Metoclopramide for milk production in lactating women: a systematic review and meta-analysis

Background: Breastfeeding is recognized as the optimal form of nutrition for the physical and neurological development of infants and is considered the most significant way to prevent child mortality. This study aimed to assess the effectiveness of metoclopramide for enhancing milk production in l...

Full description

Bibliographic Details
Main Authors: Hussain, Nik Hazlina Nik, Noor, Norhayati Mohd, Ismail, Saiful Bahari, Zainuddin, Nur Amirah, Sulaiman, Zaharah
Format: Article
Language:English
Published: Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2021
Subjects:
Online Access:http://eprints.usm.my/50910/
http://eprints.usm.my/50910/1/2021%20SRMA%20Metochlor%20Lactating%20KJFM-Eprints.pdf
_version_ 1848881846840983552
author Hussain, Nik Hazlina Nik
Noor, Norhayati Mohd
Ismail, Saiful Bahari
Zainuddin, Nur Amirah
Sulaiman, Zaharah
author_facet Hussain, Nik Hazlina Nik
Noor, Norhayati Mohd
Ismail, Saiful Bahari
Zainuddin, Nur Amirah
Sulaiman, Zaharah
author_sort Hussain, Nik Hazlina Nik
building USM Institutional Repository
collection Online Access
description Background: Breastfeeding is recognized as the optimal form of nutrition for the physical and neurological development of infants and is considered the most significant way to prevent child mortality. This study aimed to assess the effectiveness of metoclopramide for enhancing milk production in lactating women. Methods: We searched the Cochrane Central Register of Controlled Trials and MEDLINE for randomized controlled trials comparing metoclopramide with a placebo, no treatment, or other galactagogue drugs. We included breastfeeding women with term or preterm infants. Results: We retrieved 164 records from our search of the electronic databases and 20 records from other sources. Eight trials involving 342 lactating women that used metoclopramide were included in this review after assessing the eligibility criteria. The meta-analysis of these trials revealed that metoclopramide did not increase the milk volume of the intervention groups compared to that of the control groups. There was a significant increase in the serum concentrations of prolactin when the mothers were administered metoclopramide. No significant adverse events were reported. Conclusion: Metoclopramide did not improve milk production in lactating women. Therefore, we do not recommend using metoclopramide to increase milk production in lactating women.
first_indexed 2025-11-15T18:25:31Z
format Article
id usm-50910
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T18:25:31Z
publishDate 2021
publisher Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia
recordtype eprints
repository_type Digital Repository
spelling usm-509102021-12-19T07:12:01Z http://eprints.usm.my/50910/ Metoclopramide for milk production in lactating women: a systematic review and meta-analysis Hussain, Nik Hazlina Nik Noor, Norhayati Mohd Ismail, Saiful Bahari Zainuddin, Nur Amirah Sulaiman, Zaharah R Medicine Background: Breastfeeding is recognized as the optimal form of nutrition for the physical and neurological development of infants and is considered the most significant way to prevent child mortality. This study aimed to assess the effectiveness of metoclopramide for enhancing milk production in lactating women. Methods: We searched the Cochrane Central Register of Controlled Trials and MEDLINE for randomized controlled trials comparing metoclopramide with a placebo, no treatment, or other galactagogue drugs. We included breastfeeding women with term or preterm infants. Results: We retrieved 164 records from our search of the electronic databases and 20 records from other sources. Eight trials involving 342 lactating women that used metoclopramide were included in this review after assessing the eligibility criteria. The meta-analysis of these trials revealed that metoclopramide did not increase the milk volume of the intervention groups compared to that of the control groups. There was a significant increase in the serum concentrations of prolactin when the mothers were administered metoclopramide. No significant adverse events were reported. Conclusion: Metoclopramide did not improve milk production in lactating women. Therefore, we do not recommend using metoclopramide to increase milk production in lactating women. Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2021 Article NonPeerReviewed application/pdf en http://eprints.usm.my/50910/1/2021%20SRMA%20Metochlor%20Lactating%20KJFM-Eprints.pdf Hussain, Nik Hazlina Nik and Noor, Norhayati Mohd and Ismail, Saiful Bahari and Zainuddin, Nur Amirah and Sulaiman, Zaharah (2021) Metoclopramide for milk production in lactating women: a systematic review and meta-analysis. Background: Breastfeeding is recognized as the optimal form of nutrition for the physical and neurological development of infants and is considered the most significant way to prevent child mortality. This study aimed to assess the effectiveness of metocl. (Submitted)
spellingShingle R Medicine
Hussain, Nik Hazlina Nik
Noor, Norhayati Mohd
Ismail, Saiful Bahari
Zainuddin, Nur Amirah
Sulaiman, Zaharah
Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title_full Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title_fullStr Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title_full_unstemmed Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title_short Metoclopramide for milk production in lactating women: a systematic review and meta-analysis
title_sort metoclopramide for milk production in lactating women: a systematic review and meta-analysis
topic R Medicine
url http://eprints.usm.my/50910/
http://eprints.usm.my/50910/1/2021%20SRMA%20Metochlor%20Lactating%20KJFM-Eprints.pdf