Cochrane · systematic review · CD011505

Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non‐hospitalised term infants

Foong, SC, Tan, ML, Foong, WC, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
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
8
current version
GRADE rated
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 5 · 62.5%Low 2 · 25%Moderate 0 · 0%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

Pharmacological oral galactagogues compared to placebo or no treatment for increasing breast milk production in mothers of non‐hospitalised term infants

Population: increasing breast milk production in mothers of non‐hospitalised term infants
4 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of mothers who continued breastfeeding (exclusive or any) at 3, 4 and 6 months
Pharmacological oral galactagogues vs placebo or no treatment
no estimate extractedNRNo studies
Infant weight at the end of the study (grams) (in trials where they were only receiving own mother's milk)‐ metoclopramide (
Pharmacological oral galactagogues vs placebo or no treatment
no estimate extracted1 study · 20 participantsLow
Downgraded: imprecision
Volume of breast milk at the latest time measured (mL) ‐ domperidone, metoclopramide, sulpiride (
Pharmacological oral galactagogues vs placebo or no treatment
no estimate extracted3 studies · 151 participantsLow
Downgraded: imprecision
Adverse effects for the infant or mother (
Pharmacological oral galactagogues vs placebo or no treatment
no estimate extracted5 studies · 133 participantsVery low
Downgraded: imprecision, inconsistency

Natural oral galactagogues compared to placebo or no treatment for increasing breast milk production in mothers of non‐hospitalised term infants

Population: increasing breast milk production in mothers of non‐hospitalised term infants
4 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of mothers who continued breastfeeding (exclusive or any) at 3, 4 and 6 months
Natural oral galactagogues vs placebo or no treatment
no estimate extracted1 study · 60 participantsVery low
Downgraded: imprecision
Infant weight (where they were only receiving own mother's milk) at the end of the study (grams) (
Natural oral galactagogues vs placebo or no treatment
no estimate extracted3 studies · 275 participantsVery low
Downgraded: imprecision, inconsistency
Volume of breast milk at the latest time measured (mL) (
Natural oral galactagogues vs placebo or no treatment
no estimate extracted13 studies · 962 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse effects for the infant or mother
Natural oral galactagogues vs placebo or no treatment
no estimate extracted7 studies · 10 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency