make this into organised logs of Q and A: Maria de Fátima da Silva Vieira Martins      15:02
Good afternoon!

Sara Ghanem      15:11
Private answer
Good Afternoon! Welcome to our “Beyond Milk: Breastfeeding and Mastitis” Webinar!

Cipriana Emilia Ungureanu      15:03
hello

Sara Ghanem      15:11
Private answer
Hello! Welcome to our “Beyond Milk: Breastfeeding and Mastitis” Webinar!

Divya Dhawan      15:03
It is started ? Or we are waiting

Sara Ghanem      15:05
Private answer
It is starting now. Welcome to our “Beyond Milk: Breastfeeding and Mastitis” Webinar!

Fatemeh Najafi      15:05
Is this section saved to watch later as I am in another meeting and can not join at the same time?

Sara Ghanem      15:06
Yes, the recordings will be posted on the Breasfeeding Education Initiative platform.

Sara Ghanem      15:08
and on the UNITAR and CIFAL York YouTube channels

Gabriela Fabiana Olagnero      15:08
Buen dia, no recibi el certificado de la primera conferencia, nunca pude hacer el quizz en español.

Sara Ghanem      15:10
Private answer
Buenos días. Recibirás el certificado después de los 3 webinars de nuestra serie de webinars sobre Lactancia Materna

Beatriz Manaia      15:08
I'm sorry, I was 6 minutes late due to technical issues in joining the meeting.

Sara Ghanem      15:11
Private answer
No worries. Thank you for joining us!

Petroianu Andreea  Georgiana      15:13
The link don't work

Sara Ghanem      15:14
Private answer
Hello. I would be more than happy to help you. Which link are you referring to?

Harpreet Kaur      15:14
sir last session is on 20th of Nov or on 30 Nov

Sara Ghanem      15:15
Private answer
Last webinar is on November 20

Petroianu Andreea  Georgiana      15:15
with quizz, în romanian don't work , i try but ....

Sara Ghanem      15:17
Private answer
The quiz will be available at the end of the webinar.

ANETA ABAGIU      15:17
Buenas tardes  !

Sara Ghanem      15:18
Private answer
Buenas tardes :)

Petroianu Andreea  Georgiana      15:18
yes I know, but Last time didn't work and I don't make that quizz

Ali Asgary CIFAL York      15:19
Private answer
please try this time. we are using a different system. Hope it works.

Petroianu Andreea  Georgiana      15:20
I hope to, thank you verry much for the answers

Sara Ghanem      15:21
Private answer
You are very welcome.

Nayla Abou Malham Doughane      15:29
👏🏻👏🏻👏🏻

Sara Ghanem      15:29
Thank you!

Sara Ghanem      15:34
For more content you’re invited to check out our platform at: https://www.breastfeedingeducationinitiative.org/

Dr Mamata Panda      15:32
excellent presentation 👏

Sara Ghanem      15:32
Thank you!

Sara Ghanem      15:33
For more content you’re invited to check out our platform at: https://www.breastfeedingeducationinitiative.org/

Maria de Fátima da Silva Vieira Martins      15:34
Thank you. very good presentation.

Sara Ghanem      15:35
Thank you for being part of it! You can find more interesting content on our platformat: https://www.breastfeedingeducationinitiative.org/

ABHYUDHAI F HARSHITHA      15:35
can you please correlate the video and audio to be simultaneous... thank you🙏

Sara Ghanem      15:36
Private answer
Right now, it is all in sync for us :) if you’re experiencing any issues, please check your connection.

Harpreet Kaur      15:36
Excellent presentation

Sara Ghanem      15:36
Thank you very much! You can find more interesting content on our platformat: https://www.breastfeedingeducationinitiative.org/

ABHYUDHAI F HARSHITHA      15:37
👍🙏

Ali Asgary CIFAL York      15:37
Private answer
Thanks.

Vishal Tewari      15:41
Is there a relation between incidence of mastitis experienced by mothers:- who deliver normally vs Caesarian section?

Sara Ghanem      15:46
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Michael Abou-Dakn      15:49
Yes, we see a delayed onset of bf and mor problems

Vishal Tewari      15:43
Do mothers with good breastfeeding self-efficacy experience mastitis lesser?

Sara Ghanem      15:46
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Michael Abou-Dakn      15:48
Yes, we see a delayed onset of bf and mor problems

Michael Abou-Dakn      15:49
Sorry wrong adress ...

Michael Abou-Dakn      15:50
But also yes, we found less inflamantory substansis im mother milk and less mastitis

Rahima Djessas      15:45
quelle est la difference entre mastite et crevasse

Sara Ghanem      15:48
Merci pour votre question. Je la transmettrai à l'un des experts qui, je l'espère, y répondra à la fin du webinaire en fonction du temps disponible.

Mirela Pacalici      15:46
Bună ziua. As dori sa aflu mai multe informații despre ganglionii limfatici care se evidențiază pe parcursul alăptării și nu este vorba de perioada de angorjare, ci următoarele luni din alăptare.
Multumesc

Sara Ghanem      15:50
Private answer
Vă mulțumesc pentru întrebarea dvs. Îl voi direcționa către unul dintre experți pentru a-i răspunde, sper, la sfârșitul webinarului, în funcție de disponibilitatea timpului.

Vishal Tewari      15:47
Mixed feeding increases the risk of mastitis compared to exclusive breastfeeding. This is the reason why mothers in Urban areas experience greater incidence of mastitis compared to mothers in rural areas.

Sara Ghanem      15:51
Private answer
Thank you for the contribution.

Michael Abou-Dakn      15:53
that´s right. I think it´s because the mixed to empty the breast and so there have stasis... this could make subclinical mastitis

Nompumelelo Nhlabathi      15:48
Iam enjoying this presentation.

Sara Ghanem      15:51
Thank you very much.

Susan Mendoza      15:52
do  you agree with breast milk bank and donate this milk to  woman who cannot produce milk after birth?

Sara Ghanem      15:53
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Harpreet Kaur      15:52
interesting presentation

Sara Ghanem      15:53
Thank you very much.

Katia Allek      15:53
excellente présentation merci.

Sara Ghanem      15:55
Merci beaucoup

Rahima Djessas      15:54
la mastite est elle une contre indication pour l'allaitement maternel

Sara Ghanem      15:57
Private answer
Merci pour votre question. Je la transmettrai à l'un des experts qui, je l'espère, y répondra à la fin du webinaire en fonction du temps disponible.

Rita Maria Ferreira Leal      15:56
No more recommendations for massage when there is breast congestion?

Sara Ghanem      15:57
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Wendy Thomson      16:06
We still massage breasts for engorgement, but the approach has evolved to ensure it's done safely and effectively. . Vigorous or improper massage can cause more harm than good, potentially leading to issues like blocked ducts or even mastitis.

Michael Abou-Dakn      16:22
No massage, but gentle skin stroking. When engorged, only pressing out the oedema (lymphatic drainage) in the direction of the axilla. 
We also use acupuncture and plaster drainage tapping when engorged.

ANETA ABAGIU      15:56
Por favor necesitò poner la prgrama para escucharlo en Castelliano Español, no comprendo inglez  !
Muchisimas gracias  !

Sara Ghanem      16:01
Private answer
En Zoom puedes seleccionar el idioma español en la parte inferior de la pantalla.
Presiona "más" y luego "interpretación" para seleccionar un idioma

Rita Maria Ferreira Leal      15:57
Can you share this new recommendation? And why massage is no longer recommeded?

Sara Ghanem      15:58
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Wendy Thomson      16:09
Factors that increase the risk of mastitis
include overstimulation of milk production and tissue trauma from aggressive breast massage; therefore, frequent
overfeeding, excessive pumping to empty the breast, heat application, and breast massage are no longer recommended
because they may worsen the condition. The best prevention is a proper lactation technique, including a good infant
latch, and encouraging physiologic breastfeeding rather than pumping, if possible.

Violette NIKWIBISHATSE      15:58
Très intéressant

Sara Ghanem      15:59
Merci beaucoup

Jackline Njeru      15:58
Great presentations so far. Thank you

Sara Ghanem      15:59
Thank you very much!

Eka Wijayanti      15:58
whats kind of antibiotics are sugested for mastitis?

Sara Ghanem      16:02
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Michael Abou-Dakn      16:16
Dicloxacillin 500mg all 6h Cephalexin 500mg  all 6h po

Martha Cecilia Arias Portillo      16:00
Aparte del apoyo de familia y amigos, se cuenta con grupos o red de apoyo o se cuenta con apoyo telefonico, para el manejo de la mastitis

Sara Ghanem      16:02
Private answer
Muchas gracias por tu aportación.

Susan Mendoza      16:01
if the patient is positive for HIV/AIDS, is there a possibility to transfer the virus to her baby through breast feeding?

Sara Ghanem      16:03
Private answer
Thank you for your question. I will direct it to one of the experts to hopefully answer it at the end of the webinar according to time availability.

Sara Ghanem      16:07
Private answer
This question is going to be discussed in our next webinar on November 20 under the title of "Beyond the Basics: Breastfeeding and Sensitive Groups"

Wendy Thomson      16:11
For mothers on antiretroviral therapy with a sustained undetectable HIV viral load during and after pregnancy, the risk of transmission through breastfeeding is less than 1%, but not zero. For the U.S., check out the CDC: https://www.cdc.gov/breastfeeding-special-circumstances/hcp/illnesses-conditions/hiv.html

Michael Abou-Dakn      16:25
It is known that HIV can be transmitted through milk . Interestingly, this occurs mainly in women who do not exclusively breastfeed. If the mother has received adequate therapy, breastfeeding is possible.

Rita Maria Ferreira Leal      16:07
So warm before BF and cool after or not?

Michael Abou-Dakn      16:17
In regular yes, but it depance on the wish of the women. No hard massage....

Harpreet Kaur      16:08
which method is best cold compression or warm compression?

Wendy Thomson      16:16
check out this article published January 2024: The Effect of Alternating Application of Cold and Hot Compresses on Reduction of Breast Engorgement Among Lactating Mothers (https://doi.org/10.7759/cureus.53134)

Mohammed Moqiabel      16:12
Very nice presentation and good information ,thank you.

Sara Ghanem      16:13
Thank you very much.

Rita Maria Ferreira Leal      16:12
Thank you!

Sara Ghanem      16:13
Thank you for your contribution!

Dr Mamata Panda      16:13
Very interesting tip for avoidance of massage of breast.

Sara Ghanem      16:14
Thank you very much!

Rita Maria Ferreira Leal      16:14
can you help me find these new guideliens? They seem very important and nove

Sara Ghanem      16:16
Private answer
Thank you for your question, Rita. which guidelines specifically are you requiring about so that we can best support?

Michael Abou-Dakn      16:39
Geburtshilfe Frauenheilkd 2013; 73(12): 1202-1208
DOI: 10.1055/s-0033-1360115

MMA FARIDI      16:16
Presentation on mastitis was very informative.

Sara Ghanem      16:16
Thank you very much!

Rita Maria Ferreira Leal      16:17
Wending sent me this: Factors that increase the risk of mastitis
include overstimulation of milk production and tissue trauma from aggressive breast massage; therefore, frequent
overfeeding, excessive pumping to empty the breast, heat application, and breast massage are no longer recommended
because they may worsen the condition. The best prevention is a proper lactation technique, including a good infant
latch, and encouraging physiologic breastfeeding rather than pumping, if possible.

Michael Abou-Dakn      16:18
i agree with all - see my presentation

Filipa Teixeira      16:17
Olá, não cheguei a receber a gravação de primeiro webinar nem certificado, como posso fazer?

Sara Ghanem      16:19
Private answer
As gravações estão disponíveis nos canais do YouTube da York University e da UNITAR. O certificado será enviado após o 3º webinar em 20 de novembro.

evelyne NDUWIMANA      16:17
Thank you

Sara Ghanem      16:20
You are very welcome.

Maria Emília Borges      16:18
No caso da mastite aprendemos que devemos evitar a extração de leite mecanicamente porque aumenta exponencailmente a produção do leite podendo agravar a mastite, mas sim extração de lete manualmente e desde que comecei a ajudar as mães nestas situações tenho obtido muito melhoras resultados e solução mais rápida

Sara Ghanem      16:21
Obrigado pela sua contribuição

Filipa Teixeira      16:21
Obrigada!

Sara Ghanem      16:22
Private answer
você é muito bem-vindo

Harpreet Kaur      16:22
sir can I share video recording presentation to my students?

Sara Ghanem      16:23
Private answer
Yes, we are very happy if our participants can us this material to be shared with their audience.

Harpreet Kaur      16:24
Thanku very much

Sara Ghanem      16:24
Private answer
You are very welocme.

ABHYUDHAI F HARSHITHA      16:24
We expose our mother's engorged breasts to cold running tap water which relieves their pain and aids in feeding their babies...

Sara Ghanem      16:25
Private answer
Thank you for your contribution.

Hani Alshaaobi      16:26
Thanks Alot for persentation.

Sara Ghanem      16:26
Thank you very much for your contributon.

MMA FARIDI      16:28
Breastfeeding and HIV is an important issue that bothers the parents. Lot of information is now available on the Infant feeding and HIV is an important issue for the parents. A lot of scientific information is now available on the subject. There were concerns of MTCT of HIV and therefore, management was tailored to prevent HIV transmission. However, current approach is "HIV Free Survival". HIV transmission to the infant occurs during antenatal, intra natal and post natal period. Hence preventive measures should be taken at each time period. Only breastfeeding alone is not responsible for MTCT.

Sara Ghanem      16:30
Thank you very much for your contribution. This topic will be discussed in our 3rd webinar on 20 November under the title of "Beyond the Basics: Breastfeeding and Sensitive Groups”. Make sure you join us!

Filipa Teixeira      16:29
Na minha faculdade (enfermagem) estão a ensinar sobre pós descida de leite e o critério para oferecer 1 ou 2 mamas. Mencionam ter de dar 1 mama até ao fim porque o leite de inicio é mais aguado e o do fim da mamada tem um teor de gordura mais alto. Eu sei que não é bem assim e que a gordura do leite varia mais ao longo do dia que ao longo da mamada. Que na mamada a gordura é "expelida" maioritariamente com o REL, mas não me recordo da bibliografia que o justifica, estou certa ou na faculdade ensinam corretamente?

Sara Ghanem      16:31
Obrigado pela sua questão. Irei encaminhá-lo para um dos especialistas para que espero respondê-lo no final do webinar de acordo com a disponibilidade de tempo.

meriem imene boufas      16:30
merci beaucoups pour cette presentation, tres interessante

Sara Ghanem      16:32
Merci beaucoup!

Susan Mendoza      16:31
I am a Microbiologist by profession , if breast milk contains staph and strep both gram positives, then human milk is no longer safe for a new born baby?

Sara Ghanem      16:34
Thank you for your question. I will direct it to one of the experts who will hopefully respond to it at the end of the webinar as time permits.

Erica MUGISHA      16:36
Merci beaucoup c'est très intéressant surtout pour nous les sages femmes!!! L' allaitement est le meilleur aliment pour la croissance et le développement du bébé,et pour la mère ça l'aide aussi car il y a l'affection qui augmente,ça aide à la réduction des maladies comme les cancers du sein ...

Sara Ghanem      16:37
C'est tout à fait vrai ! Merci beaucoup pour votre contribution !

Harpreet Kaur      16:38
excellent presentation

Sara Ghanem      16:38
Thank you very much!

Dr Mamata Panda      16:40
such wonderful explanation about the organisms in mastitis with evidence based studies.

Sara Ghanem      16:41
Thank you very much for your feedback.

Dr Mamata Panda      16:42
How these pathogenic bacteria affect the baby while breastfeeding during mastitis?

Sara Ghanem      16:43
Thank you for your question. I will direct it to one of the experts who will hopefully respond to it at the end of the webinar as time permits.

Dr Mamata Panda      16:44
Thanks a lot

Sara Ghanem      16:45
You are very welocme!

Dr Mamata Panda      16:47
which probiotics will be helpful for the mother?Kindly highlight in detail.

Sara Ghanem      16:47
Private answer
Thank you for your question. I will direct it to one of the experts who will hopefully respond to it at the end of the webinar as time permits.

Eleftheria Taousani      16:47
THANK YOU!

Sara Ghanem      16:48
Thank you very much!

Anna Vilaseca Grané      16:48
Congratulations Dra. Carmen Collado for this presentation from Barcelona

Sara Ghanem      16:48
Thank you very much!

Margaux Marmier      16:48
Merci beaucoup pour ectte présentation, c´est très interessant

Sara Ghanem      16:48
Merci beaucoup!

Harpreet Kaur      16:48
where the link will be send

Sara Ghanem      16:50
Thank you for your question! The recordings will be available at CIFAL York and UNITAR YouTube channels.

Maria da Luz Pinho Ferreira Pinto      16:54
Thank you very much!

Sara Ghanem      16:55
Thanks a lot

Filipa Teixeira      16:54
Devo fazer a minha questão novamente agora?

Sara Ghanem      16:55
sim por favor

Célia Grilo      16:56
muito obrigada!

Sara Ghanem      17:01
Vă mulțumesc că sunteți aici

Filsan Hussein      16:57
Thank you for the excellent presentation

Sara Ghanem      16:59
Thank you very much!

Alison Bernard      16:57
There are so many types of techniques for reverse pressure or lymphatic drainage for engorgement. Does the panel have a preferred technique? One that is more effective than any other?

Michael Abou-Dakn      17:01
have a look in my presentation

Michelle Mentore Lewis      17:00
I am so greatful for this presentation on mastitis and the amount of information shared by each of the presenters on the topic, I was greatly enlightened and will definitely share knowledge gained.

Sara Ghanem      17:00
Thank you very much!