Abstract

BackgroundBreastfeeding is recommended worldwide but not fully practiced. The first week after childbirth is regarded as a critical period for increasing breast milk production. The aim of the study was to investigate whether Chinese herbal medicine Zengru Gao would result in more women breastfeeding in the first week after childbirth.MethodsA multicenter randomized controlled trial was conducted of 588 mothers considering breastfeeding in China. Among the mothers of the intervention group, the intervention included Chinese herbal medicine Zengru Gao; among those of the control group, it did not. Primary outcomes were the percentages of fully and partially breastfeeding mothers. Secondary outcome was baby’s daily formula intake.ResultsAt 3 d and 7 d after delivery, significant differences were found in favour of Zengru Gao group on the percentage of full/ partial breastfeeding (Z = − 3.0037, p = 0.0027). At day 7, the percentage of full/ partial breastfeeding of the active group increased to 71.48%/20.70% versus 58.67%/30.26% in the control group, the differences remained significant (Z = − 3.0037, p = 0.0027). No statistically significant differences were detected on primary measures at 1 d. While intake of formula differed between groups at 1 d and 3 d, this difference did not achieve statistical significance, but this difference was apparent by 7 d (55.45 ± 115.39 ml/day vs 90.66 ± 153.89 ml/day).ConclusionIn conclusion, Chinese Herbal medicine Zengru Gao enhanced breastfeeding success during one week postpartum. The approach is acceptable to participants and merits further evaluation.Trial registrationChiCTR-IPR-15007376, December 11, 2015.

Highlights

  • Breastfeeding is recommended worldwide but not fully practiced

  • Breastfeeding is an unequalled way of providing ideal food for newborns [1]

  • A survey was conducted in Western Australia to investigate the use of herbal medicine in women who were breastfeeding and found that one quadrant of survey respondents used

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Summary

Introduction

The first week after childbirth is regarded as a critical period for increasing breast milk production. The aim of the study was to investigate whether Chinese herbal medicine Zengru Gao would result in more women breastfeeding in the first week after childbirth. Breastfeeding is an unequalled way of providing ideal food for newborns [1] It has health benefits for mothers [2]. The first week after childbirth is a critical period for mothers and newborns [7]. Pharmacological therapies such as metoclopramide, oxytocin, and domperidone are sometimes used as well, but safety concerns associated with these therapies have limited their use [8, 9]. A survey was conducted in Western Australia to investigate the use of herbal medicine in women who were breastfeeding and found that one quadrant of survey respondents used

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