Hello! My name is Erica Gourneau and I am a nursing student attending the University of North Dakota. I am very interested in the subject of breast feeding and have been reading entries and archives for past few weeks. I was particularly interested in the use of galactagogues and the preterm infants. In my research on the subject, I found many studies that cite the importance of breast milk for preterm and critically ill newborns due to its effect of improved enterel feeding and developmental/neurocognitive outcomes. (Henderson,2003). Domperidone increased milk supply without significant amounts of the drug being ingested by the infant (da Silva, Knoppert, Angelini, & Forret, 2001) as opposed to other drugs such as metoclopramide. I haven't found any studies that cite contraindications for this drug and am wondering why it is not approved for the purpose of lactogenesis in the U.S. In another article on galactogogues,Gabay (2002) refers to the use of some other agents that I have not seen mentioned on this site such as: Thyrotrophin-releasing hormone, growth hormone, and fenugreek. I would appreciate any input from anyone having experience with these other agents and their effectiveness. I also could not find any information on usage rates of domperidone in the United States and would like to know how common it is for a women experiencing inadequate milk production to be prescribed this drug. Thank You, Erica Gourneau Nursing Student, University of North Dakota Da Silva, O.P., Knoppert, D.C., Angelini, M.M., & Forret, P.A. (2001). Effect of domperidone on milk production in mothers of premature newborns: a randomized, double-blind, placebo-controlled trial. Canadian Medical Association Journal 164(1): 17-21. Retrieved February 30, 2004 from CINAHL. Gabay, M.P. (2002). Galactogogues: medications that induce lactation. Journal of Human Lactation.18(3):274-279. Henderson, A. (2003). Domperidone: discovering new choices for lactation mothers. AWHONN Lifelines. 7(1):56-60. *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html