title: Diagnosis and Management of Breast Milk Oversupply.
abstract: 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.
authors.affiliation: From the Conemaugh Family Medicine Residency Program, Johnstown, PA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Trimeloni
authors.affiliation: From the Conemaugh Family Medicine Residency Program, Johnstown, PA. jspence@conemaugh.org.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Spencer
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001942:Breast Feeding / Q000009:adverse effects / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005687:Galactorrhea / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006966:Hyperprolactinemia / Q000097:blood / Q000150:complications*; D007223:Infant; D007231:Infant, Newborn; D008895:Milk, Human; D008517:Phytotherapy; D010946:Plants, Medicinal
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Breast Feeding; Lactation Disorders; Review; Systematic