Effect of Fenugreek on Milk Production (fenugreek)

Texas Tech University Health Sciences Center

Status

Terminated

Conditions

Lactation

Treatments

Drug: fenugreek

Drug: Placebo (Psyllium)

Study type

Interventional

Funder types

Other

Identifiers

NCT00851591

A08-3479

Details and patient eligibility

About

Each year, approximately 3 million mothers in the USA alone leave the hospital breastfeeding an infant. However, a large number discontinue breastfeeding, because milk synthesis is poor or simply stops. Termed "Insufficient Milk Syndrome," this condition probably accounts for approximately 5-10% of the total population of breastfeeding mothers and includes many mothers with premature infants, mothers with polycystic ovary syndrome, and a myriad of other unknown causes. The mother's inability to breastfeed causes enormous feelings of inadequacy, grief, depression, and other problems, not to mention increased health risks to the infant.

The most popular herbal remedy used around the world for increasing milk synthesis is fenugreek. Fenugreek (Trigonella foenum graecum) is a seed product from the legume family that is commonly sold, since the dried, ripe seed and extracts are used as an artificial flavor for maple syrup. When used orally in amounts commonly found in foods, it has been granted Generally Recognized as Safe (GRAS) status in the USA by the FDA. Although it is used by millions of women around the world to increase their milk supply, we have only one small case report which suggested it might actually increase the milk supply.

In this one study, the authors found an approximate 40% increase in milk production, although the study was not blinded, nor did they use a control population. For these reasons, we still do not know with certainty if fenugreek works as a galactagogue.

This study is designed to accurately determine if seven days of fenugreek will stimulate milk production in a selected group of subjects with poor milk supply. We hypothesize that the women enrolled in the test group will have increased milk production at the end of the 8-day study.

Full description

Enrollment

3 patients

Sex

Female

Ages

18 to 45 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Mothers 2-12 weeks postpartum
Mothers with term infants 37 weeks gestation or older
Mothers with poor milk supply documented by professional lactation consultants
Mothers whose milk supply is less than 600 cc per 24 hours
Mothers who agree not to breastfeed or provide their milk to their infants during this study

Exclusion criteria

Mothers with documented mastitis
Mothers with breast engorgement
Mothers with inverted nipples
Maternal BMI greater than 35
Mothers currently consuming Reglan, Domperidone or other drugs/herbals used to induce milk production
Mothers who are clinically ill or hospitalized, or taking the following medications:
1. Diuretics
2. Pseudoephedrine
3. Anticholinergics
4. Warfarin or any anticoagulant
5. An estrogen-containing birth control pill
Mothers with Diabetes mellitus
Mothers who have had breast surgery that could alter milk synthesis or production
Mothers diagnosed with Polycystic ovary syndrome
Mothers with tubular breasts or breasts with insufficient glandular tissue
Mothers diagnosed with Asthma or atopic disease
Mothers who are known to be allergic to peanuts or soybeans
Mothers who are pregnant
Mothers whose milk supply per 24 hours exceeds 600 mL
Mothers with Obstetrical evaluation recommending exclusion