在临床咨询中需要讨论使用胡芦巴作为催乳剂的哪些益处和危害？一项针对哺乳期妇女、妇科医生、儿科医生、家庭医生、泌乳顾问和药剂师的德尔菲研究。
Which Benefits and Harms of Using Fenugreek as a Galactogogue Need to Be Discussed during Clinical Consultations? A Delphi Study among Breastfeeding Women, Gynecologists, Pediatricians, Family Physicians, Lactation Consultants, and Pharmacists.
作者信息
Shawahna Ramzi, Qiblawi Sara, Ghanayem Haifa
机构信息
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, State of Palestine.
An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, State of Palestine.
出版信息
Evid Based Complement Alternat Med. 2018 Apr 23;2018:2418673. doi: 10.1155/2018/2418673. eCollection 2018.
BACKGROUND
Breastfeeding women with hypogalactia are commonly recommended to use fenugreek as a galactogogue. This study aimed to achieve formal consensus among breastfeeding women and healthcare providers on which potential harms and benefits of using fenugreek need to be communicated and discussed during clinical consultations.
METHODS
A two-iterative round Delphi technique was used in two separate panels of breastfeeding women ( = 65) and healthcare providers ( = 56) to achieve formal consensus on a list of 24 and 16 items related to potential harms and benefits of fenugreek.
RESULTS
About 70% of the healthcare providers recommended quite often herbal remedies for breastfeeding women and about 68% of the women had been recommended to use herbal remedies many times by their healthcare providers. Consensus was achieved on 21 potential harms and 14 potential benefits of using fenugreek to enhance human milk supply that need to be discussed with breastfeeding women during consultations.
CONCLUSION
Probably, potential harms and benefits of recommending fenugreek as herbal galactogogue for breastfeeding women seeking recommendations to increase their human milk supply need to be discussed during clinical consultations. Further observational studies are needed to assess what is being discussed in daily consultations when herbal remedies are recommended.
背景
对于患有乳汁分泌不足的哺乳期女性，通常建议使用葫芦巴作为催乳剂。本研究旨在使哺乳期女性和医疗服务提供者就是否需要在临床咨询过程中交流和讨论使用葫芦巴的潜在危害和益处达成正式共识。
方法
在两个独立的小组中，分别对65名哺乳期女性和56名医疗服务提供者采用两轮德尔菲技术，就与葫芦巴潜在危害和益处相关的24项和16项内容达成正式共识。
结果
约70%的医疗服务提供者经常为哺乳期女性推荐草药疗法，约68%的女性曾多次被其医疗服务提供者推荐使用草药疗法。就使用葫芦巴增加母乳分泌量的21项潜在危害和14项潜在益处达成了共识，这些内容需要在咨询过程中与哺乳期女性进行讨论。
结论
对于寻求增加母乳分泌量建议的哺乳期女性，在临床咨询过程中可能需要讨论将葫芦巴作为草药催乳剂推荐的潜在危害和益处。需要进一步开展观察性研究，以评估在推荐草药疗法时日常咨询中讨论的内容。
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