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Domperidone, sold under the brand name Motilium among others, is a dopamine antagonist medication which is used to treat nausea and vomiting and certain gastrointestinal problems like gastroparesis (delayed gastric emptying). It raises the level of prolactin in the human body and is used off label to induce and promote breast milk production.
A galactagogue, or galactogogue (from Greek: γάλα [γαλακτ-], milk, + ἀγωγός, leading), also known as a lactation inducer or milk booster, is a substance that promotes lactation in humans and other animals. [1] [2] It may be synthetic, plant-derived, or endogenous. They may be used to induce lactation and to treat low milk supply.
Hyperprolactinemia, characterized by abnormally high levels of prolactin, may cause galactorrhea (production and spontaneous flow of breast milk), infertility, and menstrual disruptions in women. In men, it can lead to hypogonadism, infertility and erectile dysfunction. Prolactin is crucial for milk production during pregnancy and lactation.
Prolactin has a wide variety of effects. It stimulates the mammary glands to produce milk (): increased serum concentrations of prolactin during pregnancy cause enlargement of the mammary glands and prepare for milk production, which normally starts when levels of progesterone fall by the end of pregnancy and a suckling stimulus is present.
The fat content of milk is the proportion of milk, by weight, [1]: 266 made up by butterfat. The fat content, particularly of cow 's milk, is modified to make a variety of products. The fat content of milk is usually stated on the container, and the color of the label or milk bottle top varied to enable quick recognition.
In this video, a mother uses breast compression during a feed to increase the flow of milk (1 minute, 37 seconds) Using a breast pump can maintain and improve milk supply if the baby is unable to nurse effectively. Attempts to increase milk supply should begin promptly as the longer low supply continues, the more difficult it is to reverse. [2]
A sharp increase in citrate and lactose concentration; [8] [9] Plasma α-lactalbumin levels peak; [8] and; Decreased breast milk sodium concentration. [10] [11] Note that delayed onset of lactogenesis II is distinct from low milk supply, where there is a normal onset of lactation, but breast milk is produced in small and insufficient amounts. [12]
Male lactation was of some interest to Alexander von Humboldt, who reports in Voyage aux régions équinoxiales du Nouveau Continent about a citizen of the Venezuelan village of Arenas (close to Cumana) who allegedly nurtured his son for three months when his wife was ill, [1] as well as Charles Darwin, who commented on it in The Descent of Man, and Selection in Relation to Sex (1871):