Education of the public for successful lactation†

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Abstract
Success or failure in human lactation mainly depends on two psycho‐physiological reflexes, the prolactin reflex and the let‐down reflex. In actual communities, frequent suckling and confidence are major factors, and the latter is related in large measure to knowledge and social support. Success in social mammals, including traditional human societies, is made more likely by the presence of what Raphael has termed a doula or culturally defined assistant, usually female. Consideration is given to the anti‐doula function of most modern midwifery units, and to the need to consider the need for the doula role in programmes designed to promote lactation in the community.

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  • Introduction
    The American Journal of Clinical Nutrition, 1971