{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:31Z","timestamp":1777852291346,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T00:00:00Z","timestamp":1697241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Human lactation should be taken into account as an important issue for the international agenda. Despite advances in lactation information and knowledge, insufficient milk production is still a concern for mothers and health practitioners, including International Board Certified Lactation Consultants and others. Primary hypogalactia, or insufficient milk production is uncommon, but should be considered when there is poor weight gain and decreased urine output in infants despite good latch-on and suckling, or anatomic differences in the physical exam of the lactating breast.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Issue:<\/jats:title>\n                    <jats:p>This case series presents three cases illustrating insufficient milk production resulting in infants who experienced significant dehydration and poor weight gain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management:<\/jats:title>\n                    <jats:p>Primary hypoplasia was diagnosed by means of a thorough interview and physical examination that entailed a consultation with a physician who was also an International Board Certified Lactation Consultant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Awareness of an infant\u2019s feeding needs and proper evaluation of a child\u2019s health status is paramount if health care providers are to identify the important factors contributing to breastfeeding problems. In some instances, breastfeeding goals cannot be achieved, and then the provider\u2019s role becomes support in coming to terms with persistent insufficient milk production, and coordinating appropriate supplementation to meet each baby\u2019s nutritional needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344231201613","type":"journal-article","created":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T08:29:11Z","timestamp":1697272151000},"page":"143-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterization of Three Cases of Primary Hypogalactia in Jalisco, Mexico"],"prefix":"10.1177","volume":"40","author":[{"given":"Elena","family":"Sandoval-Pinto","sequence":"first","affiliation":[{"name":"Departamento de Biolog\u00eda Celular y Molecular, CUCBA, Universidad de Guadalajara, Guadalajara, JAL, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Garc\u00eda-Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Pediatric Endocrinologist, Universidad de Guadalajara, Guadalajara, JAL, M\u00e9xico"},{"name":"Hospital Angeles del Carmen, Health Services, Guadalajara, JAL, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Acosta-Real","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Guadalajara, JAL, M\u00e9xico"},{"name":"Private practice, Guadalajara, JAL, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erick","family":"Sierra-D\u00edaz","sequence":"additional","affiliation":[{"name":"Departamento de Urolog\u00eda, Instituto Mexicano del Seguro Social (IMSS), Centro M\u00e9dico Nacional de Occidente"},{"name":"Departamento de Salud P\u00fablica, CUCS, Universidad de Guadalajara, Guadalajara, JAL, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9026-8593","authenticated-orcid":false,"given":"Rosa","family":"Cremades","sequence":"additional","affiliation":[{"name":"Departamento de Microbiolog\u00eda y Parasitolog\u00eda, CUCS, Universidad de Guadalajara, Guadalajara, JAL, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists Committee on Health Care for Underserved Women & Committee on Obstetric Practice. 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