22:
259:
By simply not stimulating the breasts after birth, after a few days the production of milk will decease. If breastfeeding has already been established, the production of milk typically takes longer to decrease and may take several weeks. Women may experience pain and discomfort from engorgement. This
125:
by medication or other non pharmaceutical means. The breasts may become painful when engorged with milk if breastfeeding is ceased abruptly, or if never started. This may occur if a woman never initiates breastfeeding, or if she is weaning from breastfeeding abruptly. Historically women who did not
172:
Up to one third of women who do not breast-feed and who use a brassiere or binder, ice packs, or analgesics may experience severe breast pain. Specific studies of nonpharmacologic methods of lactation suppression were limited and inconclusive. Available data suggest that many women using currently
278:
leaves are a common recommendation to reduce discomfort from engorgement. However, a
Cochrane review of three studies on this subject concluded that there was no statistically significant evidence that interventions were associated with a more rapid resolution of symptoms; in these studies women
210:, if the decision is made to stop breastfeeding, then chemical lactation suppression is indicated, particularly for severe cases. Carbergoline is not indicated for treatment of discomfort caused by engorgement. In the UK dopamine agonists are routinely prescribed following a stillbirth.
337:
After a stillbirth, your body may start producing breast milk, which can cause discomfort and distress. Medicines (dopamine agonists) can stop your breasts producing milk. They cause few side effects and may also help you feel better emotionally, but they aren't suitable if you have
282:
According to the
Cochrane review other interventions such as hot/cold packs, Gua-Sha (scraping therapy), acupuncture, and proteolytic enzymes may be promising for the treatment of breast engorgement, but there is insufficient evidence to justify widespread implementation.
250:
In the US. Spitz et al. in a 100-year review of all available information concluded that there was nothing new or helpful to assist with the mammary involution or milk suppression process or to treat the pain or discomfort of severely engorged breasts.
271:
by use of tight-fitting bras or ace bandages was used, but this is now discouraged as this may cause blocked milk ducts and mastitis. Fluid restriction is also not recommended as it is likely ineffective and unnecessary.
130:
and other medications after birth to suppress lactation. However, its use was discontinued, and there are no medications currently approved for lactation suppression in the US and the UK.
264:
to reduce engorgement and prevent mastitis. The discomfort can also be treated with analgesics. However, as much as one third of all women will experience severe pain in this process.
754:
292:
1374:
351:
39:
1101:
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747:
1128:
1040:
225:
period, but these are no longer recommended due to side effects such as nausea and vomiting, and severe potential side effects such as
173:
recommended strategies for treatment of symptoms may nevertheless experience engorgement or pain for most of the first postpartum week.
105:
86:
58:
617:
230:
477:
Veurink, Marieke; Koster, Marlies; Berg, Lolkje T.W. de Jong-van den. (June 2005). "The
History of DES, Lessons to be Learned".
807:
740:
65:
43:
802:
159:
985:
882:
198:(Dostinex™) is currently most effective option currently available, as it is available as a single dose (as opposed to
72:
1288:
399:
Oladapo, Ot; Fawole, B (2006-04-19), "Treatments for suppression of lactation", in The
Cochrane Collaboration (ed.),
980:
158:. Additionally, women who are breastfeeding may need to stop breastfeeding abruptly, for instance if she is taking
54:
32:
1359:
975:
842:
382:
146:
After birth, some women may desire to stop the production of breast milk, for example when the mother decides to
279:
tended to have improvements in pain and other symptoms over time whether or not they received active treatment.
1369:
892:
887:
135:
1412:
1118:
877:
530:"Pseudoephedrine: effects on milk production in women and estimation of infant exposure via breastmilk"
1096:
1035:
935:
909:
206:. Although the preferred method of treatment for breast abscess and mastitis is actually to continue
1364:
1349:
430:"Management of lactational mastitis and breast abscesses: review of current knowledge and practice"
297:
79:
857:
510:
374:
234:
218:
163:
127:
528:
Aljazaf K, Hale TW, Ilett KF, Hartmann PE, Mitoulas LR, Kristensen JH, Hackett LP (July 2003).
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are currently the preferred medication for suppressing lactation, which work by suppressing
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1005:
995:
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904:
797:
545:
211:
207:
199:
642:
Swift K, Janke J (2003). "Breast binding... is it all that it's wrapped up to be?".
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is inappropriate for use in the postpartum period due to the risk of side effects.
1223:
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1198:
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which must be taken twice daily for 2 weeks.) It may be prescribed in the case of
352:"Lactation suppression: forgotten aspect of care for the mother of a dying child"
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are routinely prescribed to women following a stillbirth in the UK under the
1293:
1159:
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191:
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579:"Treatment for lactation suppression: little progress in one hundred years"
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602:
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discomfort is may be relieved by hand-expressing milk or the use of a
1228:
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1000:
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578:
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or undergoes surgery. The abrupt weaning process may lead to severe
1133:
919:
736:
15:
680:
Zakarija-Grkovic, Irena; Stewart, Fiona (18 September 2020).
214:
is a contraindication for prescribing dopamine agonists.
644:
Journal of
Obstetric, Gynecologic, and Neonatal Nursing
243:
may also suppress lactation, as it is known to cause
682:"Treatments for breast engorgement during lactation"
1317:
1147:
1064:
928:
771:
46:. Unsourced material may be challenged and removed.
428:Kataria K, Srivastava A, Dhar A (December 2013).
229:, cerebral accident, and myocardial infarction.
618:"Guidelines For Rapid Reduction of Milk Supply"
577:Spitz AM, Lee NC, Peterson HB (December 1998).
423:
421:
419:
417:
1258:(American 'crib' and 'cradle', British 'cot')
748:
583:American Journal of Obstetrics and Gynecology
8:
160:medication contraindicated for breastfeeding
686:The Cochrane Database of Systematic Reviews
755:
741:
733:
166:, extremely painful breasts, and possibly
713:
553:
453:
106:Learn how and when to remove this message
534:British Journal of Clinical Pharmacology
233:may have the same side effect, but like
217:In the past, hormonal therapies such as
401:Cochrane Database of Systematic Reviews
322:"What happens if your unborn baby dies"
308:
231:Estrogen containing birth control pills
675:
673:
293:Hypothalamic–pituitary–prolactin axis
7:
873:Infant respiratory distress syndrome
316:
314:
312:
150:from birth, or in the case when the
44:adding citations to reliable sources
14:
121:refers to the act of suppressing
546:10.1046/j.1365-2125.2003.01822.x
20:
808:Breastfeeding and mental health
31:needs additional citations for
698:10.1002/14651858.CD006946.pub4
403:, John Wiley & Sons, Ltd,
126:plan to breastfeed were given
1:
803:Breastfeeding and medications
595:10.1016/s0002-9378(98)70013-4
434:The Indian Journal of Surgery
1365:Neonatal withdrawal syndrome
986:Infant cognitive development
883:Neonatal intensive care unit
479:Pharmacy World & Science
1289:Supplemental nursing system
620:. BFLRC Ltd. Archived from
350:Moore DB, Catlin A (2003).
221:were routinely used in the
1429:
1041:Prenatal development table
981:Irritant diaper dermatitis
1360:Prenatal cocaine exposure
1148:Infant care and equipment
1065:Socialization and Culture
976:Infant visual development
843:Infant and toddler safety
491:10.1007/s11096-005-3663-z
446:10.1007/s12262-012-0776-1
409:10.1002/14651858.cd005937
1370:Parental child abduction
893:Oral rehydration therapy
656:10.1177/0884217503253531
1375:Parental responsibility
888:Newborn care and safety
55:"Lactation suppression"
1119:Grandparent visitation
878:Infant sleep training
119:Lactation suppression
1036:Prenatal development
936:Attachment parenting
910:Shaken baby syndrome
156:surrendered at birth
40:improve this article
1350:Infant ear piercing
589:(6 Pt 1): 1485–90.
298:Prolactin modulator
269:binding the breasts
858:Infant food safety
235:diethylstilbestrol
219:diethylstilbestrol
128:diethylstilbestrol
1400:
1399:
1260:
1097:Children's rights
1011:Object permanence
833:Failure to thrive
616:Smith LJ (1998).
359:Pediatric Nursing
188:Dopamine agonists
132:Dopamine agonists
116:
115:
108:
90:
1420:
1256:
941:Baby-led weaning
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381:. Archived from
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1401:
1396:
1390:Paternity fraud
1340:Closed adoption
1313:
1269:Infant clothing
1244:Haberman Feeder
1214:Car seat safety
1143:
1124:Infant swimming
1102:UN Child rights
1060:
971:Gestational age
924:
767:
761:
731:
692:(9): CD006946.
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241:Pseudoephedrine
227:thromboembolism
185:
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49:
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25:
12:
11:
5:
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1380:Parenting plan
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1264:Infant carrier
1261:
1251:
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1236:
1231:
1226:
1221:
1216:
1211:
1206:
1204:Baby transport
1201:
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1186:
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868:Infant massage
865:
863:Infant formula
860:
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853:Infant feeding
850:
848:Infant bathing
845:
840:
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813:Bottle feeding
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766:and their care
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485:(3): 139–143.
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391:
388:on 2018-03-24.
342:
338:pre-eclampsia.
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267:Historically,
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204:breast abscess
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26:
19:
13:
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1355:Open adoption
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1335:Child neglect
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1169:Hidden camera
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1092:Child custody
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1032:
1029:
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1022:
1019:
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1009:
1007:
1006:Nursery rhyme
1004:
1002:
999:
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996:Kangaroo care
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991:Infant crying
989:
987:
984:
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905:Preterm birth
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829:
826:
824:
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811:
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799:
798:Breastfeeding
796:
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624:on 2018-08-10
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255:Other methods
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212:Pre-eclampsia
209:
208:breastfeeding
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200:bromocriptine
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57: –
56:
52:
51:Find sources:
45:
41:
35:
34:
29:This article
27:
23:
18:
17:
1318:Other topics
1257:
1224:Cradle board
1219:Cloth diaper
1179:Baby shampoo
1165:Baby monitor
1155:Baby bouncer
1109:Circumcision
956:Birth defect
838:Immunization
788:Birth weight
689:
685:
650:(3): 332–9.
647:
643:
637:
626:. Retrieved
622:the original
611:
586:
582:
572:
540:(1): 18–24.
537:
533:
523:
482:
478:
472:
440:(6): 430–5.
437:
433:
400:
394:
383:the original
365:(5): 383–4.
362:
358:
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330:. Retrieved
328:. 2018-02-12
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194:production.
186:
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118:
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93:
83:
76:
69:
62:
50:
38:Please help
33:verification
30:
1330:Babywearing
1325:Baby shower
1299:Swim diaper
1189:Baby walker
1174:Baby powder
1114:Foster care
1082:Child abuse
1077:Babysitting
929:Development
915:Soy formula
793:Breast pump
196:Cabergoline
164:engorgement
152:infant dies
148:bottle feed
1309:Travel cot
1254:Infant bed
1249:High chair
1239:Baby wipes
1234:Diaper bag
1199:Baby swing
1087:Child care
1072:Attachment
961:Childbirth
823:Cradle cap
774:Pediatrics
628:2018-03-24
332:2019-05-08
304:References
245:low supply
223:postpartum
183:Medication
96:March 2009
66:newspapers
1385:Paternity
1294:Swaddling
1160:Baby gate
1139:Wet nurse
1129:Milk bank
1021:Parenting
946:Baby talk
898:Pedialyte
828:Esotropia
783:Baby food
706:1469-493X
499:0928-1231
192:prolactin
123:lactation
1407:Category
1345:Cry room
1284:Stroller
1274:Pacifier
1209:Bassinet
1184:Baby toy
1046:Teething
1026:Peekaboo
966:Crawling
951:Babbling
772:Health (
724:32944940
664:12774875
564:12848771
515:12630813
507:16096877
464:24465097
379:45057467
371:14651312
287:See also
168:mastitis
1304:Teether
1279:Playpen
1056:Weaning
1051:Walking
764:Infants
715:8094412
603:9855585
555:1884328
455:3900741
276:Cabbage
178:Methods
142:Reasons
80:scholar
1229:Diaper
1016:Parent
1001:Mother
722:
712:
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326:nhs.uk
154:or is
82:
75:
68:
61:
53:
1134:Nanny
818:Colic
511:S2CID
386:(PDF)
375:S2CID
355:(PDF)
87:JSTOR
73:books
1031:Play
920:SIDS
720:PMID
702:ISSN
690:2020
660:PMID
599:PMID
560:PMID
503:PMID
495:ISSN
460:PMID
367:PMID
262:pump
59:news
1194:Bib
710:PMC
694:doi
652:doi
591:doi
587:179
550:PMC
542:doi
487:doi
450:PMC
442:doi
405:doi
136:NHS
42:by
1409::
718:.
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