Literature review for - Flourish Paediatrics

Reference Mangesi & Dowswell 2010 Chiu et al. 2010
Type of study Cochrane Review RCT
Level of evidence I (aetiology) II (intervention)
Definition of
breastfeeding
Poorly Defined
Poorly Defined
Intervention/
comparator
Treatments for breast engorgement;
acupuncture versus usual care
cabbage leaves (cold versus room temperature leaves)
cabbage leaves versus gel packs cold packs versus
routine care
protease complex tablets versus placebo
ultrasound versus sham ultrasound
subcutaneous oxytocin versus placebo
N 744 54 postpartum women
Population/study
information
8 RCT and quasi-RCTs about treatments for breast
engorgement were evaluated.
Scraping (Gua-Sha) vs traditional breast care (hot packs and
massage)
(Gua-Sha therapy is a Chinese, non-pharmacological therapy
which involves palpation and cutaneous stimulation where the
skin is pressured, in strokes, by a round-edged instrument)
54 postpartum women with engorgement were selected from a
medical center in Taiwan.
10 studies were excluded as did not meet inclusion
criteria
Intervention group (27); had Gua-Sha therapy, each position
was lightly scraped 7 times in two cycles.
Control group (27); applied hot packs then massaged for 20
mins
Quality P 0 (No to 6.3, 7.4)
Measurements according to a subjective breast engorgement,
pain and discomfort scales developed by the authors.
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