Cochrane · systematic review · CD006946
Treatments for breast engorgement during lactation
Zakarija-Grkovic, I, Stewart, F · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
25
No studies
17
Included studies
NR
No studies 17 · 40.5%Ungraded 0 · 0%Very low 6 · 14.3%Low 18 · 42.9%Moderate 1 · 2.4%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyCabbage leaf treatments versus other treatments/placebo for breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | 4 studies · 393 participants | Very low Downgraded: risk of bias |
Breast induration/hardness Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | 1 study · 227 participants | Low Downgraded: risk of bias |
Breast swelling Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | NR | No studies |
Breast engorgement Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | 2 studies · 102 participants | Very low Downgraded: risk of bias |
Maternal opinion of treatment Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | 1 study · 228 participants | Low Downgraded: risk of bias |
Cessation of breastfeeding Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | 1 study · 111 participants | Low Downgraded: risk of bias |
Number of women with adverse events Cabbage leaf treatments vs other treatments/placebo | no estimate extracted | NR | No studies |
Compress treatments versus other treatments/routine care for breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Compress treatments vs other treatments/routine care | no estimate extracted | 2 studies · 602 participants | Low Downgraded: risk of bias |
Breast induration/hardness Compress treatments vs other treatments/routine care | no estimate extracted | 1 study · 152 participants | Low Downgraded: risk of bias |
Breast swelling Compress treatments vs other treatments/routine care | no estimate extracted | NR | No studies |
Breast engorgement Compress treatments vs other treatments/routine care | no estimate extracted | 2 studies · 116 participants | Very low Downgraded: risk of bias |
Maternal opinion of treatment Compress treatments vs other treatments/routine care | no estimate extracted | NR | No studies |
Cessation of breastfeeding, Compress treatments vs other treatments/routine care | no estimate extracted | 1 study · 102 participants | Very low Downgraded: risk of bias |
Number of women with adverse events, Compress treatments vs other treatments/routine care | no estimate extracted | 1 study · 500 participants | Moderate Downgraded: risk of bias, imprecision, indirectness |
Medical treatments versus placebo for breast engorgement
Population: women with breast engorgement
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Medical treatments vs placebo | no estimate extracted | 2 studies · 70 participants | Low Downgraded: risk of bias |
Breast induration/hardness Medical treatments vs placebo | no estimate extracted | NR | No studies |
Breast swelling Medical treatments vs placebo | no estimate extracted | 2 studies · 129 participants | Low Downgraded: risk of bias |
Breast engorgement, Medical treatments vs placebo | no estimate extracted | 2 studies · 115 participants | Low Downgraded: risk of bias |
Maternal opinion of treatment Medical treatments vs placebo | no estimate extracted | NR | No studies |
Cessation of breastfeeding Medical treatments vs placebo | no estimate extracted | NR | No studies |
Number of women with adverse events, Medical treatments vs placebo | no estimate extracted | 2 studies · 129 participants | Low Downgraded: risk of bias, imprecision |
Cold gel packs versus routine care for breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Cold gel packs vs routine care | no estimate extracted | 3 studies · 200 participants | Very low Downgraded: risk of bias |
Breast induration/hardness Cold gel packs vs routine care | no estimate extracted | 1 study · 151 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Breast swelling Cold gel packs vs routine care | no estimate extracted | NR | No studies |
Breast engorgement Cold gel packs vs routine care | no estimate extracted | NR | No studies |
Maternal opinion of treatment, Cold gel packs vs routine care | no estimate extracted | 1 study · 151 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Cessation of breastfeeding, Cold gel packs vs routine care | no estimate extracted | 1 study · 109 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Number of women with adverse events Cold gel packs vs routine care | no estimate extracted | NR | No studies |
Massage‐based therapies versus other treatments/routine care for women with breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Massage‐based therapies vs other treatments/routine care | no estimate extracted | 1 study · 102 participants | Low Downgraded: risk of bias |
Breast induration/hardness Massage‐based therapies vs other treatments/routine care | no estimate extracted | 1 study · 102 participants | Low Downgraded: risk of bias |
Breast swelling Massage‐based therapies vs other treatments/routine care | no estimate extracted | NR | No studies |
Breast engorgement Massage‐based therapies vs other treatments/routine care | no estimate extracted | 1 study · 100 participants | Low Downgraded: risk of bias |
Maternal opinion of treatment Massage‐based therapies vs other treatments/routine care | no estimate extracted | NR | No studies |
Cessation of breastfeeding, Massage‐based therapies vs other treatments/routine care | no estimate extracted | 1 study · 152 participants | Low Downgraded: risk of bias |
Number of women with adverse events Massage‐based therapies vs other treatments/routine care | no estimate extracted | NR | No studies |
Other treatments versus other treatments/advice/routine care for women with breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Other treatments vs other treatments/advice/routine care | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias |
Breast induration/hardness Other treatments vs other treatments/advice/routine care | no estimate extracted | NR | No studies |
Breast swelling Other treatments vs other treatments/advice/routine care | no estimate extracted | NR | No studies |
Breast engorgement Other treatments vs other treatments/advice/routine care | no estimate extracted | 3 studies · 328 participants | Very low Downgraded: risk of bias |
Maternal opinion of treatment Other treatments vs other treatments/advice/routine care | no estimate extracted | NR | No studies |
Cessation of breastfeeding, Other treatments vs other treatments/advice/routine care | no estimate extracted | 1 study · 210 participants | Low Downgraded: risk of bias |
Number of women with adverse events Other treatments vs other treatments/advice/routine care | no estimate extracted | NR | No studies |
Cabbage cream for breast engorgement during lactation
Population: women with breast engorgement during lactation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Breast pain Bourbonaise pain scale | no estimate extracted | 1 study · 39 participants | Low Downgraded: risk of bias, imprecision |
Breast induration/hardness | no estimate extracted | NR | No studies |
Breast swelling | no estimate extracted | NR | No studies |
Breast engorgement Hill and Humenich Breast engorgement scale | no estimate extracted | 1 study · 39 participants | Low Downgraded: risk of bias, imprecision |
Analgesic requirement | no estimate extracted | NR | No studies |