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Subject:
From:
Norma Ritter <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 13 Dec 2017 11:10:51 -0500
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For an additional explanation of what is meant by "evidence" please see
this article:
What Does Evidence-Based Mean?
https://breastfeedingusa.org/content/article/what-does-evidence-based-mean

>It is not true that there is "no evidence."  What is true is that the
quality of the evidence overall is not strong, for a variety of reasons.
Women have used galactagogues for millenia because they have found them
helpful. The problem we face is when galactagogues are employed prior to
addressing the underlying causes by those who do not understand how milk is
made or who are looking for a quick fix. But they do have a role to play
and for some mothers, they can make a pivotal difference when the "gold
standard" falls short.
There are many things that we do that are not supported by high quality
evidence; the question really is more of risks versus benefits. I have had
the opportunity to work on a new Cochrane review on galactagogues; the
protocol can be found at
http://www.cochrane.org/CD011505/PREG_oral-galactagogues-for-increasing-breast-milk-production-in-mothers-of-non-hospitalised-term-infants
and the review is currently under editorial review; we hope that it will be
finalized soon.
Lisa Marasco, MA, IBCLC, FILCA <

Norma Ritter, IBCLC, RLC
Breastfeeding Matters in the Capital Region
Website: www.NormaRitter.com
Facebook: facebook.com/BreastfeedingMatters
IBCLCs empower women and save babies' lives!
See how skilled IBCLC care differs from other breastfeeding help:
http://massbreastfeeding.org/landscape/

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