{"id":23269,"date":"2021-08-30T10:08:16","date_gmt":"2021-08-30T09:08:16","guid":{"rendered":"https:\/\/babywellnessfoundation.org\/news-approfondimenti\/anatomia-della-mammella-e-fisiologia-dellallattamento-al-seno\/"},"modified":"2026-01-07T10:03:52","modified_gmt":"2026-01-07T09:03:52","slug":"anatomy-of-the-breast-and-physiology-of-breastfeeding","status":"publish","type":"news-approfondimenti","link":"https:\/\/babywellnessfoundation.org\/en\/news-approfondimenti\/anatomy-of-the-breast-and-physiology-of-breastfeeding\/","title":{"rendered":"Anatomy of the breast and physiology of breastfeeding"},"content":{"rendered":"<p data-start=\"82\" data-end=\"509\">Breastfeeding is considered the most natural and effective way to nourish an infant. In addition to providing protection against infections, <strong>breast milk is sterile<\/strong>, <strong>always available<\/strong>, <strong>at the right temperature<\/strong>, and<strong> ready to use<\/strong>. The breastfeeding experience also promotes a deep emotional bond between mother and child, offering the newborn love, security, and an affective environment essential for psychophysical development.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-6857\" src=\"https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato.jpg\" alt=\"\" width=\"1366\" height=\"1026\" srcset=\"https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato.jpg 1000w, https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato-300x225.jpg 300w, https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato-768x577.jpg 768w, https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato-100x75.jpg 100w, https:\/\/babywellnessfoundation.org\/wp-content\/uploads\/2021\/08\/allattamento-1_allattamento-neonato-120x90.jpg 120w\" sizes=\"(max-width: 1366px) 100vw, 1366px\" \/><\/p>\n<h5 style=\"background-color: #e8eff4; color: white; padding: 5px;\"><strong><span style=\"color: #006271;\">Structure of the mammary gland<\/span><\/strong><\/h5>\n<p data-start=\"554\" data-end=\"859\">The breast is an exocrine gland composed of several <strong>lobes<\/strong>, each subdivided into lobules. The functional unit of the lobules is the <strong>alveolus<\/strong>, the site where milk is produced. Milk passes from the ductules into the <strong>lactiferous ducts<\/strong>, which converge toward the <strong>nipple<\/strong>, where it is expelled during suckling.<\/p>\n<p data-start=\"861\" data-end=\"889\">Each alveolus consists of:<\/p>\n<ul data-start=\"890\" data-end=\"1009\">\n<li data-start=\"890\" data-end=\"941\">\n<p data-start=\"892\" data-end=\"941\"><strong data-start=\"892\" data-end=\"926\">Epithelial cells (lactocytes):<\/strong> produce milk<\/p>\n<\/li>\n<li data-start=\"942\" data-end=\"1009\">\n<p data-start=\"944\" data-end=\"1009\"><strong data-start=\"944\" data-end=\"968\">Myoepithelial cells:<\/strong> contract to push milk toward the ducts<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1011\" data-end=\"1278\">All lobes and lobules are surrounded by <strong>adipose tissue<\/strong> and separated by <strong>fibrous connective tissue<\/strong> that provides structural support.<br data-start=\"1142\" data-end=\"1145\" \/>The shape of the breast, the size of the nipple, or slight asymmetries between the breasts <strong>do not affect the ability to breastfeed<\/strong>.<\/p>\n<h5 style=\"background-color: #e8eff4; color: white; padding: 5px;\"><strong><span style=\"color: #006271;\">Hormones and changes during pregnancy<\/span><\/strong><\/h5>\n<p data-start=\"1330\" data-end=\"1467\">From <strong>menarche<\/strong> and more markedly during pregnancy, mammary tissue undergoes significant changes under the influence of several hormones:<\/p>\n<ul data-start=\"1469\" data-end=\"1682\">\n<li data-start=\"1469\" data-end=\"1534\">\n<p data-start=\"1471\" data-end=\"1534\"><strong data-start=\"1471\" data-end=\"1485\">Estrogens:<\/strong> stimulate the development of lactiferous ducts<\/p>\n<\/li>\n<li data-start=\"1535\" data-end=\"1602\">\n<p data-start=\"1537\" data-end=\"1602\"><strong data-start=\"1537\" data-end=\"1554\">Progesterone:<\/strong> promotes the enlargement of alveoli and lobes<\/p>\n<\/li>\n<li data-start=\"1603\" data-end=\"1682\">\n<p data-start=\"1605\" data-end=\"1682\"><strong data-start=\"1605\" data-end=\"1619\">Prolactin:<\/strong> contributes to breast enlargement and prepares for lactation<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1684\" data-end=\"1876\">During pregnancy, there is an increase in <strong>areola pigmentation<\/strong>, <strong>nipple size<\/strong>, and <strong>visibility of subcutaneous blood vessels<\/strong>\u2014all signs of the breast\u2019s physiological adaptation for breastfeeding.<\/p>\n<h5 style=\"background-color: #e8eff4; color: white; padding: 5px;\"><strong><span style=\"color: #006271;\">Phases of lactation<\/span><\/strong><\/h5>\n<p data-start=\"1910\" data-end=\"1989\">Breast milk production, known as <strong>lactation<\/strong>, is divided into four main phases:<\/p>\n<ol data-start=\"1991\" data-end=\"2953\">\n<li data-start=\"1991\" data-end=\"2154\">\n<p data-start=\"1994\" data-end=\"2154\"><strong data-start=\"1994\" data-end=\"2060\">Lactogenesis I <\/strong><em>(from mid-pregnancy to the 2nd postpartum day)<\/em><br data-start=\"2060\" data-end=\"2063\" \/>Milk synthesis begins under hormonal control. Colostrum is produced during this phase.<\/p>\n<\/li>\n<li data-start=\"2156\" data-end=\"2394\">\n<p data-start=\"2159\" data-end=\"2394\"><strong data-start=\"2159\" data-end=\"2220\">Lactogenesis II<\/strong><em> (from the 3rd to the 8th postpartum day)<\/em><br data-start=\"2220\" data-end=\"2223\" \/>A significant increase in milk production occurs, often accompanied by breast engorgement. Control is still endocrine and is completed within 30\u201340 hours after birth.<\/p>\n<\/li>\n<li data-start=\"2396\" data-end=\"2721\">\n<p data-start=\"2399\" data-end=\"2721\"><strong data-start=\"2399\" data-end=\"2467\">Galactopoiesis <\/strong><em>(from the 9th day until the onset of involution)<\/em><br data-start=\"2467\" data-end=\"2470\" \/>Milk production is regulated mainly by<strong> local stimuli<\/strong>, depending on the frequency and effectiveness of suckling. This <strong>autocrine<\/strong> control mechanism follows the principle of supply and demand. Production stabilizes around the <strong>4th\u20136th postpartum week<\/strong>.<\/p>\n<\/li>\n<li data-start=\"2723\" data-end=\"2953\">\n<p data-start=\"2726\" data-end=\"2953\"><strong data-start=\"2726\" data-end=\"2780\">Involution <\/strong><em>(about 40 days after the last feeding)<\/em><br data-start=\"2780\" data-end=\"2783\" \/>Begins when the baby reduces feedings or starts complementary feeding. The accumulation of the <strong data-start=\"2881\" data-end=\"2917\">Lactation Inhibitor Factor (LIF)<\/strong> progressively reduces production.<\/p>\n<\/li>\n<\/ol>\n<h5 style=\"background-color: #e8eff4; color: white; padding: 5px;\"><strong><span style=\"color: #006271;\">Role of hormones in mmaintaining lactation<\/span><\/strong><\/h5>\n<p data-start=\"3009\" data-end=\"3126\">After birth, <strong>estrogen and progesterone<\/strong> levels drop rapidly, allowing <strong>prolactin<\/strong> and <strong>oxytocin<\/strong> to play a central role:<\/p>\n<ul data-start=\"3128\" data-end=\"3645\">\n<li data-start=\"3128\" data-end=\"3335\">\n<p data-start=\"3130\" data-end=\"3335\"><strong data-start=\"3130\" data-end=\"3144\">Prolactin:<\/strong> stimulates epithelial cells of the alveolus to produce milk. It follows a circadian rhythm, with higher levels at night. Nighttime breastfeeding therefore promotes greater milk production.<\/p>\n<\/li>\n<li data-start=\"3337\" data-end=\"3645\">\n<p data-start=\"3339\" data-end=\"3645\"><strong data-start=\"3339\" data-end=\"3352\">Oxytocin:<\/strong> induces contraction of the myoepithelial cells surrounding the alveoli, facilitating the flow of milk toward the nipple (let-down reflex). Its secretion is stimulated by physical contact, positive emotions, cuddling, and caresses, but can be <strong>inhibited by stress, pain, nicotine, or alcohol<\/strong>.<\/p>\n<\/li>\n<\/ul>\n<h5 style=\"background-color: #e8eff4; color: white; padding: 5px;\"><strong><span style=\"color: #006271;\">Lactation Inhibitor Factor (LIF)<br \/>\n<\/span><\/strong><\/h5>\n<p data-start=\"3692\" data-end=\"4046\"><strong>LIF<\/strong> is a substance locally produced by the alveoli that regulates milk production. When the breast is not emptied regularly, LIF accumulates and inhibits milk synthesis. Only frequent and effective removal of milk\u2014through regular breastfeeding, manual expression, or use of a breast pump\u2014can counteract this inhibition and maintain adequate production.<\/p>\n<p data-start=\"3692\" data-end=\"4046\"><em>Breastfeeding is a complex process, regulated by a sophisticated anatomical and hormonal system. Understanding how the breast works and the phases of lactation helps to promote effective, lasting, and serene breastfeeding.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breastfeeding is considered the most natural and effective way to nourish an infant. In addition to providing protection against infections, breast milk is sterile, always available, at the right temperature, and ready to use. The breastfeeding experience also promotes a deep emotional bond between mother and child, offering the newborn love, security, and an affective [&hellip;]<\/p>\n","protected":false},"author":43,"featured_media":23271,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"focus-approfondimento":[871],"focus-appartenenza":[],"coauthors":[109,110],"class_list":["post-23269","news-approfondimenti","type-news-approfondimenti","status-publish","format-standard","has-post-thumbnail","hentry","focus-approfondimento-breastfeeding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Anatomy of the breast and physiology of breastfeeding - Baby Wellness Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/babywellnessfoundation.org\/en\/news-approfondimenti\/anatomy-of-the-breast-and-physiology-of-breastfeeding\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anatomy of the breast and physiology of breastfeeding - Baby Wellness Foundation\" \/>\n<meta property=\"og:description\" content=\"Breastfeeding is considered the most natural and effective way to nourish an infant. 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