Hello,
I searched Lactnet on the use of trypsin/ bromelian compound and Danzen
for engorgement. I found the post below, but not many replies. Is anyone
now recommending this?
Thanks,
Roxanne Gollata, RN, LC Intern
On Wed, 4 Feb 2004 14:08:30 -0800, Hoover, Janet (DSCH) <[log in to unmask]>
wrote:
>Here is the abstract for the Cochrane Review on breast engorgement.
>http://212.49.218.202/abstracts/ab000046.htm
><http://212.49.218.202/abstracts/ab000046.htm>
>Is anyone using/recommending trypsin/ bromelian compound? What about
Danzen
>(serrapeptase)? Here is a link to the study on Danzen. (
>http://healingtools.tripod.com/serrapeptase.html
><http://healingtools.tripod.com/serrapeptase.html> .
>
>And can anyone explain reducing salt intake. I have always told edematous
>women NOT to restrict salt. I had heard that restricting salt causes fluid
>retention in order to maintain sodium levels. What is the current
thinking?
>
>Thanks!
>
>Janet Hoover, LM, IBCLC
>Lactation Consultant
>Dominican Hospital
>Santa Cruz, CA
>
>mailto:[log in to unmask] <mailto:[log in to unmask]>
>
>
>From The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley &
Sons,
>Ltd. All rights reserved.
>
>
>
>Treatments for breast engorgement during lactation (Cochrane Review)
>
>
>Snowden HM, Renfrew MJ, Woolridge MW
>
>
>ABSTRACT
>
>
><http://www.update-software.com/DocDeliv/logon.asp?
SourceID=CD000046&Languag
>eID=EN&Version=0> Order full review
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>=Yes&SourceID=CD000046> View and/or submit comments
> <http://212.49.218.202/abstracts/newreviews.htm> What's new in this issue
>
> <http://www.update-software.com/cochrane/abstract.htm> Search abstracts
>
> <http://212.49.218.202/abstracts/mainIndex.htm> Browse alphabetical list
of
>titles
> <http://212.49.218.202/abstracts/crgindex.htm> Browse by Review Group
> _____
>
>
>A substantive amendment to this systematic review was last made on 09
>February 2001. Cochrane reviews are regularly checked and updated if
>necessary.
>
>Background: National surveys have shown that painful breasts are the
second
>most common reason for giving up breastfeeding in the first two weeks
after
>birth in the UK. One factor contributing to such pain can be breast
>engorgement. Views differ as to how engorgement arises, although
restrictive
>feeding patterns in hospital are likely to have contributed in the past.
>These differing views are reflected in the range of solutions offered to
>treat engorgement in breastfeeding mothers and these treatments are
assessed
>in this review.
>
>Objectives: To determine the effects of any proposed intervention to
relieve
>symptoms of breast engorgement among breastfeeding women.
>
>Search strategy: The register of clinical trials maintained and updated by
>the Cochrane Pregnancy and Childbirth Group. CINAHL and MEDLINE were also
>searched. Date of last search: December 2000.
>
>Selection criteria: All randomised and 'quasi-randomised' controlled
trials,
>with or without blinding, that assess the effectiveness of treatments for
>the alleviation of symptoms in breastfeeding women experiencing
engorgement
>.
>
>Data collection and analysis: Data were extracted by one reviewer and
>verified by a second reviewer.
>
>Main results: Eight trials, involving 424 women, were included. Three
>different studies were identified which used cabbage leaves or cabbage
leaf
>extracts;. no overall benefit was found. Ultrasound treatment and placebo
>were equally effective. Use of Danzen (an anti-inflammatory agent)
>significantly improved the total symptoms of engorgement when compared to
>placebo (odds ratio (OR) 3.6, 95% confidence interval (CI) 1.3 - 10.3) as
>did bromelain/trypsin complex (OR 8.02, 95% CI 2.8-23.3). Oxytocin and
cold
>packs had no demonstrable effect on engorgement symptoms.
>
>Reviewers' conclusions: Cabbage leaves and gel packs were equally
effective
>in the treatment of engorgement. Since both cabbage extract and placebo
>cream were equally effective, the alleviation in symptoms may be brought
>about by other factors, such as breast massage. Ultrasound treatment is
>equally effective with or without the ultra-wave emitting crystal,
therefore
>its effectiveness is more likely to be due to the effect of radiant heat
or
>massage. Pharmacologically, oxytocin was not an effective engorgement
>treatment while Danzen and bromelain/trypsin complex significantly
improved
>the symptoms of engorgement. Initial prevention of breast engorgement
should
>remain the key priority.
>
>Citation: Snowden HM, Renfrew MJ, Woolridge MW. Treatments for breast
>engorgement during lactation (Cochrane Review). In: The Cochrane Library,
>Issue 1, 2004. Chichester, UK: John Wiley & Sons, Ltd.
>
>
>
> _____
>
>
>This is an abstract of a regularly updated, systematic review prepared and
>maintained by the Cochrane Collaboration. The full text of the review is
>available in The Cochrane Library (ISSN 1464-780X).
>
>
>
>
>
>The Cochrane Library is designed and produced by
><http://www.update-software.com/> Update Software Ltd, and published by
John
>Wiley & Sons Ltd.
>
>
>
>
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