Audit of domperidone use as a galactogogue at an Australian tertiary teaching hospital

Luke E. Grzeskowiak, Sze Wen Lim, Alicia E. Thomas, Usha Ritchie, Andrea L. Gordon

Research output: Contribution to journalArticle

Abstract

Background: Domperidone is often used to promote lactation among women who have difficulty breastfeeding. Objective: To examine prescribing and dispensing practices of domperidone at the Women's and Children's Hospital (WCH), Adelaide. Methods: A retrospective audit of domperidone dispensing among women with singleton pregnancies who delivered at the WCH between January 2000 and July 2010 was undertaken. Women dispensed domperidone were identified using WCH pharmacy dispensing records. Maternal and infant clinical data were obtained from the WCH Perinatal Statistics Collection. An audit of paper-based medical records was undertaken for a random sample of 261 mother-child pairs to collect prescribing and additional clinical data. Results: From 2000 to 2010, 1605 women were dispensed domperidone. There was a steady increase in the percentage of women dispensed domperidone, from < 0.5% in 2000 to > 5% of total WCH pregnancies in 2010. Among women dispensed domperidone, the percentage of women who received > 1 dispensing remained consistent (20%) over time, as did the median number of days (12) from delivery to first dispensing. Multiparous women were more likely to receive domperidone within 3 days following delivery compared to primiparous women (8% vs 4%; P < .01). Most women (80%) received directions to take domperidone according to a standard tapering dosing regimen over 12 days. Notably, 60% of women had no documentation of being assessed by a lactation consultant. Conclusion: From 2000 to 2010, there was a considerable increase in domperidone dispensing. With a lack of clinical evidence to guide use, current practice appears to be based on anecdotal evidence.

Original languageEnglish (US)
Pages (from-to)32-37
Number of pages6
JournalJournal of Human Lactation
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2013

Keywords

  • domperidone
  • galactogogues
  • lactation

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Audit of domperidone use as a galactogogue at an Australian tertiary teaching hospital'. Together they form a unique fingerprint.

  • Cite this

    Grzeskowiak, L. E., Lim, S. W., Thomas, A. E., Ritchie, U., & Gordon, A. L. (2013). Audit of domperidone use as a galactogogue at an Australian tertiary teaching hospital. Journal of Human Lactation, 29(1), 32-37. https://doi.org/10.1177/0890334412459804