Training for Perfect Breastfeeding or Metoclopramide: Which One Can Promote Lactation in Nursing Mothers?

Sakha, K Ghafarpour; Behbahan, Afshin Ghalehgolab

doi:10.1089/bfm.2007.0020

Cited by 25 publications

(39 citation statements)

References 7 publications

(5 reference statements)

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“…Poor breastfeeding technique or latching leading to ineffectual milk removal, deficient mammary gland tissue and maternal hormonal imbalances can all contribute to insufficient supply of milk [14,15]. Once these issues have been addressed and other strategies have been followed, such as education about techniques by lactation consultants, and milk flow remains insufficient, galactagogues could be trialled [16]. …”

Section: Introductionmentioning

confidence: 99%

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Sim

Hattingh

Sherriff

et al. 2014

BMC Complement Altern Med

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BackgroundSome herbal galactagogues have gained reputation and recognition by the public and health professionals as alternative approaches to increase breast milk supply. This study explores the perspectives and attitudes of breastfeeding women towards the use of herbal galactagogues while breastfeeding, their experiences, and why and how they have chosen an alternative option over conventional treatments to enhance breastfeeding performance.MethodsThis exploratory research was conducted through in-depth semi-structured interviews with women living in Perth, Western Australia, who were using one or more herbal galactagogues during breastfeeding. Purposeful and subsequent snowball sampling methods were employed to recruit participants. All interviews, facilitated by an interview guide, were audio-recorded, then transcribed verbatim. Thematic analysis was used to analyse qualitative data to construct themes and subthemes.ResultsThe perspectives and attitudes of the 20 participants are classified under three main headings: i) use of herbal medicines during breastfeeding, ii) available herbal medicines resources, and iii) level of breastfeeding support received. Throughout the interviews, participants described how their perseverance and determination to breastfeed, as well as concerns over breastfed infants’ safety with conventional treatments, influenced their choice of therapy. A sense of self-efficacy and autonomy over their own health needs was seen as influential to their confidence level, supported self-empowerment and provided reassurance throughout the breastfeeding journey. There was also a desire for more evidence-based information and expectations of health professionals to provide credible and reliable information regarding the use of herbal medicines during breastfeeding.ConclusionsThis study has enhanced our understanding of the perspectives and attitudes of breastfeeding women towards the use of herbal medicines, in particular galactagogues, while breastfeeding. The positive attitudes of breastfeeding women identified in this study highlight the need for further research into evaluating the safety and efficacy of commonly used herbal galactagogues, whilst the negative views on breastfeeding education should be taken into consideration when implementing or improving breastfeeding-related health policies.

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Section: Introductionmentioning

confidence: 99%

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Sim

Hattingh

Sherriff

et al. 2014

BMC Complement Altern Med

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“…32,[39][40][41] There have been multiple randomized, placebo-controlled blinded studies that found essentially no differences in milk volumes produced between women given metoclopramide and a placebo. [42][43][44][45][46] Metoclopramide may cause serious maternal side-effects, including depression with long-term use and extrapyramidal symptoms. 47 The efficacy of other CAM therapies for addressing PIM, including relaxation/visual imagery, meditation, massage, and acupuncture also remains understudied.…”

mentioning

confidence: 99%

Feasibility and Acceptability of Two Complementary and Alternative Therapies for Perceived Insufficient Milk in Mothers of Late Preterm and Early Term Infants

Demirci¹,

Bare²,

Cohen³

et al. 2016

Alternative and Complementary Therapies

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Background: Complementary and alternative medicine (CAM) could be one option to address perceived insufficient milk (PIM), but there are few data comparing the effectiveness, acceptability, and safety of various CAM therapies. The purpose of this study was to describe and compare, among women delivering at 34-37 6/7 weeks, the feasibility and acceptability of two CAM interventions for treatment of PIM: (1) a meditation/relaxation intervention via an MP3 (Apple iPod Shuffle Ó ) player and (2) a commercially available combination-blend herbal supplement (Motherlove: More Milk Plus Alcohol Free

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“…When this occurs, the mother, who may already feel like a failure because of her difficulties with breastfeeding, may blame herself for her inability to correct the problem with standard advice (Sakha & Behbahan, 2008).…”

Section: Primary Care Support For Breastfeedingmentioning

confidence: 99%

“…Another study compared the effectiveness of improved breastfeeding management with the administration of a prescription galactagogue, metoclopramide (Sakha & Behbahan, 2008).…”

Section: Galactagogues and Breastfeeding Managementmentioning

confidence: 99%

“…Studies have shown that primary care providers play a crucial role in the protection, promotion, and support ofbreastfeeding (AAFP, 2008). During the course of pregnancy and postpartum care, an NP is in an ideal position to educate clients about the benefits of breastfeeding and to provide anticipatory guidance regarding effective management of feeding problems (Sakha & Behbahan, 2008).…”

Section: The Role Of Nurse Practitioners In Facilitating Breastfeedingmentioning

confidence: 99%

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Complementary and alternative therapies: supporting the woman with inadquate milk production

Finch¹

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While the benefits of breastfeeding are well established, and high initiation rates indicate that women recognize these benefits and wish to provide their infants with the healthiest beginnings, duration rates indicate that women are having difficulty overcoming challenges in the early weeks of breastfeeding. Studies indicate that early breastfeeding cessation is correlated with perceived or actual inadequate milk supply (Lewallen et al., 2006). While the traditional management of insufficient supply during breastfeeding has involved breastfeeding support with particular attention to effectiveness of maternal and infant position, milk transfer, and frequency of feeds , some women may not see improvement in supply from traditional measures.Breastfeeding websites, parenting books, and review articles by breastfeeding professionals suggest the use of complementary and alternative therapies such as acupuncture, herbal medicines, relaxation therapy, aromatherapy, and homeopathy to increase milk supply, however little clinical evidence exists to support the use of such therapies. This literature review summarizes the available data in research and grey literature regarding the use of acupuncture and herbal medicine in managing insufficient milk supply. The majority of evidence supporting the use of acupuncture and herbal medicine in the breastfeeding woman is qualitative and quasiexperimental , with few randomized controlled trials supporting the safety and efficacy of these treatments for increasing milk production in the lactating woman. The role of the nurse practitioner in supporting patients using complementary and alternative therapies is discussed.

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Training for Perfect Breastfeeding or Metoclopramide: Which One Can Promote Lactation in Nursing Mothers?

Abstract: Counseling nursing mothers for proper lactation before delivery and their continued training thereafter are the main clinical pathways toward a successful and sustained breastfeeding.

Cited by 25 publications

References 7 publications

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Feasibility and Acceptability of Two Complementary and Alternative Therapies for Perceived Insufficient Milk in Mothers of Late Preterm and Early Term Infants

Complementary and alternative therapies: supporting the woman with inadquate milk production

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