Lactation suppression refers to the act of suppressing lactation with other non-pharmaceutical drugs or methods. Breasts can be painful when exaggerated with breast milk if breastfeeding is stopped suddenly, or if it never starts. This can happen if a woman never starts breastfeeding, or if she weaned from a sudden feeding. Historically women who did not plan on breastfeeding were given diethylstilbestrol and other drugs after birth to suppress lactation. However, its use is discontinued, and no drug is currently approved for lactation suppression in the US and the UK.
Video Lactation suppression
Reason
After birth, some women may want to stop breastmilk production, for example when the mother decides to bottle-feed from birth, or in cases where the baby dies or gives up at birth. In addition, a woman who is breastfeeding may need to stop breastfeeding suddenly, for example if she is taking medications that are contrary to breastfeeding or undergoing surgery. The sudden process of weaning can lead to severe swelling, very painful breasts, and possibly mastitis. Up to one third of women who are not breastfeeding and who use a bra or binder, ice packs, or analgesics may experience severe breast pain. Special studies of nonpharmacological methods of lactation suppression are limited and inconclusive. Available data indicate that many women using current recommended strategies for symptomatic treatment may experience swelling or pain for most of the first postpartum week.
Maps Lactation suppression
Method
Drugs
Cabergoline (Dostinex รข„¢) is currently the most effective option available today, as it is available as a single dose (compared with bromocriptine to be taken twice daily for 2 weeks). It may be prescribed in case of a breast abscess. Although the preferred method of treatment for breast abscesses and mastitis is actually to continue breastfeeding, if a decision is made to stop breastfeeding, then chemical lactation suppression is indicated, especially for severe cases. Carbergoline is not indicated for the treatment of discomfort caused by swelling.
In the past, hormonal therapy, such as diethylstilbestrol and bromocriptine are routinely used in the postpartum period, but this is no longer recommended because of side effects because they alter hormone levels dramatically and cause side effects such as nausea and vomiting, and potentially severe side. effects such as thromboembolism, brain accidents, and myocardial infarction (DES is also a known carcinogen).
Estrogens containing birth control pills can have similar side effects. Pseudoephedrine can also suppress lactation, as it is known to cause low supply.
In America. Spitz et al. in a 100-year review of all available information concluded that there is nothing new or helpful to help with breast involution or the milk suppression process or to treat the pain or discomfort of the enlarged breasts.
Other methods
By not stimulating the breast after birth, after a few days milk production will die. If breastfeeding has been established, milk production usually takes longer to decrease and may take several weeks. Women may experience pain and discomfort from swelling. This discomfort can be reduced by hand-expressing milk or pump use to reduce swelling and prevent mastitis. Discomfort can also be treated with analgesics. However, as many as a third of all women will experience severe pain in this process.
Historically, binding the breasts by using a tight bra or a bandage is used, but this is now not recommended as this may cause clogged ducts and mastitis. Fluid restriction is also not recommended because it may not be effective or necessary.
Cabbage leaves are a general recommendation to reduce discomfort from swelling. However, Cochrane's review of three studies on this subject concluded that there was no statistically significant evidence that intervention was associated with faster symptom resolution; in this study women tend to experience improvement in pain and other symptoms over time whether they receive active care or not.
According to Cochrane, other interventions such as hot/cold packs, Gua-Sha (abrasive therapy), acupuncture, and proteolytic enzymes may be promising for breast enlargement treatment, but there is insufficient evidence to justify widespread adoption.
See also
- The hypothalamic-pituitary-prolactin axis
- the Prolactin modulator
References
Source of the article : Wikipedia
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