{"id":16706,"date":"2023-09-25T11:31:13","date_gmt":"2023-09-25T10:31:13","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=16706"},"modified":"2025-03-20T09:26:05","modified_gmt":"2025-03-20T09:26:05","slug":"breastfeeding-insufficient-supply","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/pregnancy\/breast-feeding-problems\/breastfeeding-insufficient-supply\/","title":{"rendered":"Breastfeeding: Insufficient supply"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>Domperidone can be used off-label as a galactagogue to increase a mother\u2019s milk supply. It must only be used after non-pharmacological support alone has failed to improve milk supply, and it must be used with and not instead of this support and with regular monitoring thereafter. <\/p>\n\n\n\n<p><strong>M.A. &amp; K.H. 20-03-25<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>GP can refer to HV\/CMW\/FNP who would be able to observe a feed and do a breastfeeding assessment. If required, the HCP could refer to The Infant Feeding team (<a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/infantfeeding\/Pages\/Contact%20us.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">IFA Contacts (scot.nhs.uk)<\/a>) at which point the referral would&nbsp;be triaged and support offered if required.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care  Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Mothers must be informed of possible risks and benefits of its off-label indication and other treatment options.<\/p>\n\n\n\n<p>When non-pharmacological methods have failed to increase milk supply domperidone can be used, providing there are no contra-indications, in conjunction with non-pharmacological support (see the full guideline in the Resources and Links section).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>in the mother of a baby unable to actively breastfeed due to prematurity \/ illness<\/li>\n\n\n\n<li>in the mother of a baby who may not be gaining weight appropriately and\/or when a baby may be requiring formula to gain weight appropriately<\/li>\n<\/ul>\n\n\n\n<p><strong>DOSE<\/strong><\/p>\n\n\n\n<p>10mg three times a day for 1 week and then review. (see Appendix 1 flow chart in the full guideline which can be found in the Resources and Links section). Doses higher than this should not be used.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Full guideline<a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/ReproductiveMedicine\/PoliciesAndGuidelines\/Documents\/Maternity%20Pan%20Lothian\/Infant%20Feeding\/Domperidone%20for%20augmentation%20of%20lactation.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">; http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/ReproductiveMedicine\/PoliciesAndGuidelines\/Documents\/Maternity%20Pan%20Lothian\/Infant%20Feeding\/Domperidone%20for%20augmentation%20of%20lactation.pdf <\/a><\/p>\n\n\n\n<p>IFA contacts: <a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/infantfeeding\/Pages\/Contact%20us.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">IFA Contacts (scot.nhs.uk)<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Information Domperidone can be used off-label as a galactagogue to increase a mother&rsquo;s milk supply. It must only be used after non-pharmacological support alone has failed to improve milk supply, and it must be used with and not instead of this support and with regular monitoring thereafter. M.A. &amp; K.H. 20-03-25<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":16703,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[1004],"class_list":["post-16706","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-breastfeeding-insufficient-supply"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/pregnancy\/https-apps-nhslothian-scot-refhelp-breast-feeding-problems\/https-apps-nhslothian-scot-refhelp-breastfeeding-insufficient-supply\/\" rel=\"tag\">Breastfeeding: Insufficient<\/a>","rttpg_excerpt":"Information Domperidone can be used off-label as a galactagogue to increase a mother&rsquo;s milk supply. It must only be used after non-pharmacological support alone has failed to improve milk supply, and it must be used with and not instead of this support and with regular monitoring thereafter. M.A. &amp; K.H. 20-03-25","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16706","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=16706"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16706\/revisions"}],"predecessor-version":[{"id":23477,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16706\/revisions\/23477"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16703"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=16706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=16706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}