The aim of the study is to improve the standard of care in case of the inhibition of lactation. The participant qualified for the study will answer the questions contained in the survey. The patient will have her breast palpated and then will be instructed on the possible options for the inhibition of lactation. The participant, who decides to inhibit lactation with medications, will be consulted by a doctor. Each patient will receive information of the possible ways to relieve the symptoms of overfilled breast and be able to contact with lactation consultant. The participant will also receive a card to assess the severity of symptoms in the following days. The investigators will call the patient between the third and fifth day by phone. Once again, after 2 weeks from the beginning of the inhibition of lactation in order to ask questions contained in the survey (the course of the process, problems that occurred and the level of satisfaction with the chosen method).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
90
Bromocriptine - on the first day of treatment (1,25 mg) with morning and evening meal and then 2,5 mg dose twice a day for two weeks (14 days)
Cabergoline - one dose (1 mg) on the first day after childbirth or 0.25 mg dose every 12 hours for 2 days
milk expression, cold compress, cabbage leaf compresses, mild painkiller- e.g. ibuprofen, supportive bra, sage tea.
Żelazna Medical Centre
Warsaw, Poland
RECRUITINGVisual Analogue Scale (VAS)
Pain assesment by Visual Analogue Scale (VAS scale), range 0-10, higher numbers represents worse outcome.
Time frame: from the 1st day of the inhibition of lactation to 14th day of process
Evaluation of breast status
Daily evaluation of breast status. Are they: heavy, full, swollen (engorged), warmed up, hard, irregular, leaking. Gradations of symptoms intensity by using (+) and (-) where: * "-" - means not at all * "+" - means a little * "++" - means a lot * "+++" - means very (highest level)
Time frame: from the 1st day of the inhibition of lactation to 14th day of process
Symptoms in association with the ingestion of medicines that inhibit lactation.
* headache * constipation * stomach pain * general weakness * somnolence * vomiting * dizziness * nausea * other Symptoms that occurred are marked with a "+".
Time frame: from the 1st day of the inhibition of lactation to 14th day of process
Breast palpation
• Size (each one separately; left and right breast) * hypoplastic * small * average * big The correct answer is marked with a "+". • Anomalies (each one separately; left and right breast) * no change * swollen * redness * warming * achiness * scars The correct answer is marked with a "+".
Time frame: 1st day of including in the study
Survey: 1st day of including in the study
Questions about: * parturition, * previous lactations, * cause of lactation suppression, * factors which may impair lactation, * contraindications to medications that suppress lactation, * current lactation, * the way to suppress lactation.
Time frame: 1st day of including in the study
Survey: 3rd-5th day of lactation suppression
Question about: • ailments, problems and extra methods of relief of symptoms
Time frame: 3rd-5th day of lactation suppression
Survey: 14th-16th day of lactation suppression
Questions about: * specific ailments and problems during the inhibition of lactation process (such as. pain, feeling of heaviness, temperature, low-grade fever/higher fever, stasis, mastitis, breast abscess, side effects caused by medications) * applied methods to ease ailments: (milk expression, cold compress, cabbage leaf compresses, mild painkiller- e.g. ibuprofen, supportive bra, sage tea). * assessment whether the decision on how to inhibit lactation was right
Time frame: 14th-16th day of lactation suppression
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