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Treatments for breast engorgement during lactation
H M Snowden1, M J Renfrew, M W Woolridge
1Mother and Infant Research Unit, University of Leeds, 22 Hyde Terrace, Leeds, UK, LS2 9LN. h.m.snowden@leeds.ac.uk
The Cochrane Database of Systematic Reviews
|June 19, 2001
Summary
Breast engorgement is a common breastfeeding issue. While cabbage leaves and gel packs showed similar effectiveness, anti-inflammatory agents like Danzen and bromelain/trypsin complex significantly improved symptoms. Prevention remains key.
Area of Science:
- Obstetrics and Gynecology
- Lactation Consultancy
- Evidence-Based Midwifery
Background:
- Breast engorgement is a significant cause of early breastfeeding cessation in the UK.
- Restrictive hospital feeding practices may contribute to breast engorgement.
- Diverse treatments exist for breastfeeding-related breast engorgement.
Purpose of the Study:
- To evaluate the effectiveness of interventions for relieving breast engorgement symptoms in breastfeeding women.
- To synthesize evidence from randomized and quasi-randomized controlled trials.
Main Methods:
- Searched Cochrane Pregnancy and Childbirth Group trials register, CINAHL, and MEDLINE up to December 2000.
- Included randomized and quasi-randomized controlled trials assessing engorgement treatments.
- Data extraction and verification performed by two independent reviewers.
Main Results:
- Eight trials involving 424 women were analyzed.
- Cabbage leaves/extracts and gel packs showed no overall benefit compared to placebo.
- Danzen and bromelain/trypsin complex significantly improved engorgement symptoms (OR 3.6 and 8.02, respectively).
- Ultrasound, oxytocin, and cold packs were not demonstrably effective.
Conclusions:
- Cabbage leaves and gel packs were equally effective; symptom relief may be due to factors like breast massage.
- Ultrasound's effectiveness likely stems from heat or massage, not specific technology.
- Danzen and bromelain/trypsin complex offer pharmacological benefits for engorgement.
- Prioritizing the prevention of breast engorgement is crucial for successful breastfeeding.
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