La physiologie intégrée de l`allaitement maternel

!"#$%&'()*)+(,#(-./+0/,#1,#
*2"**"(.,3,-.#3".,0-,*!
D6.+!3!E%'4"7&%,!-)#,+!F%#',G+<!HBIJ!!
!
4)03".()-#"''50/,#$"0#6-+0(1#7"&).##
"#!85/9,:#;#$%&'!()"*+,-"!.%#'!!
<"+)+=#<)-.0/"*#>("!/%#'0+!+,!/%&!
1&((+#'2!3!2#'!-+4",-+!&5"6%78"5"0%490%4!!
K!I!-+!("!E%'4"7&%,!-+!5"2+!
7,*+(?5,=#!5@,39)50+#;#:'+!;9!;%#22+4+,7<!
=%'4"7'&0+!;%>?"@7'+A#
L'G'+M#&2!3!(+2!'67B4+2<!(+2!"-".7"7&%,2!
,G%,"7"(+2!
40"-:,#$%&'!(+!2&7+!-+2!=%'4"7&%,2!;%>
?"@7'+A!CCC90%>,"&7'+9,+7!
;B9;%#22+4+,78+#.B%,69,+7!!
!"#$%&'($)*#$)
+,-#(%$)'")*#$)
+-'.#$$&'((#/$)*#)/,)
$,(%0!
1'22#(%)$,3'&-)$&)45,&),$$#6)*#)/,&%)+'"-)2'()7070)8)9%)+'"-)*#$)4"2#,":)8);'((#-)"()$#&()
'")/#$)*#":)8)<'()7070)#$%=&/)+'$&%&'((0),*0>",%#2#(%)8)1'22#(%)$,3'&-)$&)2'()7070),)
7&#()-#?")*")/,&%)/'-$)*5"(#)%0%0#)8)@#)(#)3#":)*'((#-)>"#)/#)A'/'$%-"2B)A'22#(%).,&-#)8)@#)
3#":),//,&%#-)/#)+/"$)/'(C%#2+$)+'$$&7/#B)A'22#(%).,&-#)8))D5,//,&%#2#(%)#$%=&/)A'(%-,A#+%&.)8)
D,)$"A#%%#)'")/#)7&7#-'()+#"3#(%=&/$)("&-#)E)/,)+-'*"A%&'()*#)/,&%)8)!
L'G2+,7"7&%,!
N+2!&,7+'"07&%,2!2+,2%'&+((+2!G4%7&%,,+((+2!+7!B%'4%,"(+2!+,7'+!("!4O'+!+7!2%,!
+,E",7!.'%-#&2+,7!#,+!2645&%2+!%P!()"(("&7+4+,7!-)G7"5(&7!+7!2+!-G'%#(+9!Q,+!
"..'%0B+!*(%5"(+!-+!()"(("&7+4+,7!7&22+!(+2!(&+,2!+,7'+!()","7%4&+<!()+,-%0'&,%(%*&+<!
("!.B62&%(%*&+<!("!.'"7&M#+!-+!("!7G7G+<!(+2!.'%R&4&7G2!"$+0!(+!5G5G<!("!2",7G!+7!(+!
5&+,!S7'+!-+!("!4O'+<!(+2!B"5&7#-+2!0#(7#'+((+2<!(+!'G2+"#!E"4&(&"(!+7!2%0&"(9!!!
;%,7+,#2!!
• N+2!-&EEG'+,72!7&22#2!0%,27&7#",7!("!*(",-+!4"44"&'+<!+7!(+#'2!'T(+29!N)","7%4&+!+7!(+!
E%,07&%,,+4+,7!-+2!"($G%(+29!N+2!$"'&"7&%,2!&,-&$&-#+((+29!!!
• N+!-G4"''"*+!-+!("!("07"7&%,!3!#,+!.G'&%-+!2+,2&5(+9!N)+,-%0'&,%(%*&+!-#!.%27>."'7#49!N"!("07"7&%,!
-+2!F#4+"#R9!!!
• N+!0"(&5'"*+!-+!("!.'%-#07&%,!3!()"F#27+4+,7!-+!()%EE'+!+7!U!("!-+4",-+9!N"!0"."0&7G!-!27%0V"*+!-+2!
2+&,2!+7!()"F#27+4+,7!-+!("!.'%-#07&%,9!;%,-&7&%,2!+7!0'&7O'+2!-)#,+!.'%-#07&%,!%.7&4"(+9!!N+2!
,%#$+((+2!0%#'5+2!-+!.%&-2!-+!()WX/9!
• 1(("&7+4+,7!+7!0%,7'"0+.7&%,!Y!0%,-&7&%,2!+7!(&4&7+29!!
• N"!2#00&%,!,#7'&7&$+<!#,+!0%4.G7+,0+!&,,G+!Y!7G7+'!"#!2+&,<!#,+!0%4.G7+,0+!U!"0M#G'&'9!;%,-&7&%,2!
+7!0'&7O'+2!-)#,+!2#00&%,!,#7'&7&$+!%.7&4"(+9!!N+2!+EE+72!.%22&5(+2!-+2!7G7&,+2!+7!2#0+2!-)"4#2+4+,79!
N+2!"(7+',"7&$+2!"#!5&5+'%,!+,!0"2!-+!2#..(G4+,7"7&%,!,G0+22"&'+9!!!
• ;'&7O'+2!-)#,!.%2&7&%,,+4+,7!%.7&4"(!-#!5G5G!"#!2+&,9!N+2!"&-+2!.%#'!#,+!.'&2+!-#!2+&,!%.7&4"(+<!(+2!
-&EEG'+,7+2!.%2&7&%,2!-)"(("&7+4+,79!!!
• N"!-6,"4&M#+!-+!("!7G7G+9!N+!2&*,"(!,+#'%2+,2%'&+(!-+!("!2#00&%,<!()"R+!B6.%7B"("4%>B6.%.B62"&'+<!
(+!'GE(+R+!-)GF+07&%,!-#!("&79!ZEE+72!-+2!G4%7&%,2!+7!-+2!'+.'G2+,7"7&%,29!!
• N+2!-&EEG'+,72!.%2&7&%,,+4+,72!.%#'!(+2!7G7G+2!Y!(+2!.%2&7&%,2!M#&!"&-+,7!-",2!(+2!2&7#"7&%,2!
."'7&0#(&O'+29!!
• N[%52+'$"7&%,!+7!()"00%4."*,+4+,7!-+2!7G7G+29!;'&7O'+2!-)#,+!7G7G+!%.7&4"(+9!N+2!2&*,+2!-)"("'4+<!
(+2!&,7+'$+,7&%,2!,G0+22"&'+2!+7!2#EE&2",7+29!
• L'G2+,7"7&%,!-)#,!%#7&(!-+!'+.'G2+,7"7&%,!*(%5"(+!-)#,+!2&7#"7&%,!-+!4"7+',"*+!"$+0!"(("&7+4+,7!3!
.%#'!()%52+'$"7&%,!+7!()G$"(#"7&%,<!()"00%4."*,+4+,7!+7!(+2!&,7+'$+,7&%,2<!(+2!7'",24&22&%,2!+7!("!
0%,7&,#&7G!-+2!2%&,29!
!
!