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Lactation suppression. Nonpharmaceutical versus pharmaceutical method.

S Wong, E Stepp-Gilbert

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |July 1, 1985
    PubMed
    Summary
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    For mothers bottle feeding, a non-pharmaceutical lactation suppression method (ice and tight bra) offers faster completion than bromocriptine mesylate, though it initially causes more discomfort.

    Area of Science:

    • Obstetrics and Gynecology
    • Lactation Physiology
    • Postpartum Care

    Background:

    • Breast engorgement and discomfort are common challenges for mothers seeking lactation suppression.
    • Effective lactation suppression methods are crucial for managing postpartum physical well-being.
    • Non-pharmaceutical and pharmaceutical interventions exist, each with potential benefits and drawbacks.

    Purpose of the Study:

    • To compare the effectiveness of a non-pharmaceutical lactation suppression method (ice and tight bra) versus pharmaceutical therapy (bromocriptine mesylate).
    • To evaluate differences in breast engorgement, milk production, discomfort, and duration of lactation between the two groups.

    Main Methods:

    • A comparative study involving two groups of mothers post-delivery.
    • Group 1 (Drug Group): Received bromocriptine mesylate for lactation suppression (n=36).

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  • Group 2 (Protocol Group): Utilized a non-pharmaceutical method (ice and tight bra) for lactation suppression (n=17).

    • Main Results:

    • The drug group experienced significantly less engorgement, milk production, and discomfort on postpartum day four.
    • However, lactation in the drug group was prolonged, concluding between postpartum days nine and 16.
    • The protocol group reported more engorgement, milk leakage, and discomfort on postpartum day four, but lactation concluded before postpartum day 16.

    Conclusions:

    • Bromocriptine mesylate offers faster relief from immediate postpartum engorgement and discomfort.
    • The non-pharmaceutical method, while causing initial discomfort, leads to a quicker cessation of lactation.
    • Choice of method depends on balancing immediate symptom relief with the desired duration of lactation suppression.