ABM Clinical Protocol #9: Use of Galactogogues in Initiating or Augmenting the Rate of Maternal Milk Secretion (First Revision January 2011)

Medici, the Academy of Breastfeeding

doi:10.1089/bfm.2011.9998

Cited by 90 publications

(25 citation statements)

References 49 publications

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“…Similarly, domperidone and metoclopramide were ‘never’ or only ‘rarely’ recommended. Other surveys on galactagogues have reported largely similar findings to those described here 23–25,29. However, Swiss respondents seemed to recommend predominantly oxytocin nasal spray, herbals, and homeopathic remedies, whereas Canadian respondents used domperidone as well as herbal remedies,28 indicating differences by geographic region.…”

Section: Discussionsupporting

confidence: 78%

“…There are different dosages and forms of galactagogue preparation available23 and another recent study has illustrated that the methods of administration among users vary significantly 22. This is also reflected by the absence of evidence-based clinical guidelines to assist providers in choice and appropriate dosage of galactagogues.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, women also expressed the notion that herbal galactagogues are safer compared to conventional medicine and expected providers to be aware of the different options and hence able to provide adequate advice 26. Providers face insufficient clinical guidance and a lack of protocols on galactagogue use, and recently this gap in reliable data has led to more cautious recommendation about galactagogues use 23. Nevertheless, health providers counseling lactating women are likely to have experience with patients’ use of galactagogues and are frequently requested to provide recommendations to patients when asked.…”

Section: Introductionmentioning

confidence: 99%

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Health provider experiences with galactagogues to support breastfeeding: a cross-sectional survey

Bazzano

Littrell

Brandt

et al. 2016

JMDH

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BackgroundExclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers’ perceptions, experiences, and practices in relation to galactagogue recommendation.MethodA cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants.ResultsMore than 70% of respondents reported to recommend galactagogues. The most frequently recommended galactagogue was fenugreek with respondents indicating that they recommend it either ‘always’ (8.5%) or ‘most of the time’ (14.9%) and ‘sometimes’ (46.8%). More than 80% of the respondents indicated that galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about galactagogues.DiscussionDespite little evidence regarding safety and efficacy, some galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health provider experiences with galactagogues to support breastfeeding: a cross-sectional survey

Bazzano

Littrell

Brandt

et al. 2016

JMDH

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“…Academic publications presented many cases of induced lactation experiments using galactagogues, a class of medications that initiate and/or increase milk production (8,(49)(50)(51)(52)(53)(54)(55)(56). In addition, there have been several studies conducted on induced lactation practices, such as examining the success of induced lactation in non-pregnant women (17); identifying the processes that promote milk production for women who want to induce lactation (8); exploring motivating factors or reasons for why women want to breastfeed their adopted children (5,48) and gathering experiences of induced lactation (57,58).…”

Section: Breastfeeding Adopted Children: An Islamic Perspectivementioning

confidence: 99%

The Availability of Information on Induced Lactation in Malaysia

Rahim

Sulaiman

Ismail

2017

MJMS

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Induced lactation is a method of stimulating the production of breast milk in women who have not gone through the process of pregnancy. Recent advances in technology have given such women the opportunity to breastfeed adopted children. Previous studies conducted in Western countries have explored the breastfeeding of adopted children, as well as the experiences, successes and challenges of this process. However, research on procedures for breastfeeding adopted children is lacking in Malaysia. The authors have therefore reviewed literature related to induced lactation in Malaysia to fill this gap. Of the 30 related articles identified, 19 described the breastfeeding practices and experiences of adoptive mothers in Malaysia. Out of 19 articles, there were four journal articles, five circulars and regulations, two books, two post-graduate theses, four blogs posts and forum discussions, and two online newspaper articles. Medical information relating to induced lactation procedures was also reviewed, showing that there was a lack of scientific studies focusing on induced lactation practices among adoptive mothers. Information on religious, specifically Islamic, perspectives on breastfeeding and child adoption laws was gathered from websites, social networks, blogs, magazines and online news sources. In consideration of recent advancements in medical technology and the dire need among Malaysians, it is crucial that evidence-based, accurate and reliable information on induced lactation is made available to professionals and other individuals in this country.

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“…Maintenance of breastfeeding seems challenging for many women. Perception of insufficient breastmilk production may contribute to cessation rates [7, 8]. …”

Section: Introductionmentioning

confidence: 99%

Breastfeeding Self-Efficacy and the Use of Prescription Medication: A Pilot Study

Mannion

Mansell

2012

Obstetrics and Gynecology International

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Objective. To examine the association of self-efficacy, perception of milk production, and lactating women's use of medication prescribed to increase breast milk in a cohort of 18–40-year-old mothers over six months. Methods. Mothers (n = 76) attending community clinics completed the Breastfeeding Self-Efficacy Scale and the Humenick/Hill Lactation Scale, a measure of perceived milk production, three times. Results. Domperidone, a dopamine antagonist, was used by 28% of participants. On average, those using domperidone had lower self-efficacy scores than those not using it (P < 0.05) and were more likely to have used formula (Pearson chi-square test statistic = 6.87, df = 1, P < 0.05). Breastfeeding self efficacy and perception of milk production were positively correlated. Conclusion. Breastfeeding assessment conducted prior to prescription of galactogogues is recommended for mothers and healthy term babies. Following Baby-Friendly hospital protocols and increasing self-efficacy for lactating women may be most effective in sustaining breastfeeding. Risks and benefits of various galactogogues are discussed.

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ABM Clinical Protocol #9: Use of Galactogogues in Initiating or Augmenting the Rate of Maternal Milk Secretion (First Revision January 2011)

Cited by 90 publications

References 49 publications

Health provider experiences with galactagogues to support breastfeeding: a cross-sectional survey

Health provider experiences with galactagogues to support breastfeeding: a cross-sectional survey

The Availability of Information on Induced Lactation in Malaysia

Breastfeeding Self-Efficacy and the Use of Prescription Medication: A Pilot Study

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