The Experts below are selected from a list of 717 Experts worldwide ranked by ideXlab platform
Katherine P. Theall - One of the best experts on this subject based on the ideXlab platform.
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Maternal experiences with and sources of information on Galactagogues to support lactation: a cross-sectional study.
International journal of women's health, 2017Co-Authors: Alessandra N. Bazzano, Amelia J. Brandt, Shelley Thibeau, Lauren Cenac, Josephine Barnett, Katherine P. TheallAbstract:An increase in the marketing and use of herbal Galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical Galactagogues for lactation in the US. The findings of an online survey of 188 breastfeeding mothers on experiences with and sources of information on Galactagogues are presented. Most mothers (76%) reported that while breastfeeding, they felt as though they were not making enough milk to meet the needs of their child, and yet 54% also indicated that they had not supplemented with formula. A large proportion of respondents reported utilizing Galactagogues to increase lactation and finding them useful. The results indicated that most women learned about Galactagogues from the Internet or by word of mouth through friends. Lactation consultants were the third-most reported sources of information on these products. While many respondents reported perceiving Galactagogues as innocuous, more evidence on safety and efficacy is needed to support women properly who seek out and use them. Large-scale studies of the prevalence of Galactagogue use in the US and rigorous evaluation of use globally are needed to ensure that mothers who choose to breastfeed may safely avail themselves of all options when counseling support is insufficient.
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Health provider experiences with Galactagogues to support breastfeeding: a cross-sectional survey
Journal of multidisciplinary healthcare, 2016Co-Authors: Alessandra N. Bazzano, Lisa Littrell, Amelia J. Brandt, Shelley Thibeau, Kamala Thriemer, Katherine P. TheallAbstract:Background Exclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers' perceptions, experiences, and practices in relation to Galactagogue recommendation. Method A cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants. Results More than 70% of respondents reported to recommend Galactagogues. The most frequently recommended Galactagogue was fenugreek with respondents indicating that they recommend it either 'always' (8.5%) or 'most of the time' (14.9%) and 'sometimes' (46.8%). More than 80% of the respondents indicated that Galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending Galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about Galactagogues. Discussion Despite little evidence regarding safety and efficacy, some Galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.
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A Review of Herbal and Pharmaceutical Galactagogues for Breast-Feeding.
The Ochsner journal, 2016Co-Authors: Alessandra N. Bazzano, Shelley Thibeau, Rebecca Hofer, Veronica Gillispie, Marni Jacobs, Katherine P. TheallAbstract:Background: Therapeutic approaches to addressing insufficient lactation are available but remain poorly understood. Current trends in maternal health, such as increasing rates of obesity, delayed age at childbearing, and high rates of cesarean section, may be associated with physiological challenges for lactation that cannot be managed by counseling alone. Women who have not had success with counseling alone, including adoptive mothers seeking to induce lactation, may use Galactagogues (pharmaceutical and herbal compounds used to increase lactation). We present a review of selected studies of Galactagogues and data indicating popular demand for such products. Methods: A systematic search was conducted for published studies on the use of Galactagogues for breast-feeding. The following databases were searched: MEDLINE (PubMed), EBSCO (Academic Search Complete), and EMBASE. The search was conducted between July 15, 2015, and August 18, 2015; only English language articles were included, and we imposed no restrictions on publication date. Two authors independently reviewed the studies and extracted data. Results: Blinded, placebo-controlled clinical trials of 2 pharmaceutical Galactagogues (domperidone and metoclopramide) and 5 popular herbal Galactagogues (shatavari, fenugreek, silymarin, garlic, and malunggay) were identified. All of the studies identified for domperidone showed a significant difference in milk production between the treatment and placebo groups. Of the 6 trials of metoclopramide, only 1 study showed a significant difference in milk production compared to placebo. Results of the clinical trials on herbal Galactagogues were mixed. Our review of the evidence for the efficacy of popular pharmaceutical and herbal Galactagogues revealed a dearth of high-quality clinical trials and mixed results. Conclusion: Health providers face the challenge of prescribing or recommending Galactagogues without the benefit of robust evidence. Given the suboptimal rates of exclusive breast-feeding worldwide and the availability and demand for medical and herbal lactation therapies, controlled trials and analyses investigating these medicines are urgently warranted.
Alessandra N. Bazzano - One of the best experts on this subject based on the ideXlab platform.
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Maternal experiences with and sources of information on Galactagogues to support lactation: a cross-sectional study.
International journal of women's health, 2017Co-Authors: Alessandra N. Bazzano, Amelia J. Brandt, Shelley Thibeau, Lauren Cenac, Josephine Barnett, Katherine P. TheallAbstract:An increase in the marketing and use of herbal Galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical Galactagogues for lactation in the US. The findings of an online survey of 188 breastfeeding mothers on experiences with and sources of information on Galactagogues are presented. Most mothers (76%) reported that while breastfeeding, they felt as though they were not making enough milk to meet the needs of their child, and yet 54% also indicated that they had not supplemented with formula. A large proportion of respondents reported utilizing Galactagogues to increase lactation and finding them useful. The results indicated that most women learned about Galactagogues from the Internet or by word of mouth through friends. Lactation consultants were the third-most reported sources of information on these products. While many respondents reported perceiving Galactagogues as innocuous, more evidence on safety and efficacy is needed to support women properly who seek out and use them. Large-scale studies of the prevalence of Galactagogue use in the US and rigorous evaluation of use globally are needed to ensure that mothers who choose to breastfeed may safely avail themselves of all options when counseling support is insufficient.
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Health provider experiences with Galactagogues to support breastfeeding: a cross-sectional survey
Journal of multidisciplinary healthcare, 2016Co-Authors: Alessandra N. Bazzano, Lisa Littrell, Amelia J. Brandt, Shelley Thibeau, Kamala Thriemer, Katherine P. TheallAbstract:Background Exclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers' perceptions, experiences, and practices in relation to Galactagogue recommendation. Method A cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants. Results More than 70% of respondents reported to recommend Galactagogues. The most frequently recommended Galactagogue was fenugreek with respondents indicating that they recommend it either 'always' (8.5%) or 'most of the time' (14.9%) and 'sometimes' (46.8%). More than 80% of the respondents indicated that Galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending Galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about Galactagogues. Discussion Despite little evidence regarding safety and efficacy, some Galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.
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A Review of Herbal and Pharmaceutical Galactagogues for Breast-Feeding.
The Ochsner journal, 2016Co-Authors: Alessandra N. Bazzano, Shelley Thibeau, Rebecca Hofer, Veronica Gillispie, Marni Jacobs, Katherine P. TheallAbstract:Background: Therapeutic approaches to addressing insufficient lactation are available but remain poorly understood. Current trends in maternal health, such as increasing rates of obesity, delayed age at childbearing, and high rates of cesarean section, may be associated with physiological challenges for lactation that cannot be managed by counseling alone. Women who have not had success with counseling alone, including adoptive mothers seeking to induce lactation, may use Galactagogues (pharmaceutical and herbal compounds used to increase lactation). We present a review of selected studies of Galactagogues and data indicating popular demand for such products. Methods: A systematic search was conducted for published studies on the use of Galactagogues for breast-feeding. The following databases were searched: MEDLINE (PubMed), EBSCO (Academic Search Complete), and EMBASE. The search was conducted between July 15, 2015, and August 18, 2015; only English language articles were included, and we imposed no restrictions on publication date. Two authors independently reviewed the studies and extracted data. Results: Blinded, placebo-controlled clinical trials of 2 pharmaceutical Galactagogues (domperidone and metoclopramide) and 5 popular herbal Galactagogues (shatavari, fenugreek, silymarin, garlic, and malunggay) were identified. All of the studies identified for domperidone showed a significant difference in milk production between the treatment and placebo groups. Of the 6 trials of metoclopramide, only 1 study showed a significant difference in milk production compared to placebo. Results of the clinical trials on herbal Galactagogues were mixed. Our review of the evidence for the efficacy of popular pharmaceutical and herbal Galactagogues revealed a dearth of high-quality clinical trials and mixed results. Conclusion: Health providers face the challenge of prescribing or recommending Galactagogues without the benefit of robust evidence. Given the suboptimal rates of exclusive breast-feeding worldwide and the availability and demand for medical and herbal lactation therapies, controlled trials and analyses investigating these medicines are urgently warranted.
Shelley Thibeau - One of the best experts on this subject based on the ideXlab platform.
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Maternal experiences with and sources of information on Galactagogues to support lactation: a cross-sectional study.
International journal of women's health, 2017Co-Authors: Alessandra N. Bazzano, Amelia J. Brandt, Shelley Thibeau, Lauren Cenac, Josephine Barnett, Katherine P. TheallAbstract:An increase in the marketing and use of herbal Galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical Galactagogues for lactation in the US. The findings of an online survey of 188 breastfeeding mothers on experiences with and sources of information on Galactagogues are presented. Most mothers (76%) reported that while breastfeeding, they felt as though they were not making enough milk to meet the needs of their child, and yet 54% also indicated that they had not supplemented with formula. A large proportion of respondents reported utilizing Galactagogues to increase lactation and finding them useful. The results indicated that most women learned about Galactagogues from the Internet or by word of mouth through friends. Lactation consultants were the third-most reported sources of information on these products. While many respondents reported perceiving Galactagogues as innocuous, more evidence on safety and efficacy is needed to support women properly who seek out and use them. Large-scale studies of the prevalence of Galactagogue use in the US and rigorous evaluation of use globally are needed to ensure that mothers who choose to breastfeed may safely avail themselves of all options when counseling support is insufficient.
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Health provider experiences with Galactagogues to support breastfeeding: a cross-sectional survey
Journal of multidisciplinary healthcare, 2016Co-Authors: Alessandra N. Bazzano, Lisa Littrell, Amelia J. Brandt, Shelley Thibeau, Kamala Thriemer, Katherine P. TheallAbstract:Background Exclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers' perceptions, experiences, and practices in relation to Galactagogue recommendation. Method A cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants. Results More than 70% of respondents reported to recommend Galactagogues. The most frequently recommended Galactagogue was fenugreek with respondents indicating that they recommend it either 'always' (8.5%) or 'most of the time' (14.9%) and 'sometimes' (46.8%). More than 80% of the respondents indicated that Galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending Galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about Galactagogues. Discussion Despite little evidence regarding safety and efficacy, some Galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.
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A Review of Herbal and Pharmaceutical Galactagogues for Breast-Feeding.
The Ochsner journal, 2016Co-Authors: Alessandra N. Bazzano, Shelley Thibeau, Rebecca Hofer, Veronica Gillispie, Marni Jacobs, Katherine P. TheallAbstract:Background: Therapeutic approaches to addressing insufficient lactation are available but remain poorly understood. Current trends in maternal health, such as increasing rates of obesity, delayed age at childbearing, and high rates of cesarean section, may be associated with physiological challenges for lactation that cannot be managed by counseling alone. Women who have not had success with counseling alone, including adoptive mothers seeking to induce lactation, may use Galactagogues (pharmaceutical and herbal compounds used to increase lactation). We present a review of selected studies of Galactagogues and data indicating popular demand for such products. Methods: A systematic search was conducted for published studies on the use of Galactagogues for breast-feeding. The following databases were searched: MEDLINE (PubMed), EBSCO (Academic Search Complete), and EMBASE. The search was conducted between July 15, 2015, and August 18, 2015; only English language articles were included, and we imposed no restrictions on publication date. Two authors independently reviewed the studies and extracted data. Results: Blinded, placebo-controlled clinical trials of 2 pharmaceutical Galactagogues (domperidone and metoclopramide) and 5 popular herbal Galactagogues (shatavari, fenugreek, silymarin, garlic, and malunggay) were identified. All of the studies identified for domperidone showed a significant difference in milk production between the treatment and placebo groups. Of the 6 trials of metoclopramide, only 1 study showed a significant difference in milk production compared to placebo. Results of the clinical trials on herbal Galactagogues were mixed. Our review of the evidence for the efficacy of popular pharmaceutical and herbal Galactagogues revealed a dearth of high-quality clinical trials and mixed results. Conclusion: Health providers face the challenge of prescribing or recommending Galactagogues without the benefit of robust evidence. Given the suboptimal rates of exclusive breast-feeding worldwide and the availability and demand for medical and herbal lactation therapies, controlled trials and analyses investigating these medicines are urgently warranted.
Amelia J. Brandt - One of the best experts on this subject based on the ideXlab platform.
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Maternal experiences with and sources of information on Galactagogues to support lactation: a cross-sectional study.
International journal of women's health, 2017Co-Authors: Alessandra N. Bazzano, Amelia J. Brandt, Shelley Thibeau, Lauren Cenac, Josephine Barnett, Katherine P. TheallAbstract:An increase in the marketing and use of herbal Galactagogues among breastfeeding mothers in the US has raised the issue of how best to provide support and information on the use of these products, particularly in light of limited availability of certified lactation counselors and continued suboptimal rates of breastfeeding globally. Currently, no cross-sectional data are available on the experiences and attitudes of mothers regarding the use of herbal and pharmaceutical Galactagogues for lactation in the US. The findings of an online survey of 188 breastfeeding mothers on experiences with and sources of information on Galactagogues are presented. Most mothers (76%) reported that while breastfeeding, they felt as though they were not making enough milk to meet the needs of their child, and yet 54% also indicated that they had not supplemented with formula. A large proportion of respondents reported utilizing Galactagogues to increase lactation and finding them useful. The results indicated that most women learned about Galactagogues from the Internet or by word of mouth through friends. Lactation consultants were the third-most reported sources of information on these products. While many respondents reported perceiving Galactagogues as innocuous, more evidence on safety and efficacy is needed to support women properly who seek out and use them. Large-scale studies of the prevalence of Galactagogue use in the US and rigorous evaluation of use globally are needed to ensure that mothers who choose to breastfeed may safely avail themselves of all options when counseling support is insufficient.
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Health provider experiences with Galactagogues to support breastfeeding: a cross-sectional survey
Journal of multidisciplinary healthcare, 2016Co-Authors: Alessandra N. Bazzano, Lisa Littrell, Amelia J. Brandt, Shelley Thibeau, Kamala Thriemer, Katherine P. TheallAbstract:Background Exclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers' perceptions, experiences, and practices in relation to Galactagogue recommendation. Method A cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants. Results More than 70% of respondents reported to recommend Galactagogues. The most frequently recommended Galactagogue was fenugreek with respondents indicating that they recommend it either 'always' (8.5%) or 'most of the time' (14.9%) and 'sometimes' (46.8%). More than 80% of the respondents indicated that Galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending Galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about Galactagogues. Discussion Despite little evidence regarding safety and efficacy, some Galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.
Lisa B.g. Tee - One of the best experts on this subject based on the ideXlab platform.
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www.mdpi.com/journal/ijerph Article The Use, Perceived Effectiveness and Safety of Herbal Galactagogues During Breastfeeding: A Qualitative Study
2015Co-Authors: Tin Fei Sim, Jillian Sherriff, Laetitia H. Hattingh, Lisa B.g. TeeAbstract:Abstract: The World Health Organization recommends breastfeeding as the normal infant feeding method and that infants being breastfed should be regarded as the control group or norm reference in all instances. There are many factors which could contribute to a new mother ceasing breastfeeding early, with the most commonly reported reason being perceived insufficient breast milk supply. The use of herbal Galactagogues is increasingly common worldwide. Literature review identified a need for more research in the area of herbal Galactagogue use during breastfeeding. Twenty in-depth semi-structured interviews were undertaken with breastfeeding women who used herbal Galactagogues, to document use and explore their perceived effectiveness and safety of herbal Galactagogues. Several indicators of breastfeeding adequacy were mentioned as participants described their experiences with the use of herbal Galactagogues. Confidence and self-empowerment emerged as an over-arching theme linked to positive experiences with the use of herbal Galactagogues. Despite the lack of clinical trial data on the actual increase in measured volume of breast milk production, indicators of breastfeeding adequacy boosted participants ’ confidence levels and resulted in psychological benefits. This study highlighted the importance of considering the potentia
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The Use, Perceived Effectiveness and Safety of Herbal Galactagogues During Breastfeeding: A Qualitative Study
International journal of environmental research and public health, 2015Co-Authors: Tin Fei Sim, H. Laetitia Hattingh, Jillian Sherriff, Lisa B.g. TeeAbstract:The World Health Organization recommends breastfeeding as the normal infant feeding method and that infants being breastfed should be regarded as the control group or norm reference in all instances. There are many factors which could contribute to a new mother ceasing breastfeeding early, with the most commonly reported reason being perceived insufficient breast milk supply. The use of herbal Galactagogues is increasingly common worldwide. Literature review identified a need for more research in the area of herbal Galactagogue use during breastfeeding. Twenty in-depth semi-structured interviews were undertaken with breastfeeding women who used herbal Galactagogues, to document use and explore their perceived effectiveness and safety of herbal Galactagogues. Several indicators of breastfeeding adequacy were mentioned as participants described their experiences with the use of herbal Galactagogues. Confidence and self-empowerment emerged as an over-arching theme linked to positive experiences with the use of herbal Galactagogues. Despite the lack of clinical trial data on the actual increase in measured volume of breast milk production, indicators of breastfeeding adequacy boosted participants' confidence levels and resulted in psychological benefits. This study highlighted the importance of considering the potential psychological benefits of using herbal Galactagogues, and how this translates into breastfeeding adequacy.
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Perspectives and attitudes of breastfeeding women using herbal Galactagogues during breastfeeding: a qualitative study
BMC complementary and alternative medicine, 2014Co-Authors: Tin Fei Sim, H. Laetitia Hattingh, Jillian Sherriff, Lisa B.g. TeeAbstract:Background Some herbal Galactagogues have gained reputation and recognition by the public and health professionals as alternative approaches to increase breast milk supply. This study explores the perspectives and attitudes of breastfeeding women towards the use of herbal Galactagogues while breastfeeding, their experiences, and why and how they have chosen an alternative option over conventional treatments to enhance breastfeeding performance.
