Literature review for - Flourish Paediatrics

included in Cochrane review conducted in Taiwan
Applicability Good Results are applicable to Australian women
The studies included in the body of evidence statement are shown in the Table below
Cochrane review included 8 RCT and quasi RCT with 744 women. The authors concluded
“although some interventions may be promising, there is not sufficient evidence from trials
on any intervention to justify widespread implementation.” There were not sufficient trials on
any one intervention to develop a consistent evidence base. Cold packs may offer relief and
cause no harm. Acupuncture may reduce symptoms in first few days following treatment.
Commonly routine care included expression of breastmilk. More research is needed on
treatments for this painful and distressing condition (Mangesi and Dowswell 2010).
The RCT comparing Gua-Sha therapy and traditional breast care (hot packs and massage) on
breast engorgement found breast pain, breast discomfort and symptoms of engorgement were
statistically significantly better in the intervention group compared to the control group
(p