Labor and delivery, postpartum care




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Lactation suppression: Can medication help?

By Mayo Clinic staff

Original Article:  http://www.mayoclinic.com/health/lactation-suppression/AN01456
  • With Mayo Clinic lactation consultant

    Elizabeth LaFleur, R.N.

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Question

Lactation suppression: Can medication help?

Can medication help suppress lactation after childbirth?

Answer

from Elizabeth LaFleur, R.N.

Yes — but medication for lactation suppression generally isn't recommended.

Injections of high doses of estrogen were once used to stop milk production. Estrogen injections aren't used today, however, due to a risk of potentially dangerous blood clots.

Similarly, bromocriptine (Parlodel) — a drug that was once used for lactation suppression — is no longer recommended. The drug has been associated with high blood pressure, heart attack and stroke, especially for women who developed high blood pressure during pregnancy.

If breast-feeding isn't possible, it's safest to let milk production diminish naturally. In the meantime, don't stimulate your breasts or express milk.

To relieve breast engorgement and pain — which typically peaks during the first week after delivery — you might:

  • Wear a supportive bra
  • Apply ice packs to your breasts
  • Take over-the-counter pain relievers
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References
  1. Oladapo OT, et al. Treatments for suppression of lactation (Review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005937.pub3/abstract. Accessed Nov. 6, 2012.
  2. Papadakis MA, et al. Current Medical Diagnosis & Treatment 2013. 52nd ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=1. Accessed Nov. 6, 2012.
  3. DeCherney AH, et al. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=9. Accessed Nov. 6, 2012.
AN01456 Jan. 16, 2013

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