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  • Test weighing of the baby in consultations doesn't help and may worsen outcomes
  • The role of supplemental nursing systems

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  • PBL Advanced
  • S9: Milk production: models, mechanisms, management, evolutionarily-aligned breastfeeding patterns
  • CH 4: Low supply: when breastmilk production is less than the infant's caloric needs in exclusive breastfeeding
  • PT 4.3: Management

The role of supplemental nursing systems

Dr Pamela Douglas11th of Dec 202520th of Dec 2025

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Next up in Galactogogues

What does the research say about domperidone use for low supply?

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Women use domperidone because they deeply care about breastfeeding their babies

Audit of phone calls to an Australian pregnancy and lactation counselling service regarding use of galactoagogues highlighted that domperidone accounted for > 90% of the calls, but there is an increasing popularity of herbal galactagogues, which no inquiries in 2001 and 23% of call in 2014. 4

I agree with Zizo et al, who write:

"If women are allowed to have unrealistic expectations about domperidone use, this has possible negative impacts on maternal agency, confidence, anxiety and self-efficacy, with negative psychological sequelae”14

What does the research say about the effects of domperidone on milk production?

A 2021 systematic review of 16 randomised controlled trials concludes that…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.