume 9, N1, 2014.
Herna´ndez-Aguilar M,  et al. The Academy of Breastfeeding Medicine. ABM clinical Protocol 7: Model Maternity Policy Supportive of Breastfeeding. Breastfeeding Medicine, volume 13, N9, 2018
Grawey A,  et al. The Academy of Breastfeeding Medicine. ABM clinical Protocol 14: Breastfeeding-Friendly Physician’s Office: Optimizing Care for Infants and Children. Breastfeeding Medicine, volume 8, N2, 2013

Breastfeeding conditions insights are in-line with NHS UK pregnancy and baby guide media for mothers issued Breastfeeding Problems, ABM clinical Protocols #4 mastitis, #26 persistent pain with breastfeeding, #32 the management of hyperlactation, #24 allergic proctocolitis , published by the Academy of Breastfeeding Medicine.

NHS-UK. Your pregnancy and Baby guide, Breastfeeding Problems. https://www.nhs.uk/conditions/pregnancy-and-baby/problems-breastfeeding/
Amir L.A, et al. The Academy of Breastfeeding Medicine Protocol Committee. ABM clinical Protocol 4: Mastitis. Breastfeeding Medicine, volume 9, N5, 2014
Berens P, et al. The Academy of Breastfeeding Medicine. ABM clinical Protocol #26: Persistent Pain with Breastfeeding. Breastfeeding Medicine, volume 11, N2, 2016
Johnson H.M, et al. The Academy of Breastfeeding Medicine. ABM clinical Protocol # 32: Management of Hyperlactation. Breastfeeding Medicine, volume 15, N3, 2020
The Academy of Breastfeeding Medicine. ABM clinical Protocol # 24: Allergic Proctocolitis in the Exclusively Breastfed Infant. Breastfeeding Medicine, volume 6, N6, 2011

Breastfeeding hunger cue signs factsheet and Hand expression technique factsheets are external links to materials developed by Royal Brisbane and Women’s Hospital, Metro North Hospital and Health Service.

Breastfeeding Educational Videos are external links to material developed by Dr. Jane Morton, MD, Cl. Adj. Professor of Pediatrics Emerita Stanford University School of Medicine, and produced for educational purpose only.  The materials were adopted by Lucile Packard Children’s hospital (Stanford children’s health) for demonstration of evaluated techniques to enable successful breastfeeding for mother and child.  For more information on the video visit the non-for profit website www.firstdroplets.com.


-The system is intended for informational purposes, to assist you to track and manage your breastfeeding routine practice.
-SYSTEM IS NOT INTENDED TO DIAGNOSE OR TREAT ANY MEDICAL CONDITION
-System cannot determine or diagnose adequacy or inadequacy of baby feeding.

-Use of the system cannot substitute direct breastfeeding evaluation, or direct advice by a caregiver.
-The system was designed for healthy mother to a healthy term baby, and should not be used for other circumstances.

In any doubt, consult your caregiver.

HAVING ADDITIONAL QUESTIONS? ASK US!

Contact us via the App at My Care Team screen, or via email Contact@mymilklab.com