Breastfeeding
Conditions
Keywords
A drug is administered to initiate breastfeeding
Brief summary
Hypothesis: Early use of oral metoclopramide can hasten and improve the establishment of lactogenesis II in mothers after preterm and term deliveries. The study hopes to show that metoclopramide can be effective to establish and sustain Lactogenesis II for both preterm and term infants.
Detailed description
Hypothesis: Early Use of oral metoclopramide can hasten and improve the establishment of lactogenesis II in mothers after preterm and term deliveries. Metoclopramide(Maxolon) promotes lactation by antagonizing the release of dopamine in the central nervous system, thereby increasing prolactin levels, and thus inducing or augmenting breast milk levels. While Metoclopramide has commonly been used to augment breast milk production and relactation, its efficacy in helping to establish lactogenesis II has never been studied in a controlled clinical trial. If effective, it may become a valuable tool in aiding the successful establishment of breastfeeding, particularly in high risk groups such as mothers of preterm babies. If shown to be an effective galactogogue, the use of metoclopramide provides an inexpensive and safe means of establishing and sustaining lactogenesis II, indirectly improving the degree and duration of breastfeeding practiced by mothers of both term and preterm infants. The anticipated benefits are expected to be greatest for preterm infants and their mothers.
Interventions
Mothers will be given metoclopramide 10 mg 3 times a day for 7 days, 2 times a day from day 8 to 10 and once a day from 11th to 12th day
placebo 10 mg
Sponsors
Study design
Eligibility
Inclusion criteria
All pregnant women who intend to breastfeed, from 28 weeks to term, who have not met the
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| successful initiation of lactation as determined by lactogenesis II markers | 7 days postpartum |
Secondary
| Measure | Time frame |
|---|---|
| weight change in baby 7 days after birth | 14 days postpartum |
| breastfeeding status at 14 days, 6 weeks, 3 months and 6 months after delivery | 6 months postpartum |
Countries
Singapore