Treatments for breast engorgement during lactation

Snowden, H M; Renfrew, Mary; Woolridge, Mike

doi:10.1002/14651858.cd000046.pub2

Cited by 27 publications

(16 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Symptomatic therapies for breast engorgement have been inadequately investigated, but cabbage leaves and cabbage extract cream were no more effective than placebo (Snowden et al, 2001 Level I). Similarly, ultrasound was not effective and observed benefits may be due to the effect of radiant heat or massage (Snowden et al, 2001 Level I).…”

Section: Breast Painmentioning

confidence: 99%

See 1 more Smart Citation

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

View full text Add to dashboard Cite

Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

show abstract

Section: Breast Painmentioning

confidence: 99%

“…Similarly, ultrasound was not effective and observed benefits may be due to the effect of radiant heat or massage (Snowden et al, 2001 Level I).…”

Section: Breast Painmentioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

View full text Add to dashboard Cite

show abstract

“…Breast engorgement during lactation can also be extremely painful. Therefore, the dilated milk ducts described by this study are most likely to be the origin of the pain, which is mediated by sensory nerve endings accompanying the blood vessels 17 .…”

Section: Resultsmentioning

confidence: 73%

Ultrasonic evaluation of milk duct dilatation in mastalgia in Erbil, Iraq

Akreyi

2013

ZJMS

View full text Add to dashboard Cite

Background and objective:As the etiology of mastalgia is poorly understood this study applied ultrasonography to mastalgia patients with the aim of analyzing the significance of milk duct dilatation in patients with mastalgia. Methods: This cross-sectional study involved 170 women with the mean age of 31 years presenting with breast pain who were referred to the Radiology Department of the Maternity and Rizgari Teaching Hospitals from October 2008 to September 2009. The breasts of each woman were examined by ultrasound scan with special attention was focused on the milk ducts. The presence and the width of the ducts were documented. Each woman was asked for pain intensity and breast pain intensity evaluated as mild, moderate and severe. Results: The mean±SD diameter of duct was 3.99±1.37 mm. The mean diameter of the duct was higher among the younger age group of <25 years than older age groups (4.28 vs 3.95 and 3.87), among married than singles (3.99 vs 3.90) and among those having cyclic pain compared to those having non-cyclic pain (4.0 vs 3.95). However, these differences were not statistically significant. The mean diameter of the duct was significantly higher among those having bilateral pain than those having unilateral pain (4.47 for bilateral vs 4.02 for left side and 3.61 for right side) and among those having severe pain compared to those having moderate or mild pain (4.91 vs 3.40 and 3.28). Conclusion:The study results show that duct ectasia is a major factor in determining the severity of mastalgia with no significance difference between cyclical and non-cyclical mastalgia.

show abstract

“…A systematic review of both randomized and "quasirandomized" controlled studies assessing effectiveness of treatments for breast engorgement was done by Snowden et al 25 in 2001. This analysis identified eight trials including 424 women.…”

Section: Treatmentmentioning

confidence: 99%

“…4. Snowden et al 25 concluded that there is no benefit for the following treatments as compared with placebo: cabbage leaves, cabbage leaf extract, oxytocin, cold packs, and ultrasound.…”

Section: Treatmentmentioning

confidence: 99%

ABM Clinical Protocol #20: Engorgement

Berens¹

2009

Breastfeeding Medicine

View full text Add to dashboard Cite

A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.

show abstract

Treatments for breast engorgement during lactation

Cited by 27 publications

References 10 publications

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Ultrasonic evaluation of milk duct dilatation in mastalgia in Erbil, Iraq

ABM Clinical Protocol #20: Engorgement

Contact Info

Product

Resources

About