Suppression of lactation

Subject: Midwifery III (Theory)

Overview

Suppression of lactation becomes necessary in cases of a still birth or death of the baby during the neonatal period and if there is any contraindication to breastfeeding. Management Suppression of lactation includes suppression through medication/chemical. Mechanical method includes use of tight compression bandages, which rarely used in modern obstetric practice.Mild analgesic can be given to control pain.

Suppression of lactation becomes necessary under the following condition:

  • In cases of a stillbirth or death of the baby during the neonatal period.
  • If there is any contraindication to breastfeeding.

Management of suppression of lactation

  1. Do not express breast milk.
  2. Do not allow the baby to suck.
  3. Reduce fluid intake.
  4. Mild analgesic can be given to control pain.
  5. Suppression through medication/chemicals. The following drugs may be used for this purpose.
  • Tab pyridoxine 100 mg 3 times a day for cerday the aythe s according to patient's response.
  • If the breast milk is not suppressed by pyridoxine, give tab Bromocriptine 1.25mg for 1 week then 2.5 mg once a day for 2-3 weeks.
  1. Hexoestral 15mg IM is usually used if lactation is to be suppressed immediately after delivery.
  2. Mechanical method includes the use of tight compression bandages, which are rarely used in modern obstetric practice.
Things to remember
  • Suppression of lactation becomes necessary in cases of a still birth or death of the baby during the neonatal period and if  there is any contraindication to breastfeeding.
  • Management Suppression of lactation includes suppression through medication/chemical.
  • Mechanical method includes use of tight compression bandages, which rarely used in modern obstetric practice.
  • Mild analgesic can be given to control pain.
Questions and Answers

Suppression of lactation

The following scenario makes this necessary:

  • When a baby dies during the newborn stage or is stillborn.
  • if breastfeeding is not recommended in any circumstances.

Management:

  • Avoid expressing breast milk.
  • Don't let the infant sucke.
  • Limit your fluid consumption.
  • To manage pain, a mild analgesic can be administered.
  • Suppression via drugs or chemicals. The following medicines are suitable for this use.
    • Depending on the patient's response, take a 100 mg pyridoxine tablet three times each day for some days.
    • If pyridoxine does not suppress breast milk, give a tab of bromocriptine at a dose of 1.25 mg for a week and then 2.5 mg once a day for two to three weeks.
  • Hexoestral 15mg IM is typically used to suppress lactation as soon as childbirth is complete.
  • In today's obstetric practice, tight compression bandages are a mechanical technique that is occasionally used.

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