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Background: Nurses perform a crucial role in physical and psychosocial support of women with breast cancer. However, only few reviews have explored and discussed the roles and interventions carried out by specialised nurses in breast cancer care.
Discussion: This review provides evidence on specialist nurses' role in breast cancer care. The methodological aspects of studies in this review vary in different aspects. More studies with rigorous scientific methods are needed to provide robust evidence on effectiveness of specialist nurses' role.
Conclusion: Even though specialist nursing interventions can contribute to health outcomes of women with breast cancer, there is limited number of studies reported from developing countries. This warrants the need for specialist nurse interventions in breast cancer care from developing countries.
Relevance to clinical practice: Offering a specialist nurse service helps the patients to meet their informational and educational needs, supportive care and coordination of care. Specialist breast nurse services can be integrated into hospital setting to improve patient care and treatment adherence.
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Some wet nurses were enslaved. Others were simply disenfranchised. Few had much choice in the matter. Milk traveled up the social ladder, nourishing wealthy children, while the poor ones went hungry. In the words of the sixteenth-century French essayist Michel de Montaigne:
Yet in other parts of the world, wet-nursing took a very different form. Consider the Mughals. A Mughal prince could have two families: one bound together by ties of blood, the other by ties of milk. His blood family came from his birth parents, his milk family from his wet nurse.
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A wet nurse is a woman who breastfeeds and cares for another's child.[1] Wet nurses are employed if the mother dies, or if she is unable or chooses not to nurse the child herself. Wet-nursed children may be known as "milk-siblings", and in some cultures, the families are linked by a special relationship of milk kinship. Wet-nursing existed in cultures around the world until the invention of reliable formula milk in the 20th century. The practice has made a small comeback in the 21st century.
There was a greater need for wet nurses when the rates of infant abandonment and maternal death, during and shortly after childbirth, were high.[2][3] There was a concurrent availability of lactating women whose own babies had died.[4]
Some women chose not to breastfeed for social reasons. For upper-class women, breastfeeding was considered unfashionable, in the sense that it not only prevented them from being able to wear the fashionable clothing of their time, but it was also thought to ruin their figures.[5] Working women faced other pressures to abandon breastfeeding, including from their husbands.[citation needed] Hiring a wet nurse was less expensive than having to hire someone else to help run the family business and/or take care of the family household duties in their place.[5] Some women chose to hire wet nurses purely to escape from the confining and time-consuming chore of breastfeeding.[6] Wet nurses have also been used when a mother cannot produce sufficient breast milk.
A woman can only act as a wet nurse if she is lactating (producing milk). It was once believed that a wet nurse must have recently undergone childbirth in order to lactate. This is not necessarily the case, as regular breast stimulation can elicit lactation via a neural reflex of prolactin production and secretion.[7] Some women have been able to establish lactation using a breast pump, in order to feed an infant.[8]
Wet nursing is an ancient practice, common to many cultures. It has been linked to social class, where monarchies, the aristocracy, nobility, or upper classes had their children wet-nursed for the benefit of the child's health, and sometimes in the hope of becoming pregnant again quickly. Exclusive breastfeeding inhibits ovulation in some women (lactational amenorrhea). Poor women, especially those who suffered the stigma of giving birth to an illegitimate child, sometimes had to give their baby up temporarily to a wet nurse, or permanently to another family.[11] The woman herself might in turn become wet nurse to a wealthier family, while using part of her wages to pay her own child's wet nurse. From Roman times and into the present day, philosophers and thinkers alike have held the view that the important emotional bond between mother and child is threatened by the presence of a wet nurse.[12]
In Greek mythology, Eurycleia is the wet nurse of Odysseus. In Roman mythology, Caieta was the wet nurse of Aeneas. In Burmese mythology, Myaukhpet Shinma is the nat (spirit) representation of the wet nurse of King Tabinshwehti. In Hawaiian mythology, Nuakea is a beneficent goddess of lactation;[14] her name became the title for a royal wet nurse, according to David Malo.[15]
In ancient Rome, well-to-do households would have had wet nurses (Latin nutrices, singular nutrix) among their slaves and freedwomen,[16] but some Roman women were wet nurses by profession, and the Digest of Roman law even refers to a wage dispute for wet-nursing services (nutricia).[17] The landmark known as the Columna Lactaria ("Milk Column") may have been a place where wet nurses could be hired.[18] It was considered admirable for upperclass women to breastfeed their own children, but unusual and old-fashioned in the Imperial era.[19] Even women of the working classes or slaves might have their babies nursed,[20] and the Roman-era Greek gynecologist Soranus offers detailed advice on how to choose a wet nurse.[21] Inscriptions such as religious dedications and epitaphs indicate that a nutrix would be proud of her profession.[22] One even records a nutritor lactaneus, a male "milk nurse" who presumably used a bottle.[23] Greek nurses were preferred,[24] and the Romans believed that a baby who had a Greek nutrix could imbibe the language and grow up speaking Greek as fluently as Latin.[25]
The importance of the wet nurse to ancient Roman culture is indicated by the founding myth of Romulus and Remus, who were abandoned as infants but nursed by the she-wolf, as portrayed in the famous Capitoline Wolf bronze sculpture. The goddess Rumina was invoked among other birth and child development deities to promote the flow of breast milk.
By the 1500s, a wealthy mother who did not use a wet nurse was worthy of remark in India. The child was not "put out" of the household; rather, the wet nurse was included within it. The imperial wet nurses of the Mughal court were given honours in the Turco-Mongol tradition.[26]
Taking care of babies was a well-paid, respectable, and popular job for many working-class women. In the 18th century, a woman would earn more money as a wet nurse than an average man could as a labourer. Up until the 19th century, most wet-nursed infants were sent far from their families to live with their new caregiver for up to the first three years of their life.[27] As many as 80% of wet-nursed babies who lived like this died during infancy.[27]
During the Victorian era, women took in babies for money and nursed them themselves or fed them with whatever was cheapest. This was known as baby-farming; poor care sometimes resulted in high infant death rates. The wet nurse at this period was most likely a single woman who previously had given birth to an illegitimate child.[28] There were two types of wet nurses by this time: those on poor relief, who struggled to provide sufficiently for themselves or their charges, and the professionals, who were well paid and respected.
Wet nurses also worked at foundling hospitals, establishments for abandoned children. Their own children would likely be sent away, normally brought up by the bottle rather than being breastfed. Valerie Fildes, author of Breasts, Bottle and Babies: A History of Infant Feeding, argues that "In effect, wealthy parents frequently 'bought' the life of their infant for the life of another."[29] 781b155fdc