This document discusses lactogogues, which are foods or medications that can increase milk production in lactating mothers. It begins by defining lactation and lactose insufficiency. It then describes various types of lactogogues, including the synthetic medications metoclopramide and domperidone, and herbal options like fenugreek, alfalfa, shatavari, and fennel. The document provides details on how these lactogogues work and their potential side effects. It concludes by summarizing a survey that found the most commonly used lactogogues were lactation cookies, brewer's yeast, and fenugreek, and that domperidone had the highest rate of reported
colostrum, constituent of breast milk, cowsmilk, colostrum, health benefits of colostrum for children, milk composition, difference between colostrum and mature milk.
Eat and drink two to four servings of dairy products and calcium-rich foods a day. Calcium is found in dairy products, fish with bones (such as sardines and canned salmon), broccoli, and legumes. Aim to get 1,200 milligrams per day. Pump up your iron
colostrum, constituent of breast milk, cowsmilk, colostrum, health benefits of colostrum for children, milk composition, difference between colostrum and mature milk.
Eat and drink two to four servings of dairy products and calcium-rich foods a day. Calcium is found in dairy products, fish with bones (such as sardines and canned salmon), broccoli, and legumes. Aim to get 1,200 milligrams per day. Pump up your iron
Stress and Nutrition "Diet for Stress Management"Fatima Kader
A crisp yet informative presentation on the importance of nutritional therapy for all those facing chronic stress. Stress being inevitable these days due to our existing lifestyle, ways to combat it becomes even more essential. For further details on diet for various disease conditions Contact: Clinical Nutritionist, Ms Fatima Kader (Urjaa Homeopathic Centre) www.urjaa.in
Nutrition during pregnancy
Nutrition before pregnancy
unhealthy eating trends
Nutrition during pregnancy
important of good Nutrition during pregnancy
Key Nutrition during pregnancy
Optimal weight gain during pregnancy
1st trimester
2nd trimester
3rd trimester
Nutrition during lactation
protein
Sources of vitamins
Dietitians provide food and nutrition information, and support people to improve their health. They provide advice on nutrition-related matters. Dietitians can also change diets to help manage conditions such as: diabetes
This presentation is adopted from the review on "Milk and Health" that summarizes the evidence for the benefits and possible risks associated with the consumption of cow’s milk. The authors describe the relationship of milk consumption to the risks of fracture, obesity, cardiovascular disease, allergies, and various cancers.
Dr Somendra Shukla Pediatrician Gurgaon
MBBS, DNB (Pediatrics), MNAMS, MRCPCH (UK), Fellow Neonatology (NNF)
www.drsomendrashukla.com
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Atherosclerosis is a condition in which cholesterol calcium and biochemical waste are deposited in the walls of blood vessels. It is an underlying cause of most heart attacks and strokes.
Nutrition requirements increases tremendously during pregnancy and lactation as the expectant or nursing mother not only has to nourish herself but also growing foetus and the infant who is being breast fed
Stress and Nutrition "Diet for Stress Management"Fatima Kader
A crisp yet informative presentation on the importance of nutritional therapy for all those facing chronic stress. Stress being inevitable these days due to our existing lifestyle, ways to combat it becomes even more essential. For further details on diet for various disease conditions Contact: Clinical Nutritionist, Ms Fatima Kader (Urjaa Homeopathic Centre) www.urjaa.in
Nutrition during pregnancy
Nutrition before pregnancy
unhealthy eating trends
Nutrition during pregnancy
important of good Nutrition during pregnancy
Key Nutrition during pregnancy
Optimal weight gain during pregnancy
1st trimester
2nd trimester
3rd trimester
Nutrition during lactation
protein
Sources of vitamins
Dietitians provide food and nutrition information, and support people to improve their health. They provide advice on nutrition-related matters. Dietitians can also change diets to help manage conditions such as: diabetes
This presentation is adopted from the review on "Milk and Health" that summarizes the evidence for the benefits and possible risks associated with the consumption of cow’s milk. The authors describe the relationship of milk consumption to the risks of fracture, obesity, cardiovascular disease, allergies, and various cancers.
Dr Somendra Shukla Pediatrician Gurgaon
MBBS, DNB (Pediatrics), MNAMS, MRCPCH (UK), Fellow Neonatology (NNF)
www.drsomendrashukla.com
Dr. Somendra shukla is a one of the best Pediatrician & neonatologist at Gurgaon. He has vast expierence of 9 yrs in neonatology & pediatrics. He has cleared the prestigious Diplomate of National Board (DNB) and royal college of pediatrics, ondon (MRCPCH) examinations in pediatrics. He has worked and honed up her skills with some of the top corporates institutes of India such as Fortis hospital, moolchand medcity and paras hospital. He has also done his Fellowship in neonatology awarded by prestigious National neonatology forum of India.
He is a member of IAP and NNF and has attended various seminars and workshops and has presented several papers in various national conferences and conducted CMEs.
He is an expert in newborn intensive care including care of ventilated and extremely low birth weight babies (<1000g><750g). He has also been trained in cranial Ultrasonography and Echo studies in neonates.
Atherosclerosis is a condition in which cholesterol calcium and biochemical waste are deposited in the walls of blood vessels. It is an underlying cause of most heart attacks and strokes.
Nutrition requirements increases tremendously during pregnancy and lactation as the expectant or nursing mother not only has to nourish herself but also growing foetus and the infant who is being breast fed
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Impressive health benefits of fenugreek A series of PresentationByMr. Al...Mr.Allah Dad Khan
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The intense fetal growth and development during pregnancy requires maternal physiologic adaptation and a change in nutritional needs.
Adequate maternal intake of macronutrients and micronutrients promotes normal embryonic and fetal development.
Importantly, maternal nutritional status is a modifiable risk factor that can be evaluated, monitored, and, when appropriate, improved.
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Salvia officinalis (sage, also called garden sage, common sage, or culinary sage) is a perennial, evergreen subshrub, with woody stems, grayish leaves, and blue to purplish flowers. It is a member of the mint family Lamiaceae and native to the Mediterranean region, though it has naturalized in many places throughout the world. It has a long history of medicinal and culinary use, and in modern times as an ornamental garden plant. The common name "sage" is also used for a number of related and unrelated species.
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2. INTRODUCTION
• The process of secretion and production of milk in alveolus of breast after the
birth of child is called lactation.
• Low milk supply is a common concern among breastfeeding mothers.
• It is also called lactose insufficiency which can be caused due to several reasons.
• It may be due to maternal causes which include stress, anxiety, hypertension,
poor diet, smoking etc.
• The infant causes include CNS defect, small for gestational age, poor latch etc.
• The use of galactogogue helps to increase the prolactin levels and thereby
increasing the milk production.
3. What are Lactogogues?
• A lactogogue or galactogogue is a word derived from Greek language which
means milk leading substance.
• It is a food that increases the milk production in lactating mothers.
• This kind of food is used when there is an insufficiency of milk supply in
lactating mothers.
• Galactogogues are medications that aid in initiating and maintaining
adequate milk production.
• Most exert their pharmacologic effects through interactions with dopamine
receptors, resulting in increased prolactin levels and thereby augmenting milk
supply.
4. TYPES LACTOGOGUES
• There are many agents which are galactopoietic and cause increase in
prolactin levels.
• They may be synthetic or herbal.
• The synthetic medications include metoclopramide, domperidone,
thyrotropin releasing hormone, oxytocin etc.
• The herbal or natural lactogogues include fenugreek, goat’s rue, shatavari,
fennel, alfalfa etc.
5. METOCLOPRAMIDE
• Metoclopramide is the most commonly used synthetic galactogogue.
• Metoclopramide remains the galactogogue of choice due to its documented
record of efficacy and safety in women and infants.
• Most studies demonstrate an increase in basal prolactin levels and a 60% to
100% increase in milk volume.
• It antagonizes the release of dopamine and by inhibiting the effect of PIF,
increases the prolactin production
• Side effects may include headache, diarrhoea, nausea and severe
depression.
6. DOMPERIDONE
• Domperidone, an agent like metoclopramide, blocks dopamine receptors.
• It increases prolactin level and thereby acts as a galactogogue.
• The side effects maybe few and may include headache, skin rashes, GI
disturbances.
• The FDA issued a warning against importing and using domperidone which
was based on reports of cardiac arrhythmias and sudden death in patients
treated with intravenous domperidone.
7. FENUGREEK
• The best known of herbal galactogogue is FENUGREEK.
• It belongs to fabaceae family and is very commonly recommended as a
supplement to increase lactation.
• An increase in milk production occurs within 24-72 hours after using the herb
but it can take over two weeks for females in order to see a change.
• The active ingredient is found in the seed and should to used in small
amounts.
• It can be included in the diet as methi pulao, methi paratha or as fenugreek
tea.
• Side effects include maple syrup odor in urine, sweat, diarrhea and
flatulence.
8. ALFALFA
• Alfalfa is a common, mild galactogogue that is often used along with other
more powerful galactogogues like fenugreek.
• It is highly nutritive plant which is very high in essential vitamins and
minerals.
• It is perhaps, these nutrients that may boost milk supply in breastfeeding
mothers.
• Alfalfa leaves and sprouts contains saponins and isoflavonoids which causes
increase in milk yield.
• It is generally well tolerated and is Generally Recognized As Safe (GRAS) as
a food by the FDA.
9. SHATAVARI
• Shatavari is a well-known galactogogue.
• It has galactagogue properties that makes it a recommended herb
to increase milk production in breastfeeding mothers.
• It increases the production of corticoids and prolactin, which improve the
quality and the amount of breast milk produced by a lactating mother.
• Shatavari also stimulates the secretion of steroid hormones that improve
milk production and also increases breast weight.
• Shatavari or wild asparagus for lactation is thus very beneficial.
10. FENNEL
• The consumption of fennel during lactation is prevalent for its purported
lactogenic effects .
• The herb contains phytoestrogens that may increase milk supply.
• Fennel is commonly used in India and is a highly effective herbal lactogogue.
• It can be consumed as fennel tea or as fennel water.
11. GOAT’S RUE
• Goat’s Rue belongs to fabaceae family and is a traditionally used as a
galactologue for centuries.
• The main components responsible for lactogenesis is saponins.
• Goat’s Rue is considered as a lactogogue by increasing milk production by
30-50% within 24 hours.
• It stimulates the growth of breast tissue.
12. BLESSED THISTLE
• It belongs to Asteracea family.
• Blessed thistle is another herb which is used to enhance lactation.
• It has an unjustified reputation as a galactogogue, but is not known to be
toxic except for some reported gastrointestinal symptoms and allergic
reactions.
13. LACTOGOGUES
• There are many other lactogogues like fish, mutton and goat’s meat.
• Herbal lactogogues like garlic has been used for centuries as a beneficial
food to increase lactation.
• Cumin seeds, moringa powder, garden cress seeds, carrots, dark green leafy
vegetables, nuts and seeds and lactational cookies help in milk production.
14.
15. Survey in Experience and Use of Galactogogues-
• An online, cross-sectional survey was distributed between September and
December 2019 in Australia.
• Women were eligible to participate if they lived in Australia and were
currently/previously breastfeeding.
• Among 1876 respondents, 60% of women (n = 1120) reported taking one or
more galactagogues during breastfeeding.
• Women who had preterm births, saw a lactation consultants, had perceived
low milk supply, had a Caesarean section, or required supplemental feeding
with infant formula were more likely to use galactogogues.
• The most commonly used galactagogue included lactation cookies (47%),
brewer’s yeast (32%) and fenugreek (22%).
16. SIDE EFFECTS
• Domperidone had the highest proportion of women reporting one or more
side effects (45%), compared to less than 20% of women using herbal
galactagogues.
• For domperidone and metoclopramide, 9% and 19% of women respectively
stopped taking the medication due to side effects.
• Greater than 20% of domperidone users experienced two or more side
effects.
17.
18. EFFECTIVENESS
• The perceived effectiveness of galactagogues is reported for eight of nine
galactagogues was rated as being between ’slightly’ (2) and ’moderately’ (3)
effective except for domperidone which users reported as having the highest
perceived effectiveness.
19. REFERENCES
• Researchgate.net-role of lactogogues in milk production/January 2021.
• Sciencedirect.com/pharmacology/galactogogue/2015.
• Ncbi.nlm.nih.gov/pmc articles/plosone journal in use and experience of
galactogogues/July 2021.