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From:
stillberatung bremen <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 19 Aug 2011 02:21:36 +0200
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thanks rachel for pointing this out:

"The ABM protocol on galactogogues, if I understood the discussion correctly,
does not caution against using them, it merely points out that we lack
robust evidence for the effect of any of the ones in current use.   This
means we don't have grounds for pushing them, and we should continue to be
clear in our advice about how to increase milk supply so that women are
aware of what the most important measures are, which is not galactogogues,
it is stimulation in the form of removing milk."

nina

2011/8/18 Rachel Myr <[log in to unmask]>:
> The ABM protocol on galactogogues, if I understood the discussion correctly,
> does not caution against using them, it merely points out that we lack
> robust evidence for the effect of any of the ones in current use.   This
> means we don't have grounds for pushing them, and we should continue to be
> clear in our advice about how to increase milk supply so that women are
> aware of what the most important measures are, which is not galactogogues,
> it is stimulation in the form of removing milk.
> This has more important consequences for how we inform women about
> galactogogues than for whether we recommend them, in my view.   We don't
> have enough documentation for their effectiveness to be able to say
> 'definitely, use this, it works like a dream', and certainly not enough to
> say 'if you just take this, you won't need to get your baby to suckle, or to
> express milk regularly every day.'   If you are suggesting something
> expensive and hard to get, with side effects, it ought to be worth the risk
> and trouble, IMO.  And if you present various alternatives and are clear
> about the advantages and drawbacks of all of them, you enable a woman to
> decide for herself which, if any, she'd like to use.
>
> Caveat: I haven't read the ABM protocol, only followed the discussion about
> it on LN!
> Rachel Myr
> Kristiansand, Norway
>
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-- 
Because the Medieval Church, with the support of kings, princes and
secular authorities, controlled medical education and practice, the
Inquisition constitutes, among other things, an early instance of the
"professional" repudiating the skills and interfering with the rights
of the "nonprofessional" to minister to the poor. -Thomas Szasz, The
Manufacture of Madness-

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