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Breast symptoms in women who are not breastfeeding 

Breast symptoms in women who are not breastfeeding
Breast symptoms in women who are not breastfeeding

Murray Enkin

, Marc J. N. C. Keirse

, James Neilson

, Caroline Crowther

, Lelia Duley

, Ellen Hodnett

, and Justus Hofmeyr

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date: 25 October 2020

The available evidence suggests that physical methods of lactation suppression, such as breast binding, are as effective or more effective than pharmacological methods in the longer term, although they are associated with more pain in the first week after childbirth. Women should be informed of these relative advantages and disadvantages when a method to suppress lactation is chosen. If they decide to use one of the pharmacological approaches, the available evidence suggests that cabergoline should be the drug of choice. Cabergoline and newer drugs that may be developed, should be compared formally with physical methods of suppressing lactation in controlled trials with adequate sample sizes and duration of follow-up. Women’s views of the relative merits and disadvantages of the alternative methods should be an essential element in the evaluation, and more serious attention should be given to documenting the frequency of short- and long-term adverse reactions.

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