RT Journal Article
SR Electronic
T1 Diagnosis and Management of Breast Milk Oversupply
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 139
OP 142
DO 10.3122/jabfm.2016.01.150164
VO 29
IS 1
A1 Lauren Trimeloni
A1 Jeanne Spencer
YR 2016
UL http://www.jabfm.org/content/29/1/139.abstract
AB Managing breastfeeding problems is an essential part of newborn care. While much is written on breast milk undersupply, little is written on oversupply, sometimes known as hyperlactation or hypergalactia. Infants of mothers with oversupply may have increased or decreased weight gain. Some may have large, frothy stools. They may develop a disordered latch. Mothers may report overly full, leaking breasts. Thyroid function should be assessed. Treatment is mostly anecdotal and includes methods to maintain breast fullness, such as block feedings. Pseudoephedrine and oral contraceptive pills may decrease the supply. Dopamine agonists such as carbergoline can be used as a last resort.