Analysis of a Pharmacy Developed, Outpatient Lactation Consultant Initiated Domperidone Programme.
J Mother Child
; 28(1): 23-32, 2024 Feb 01.
Article
em En
| MEDLINE
| ID: mdl-38639101
ABSTRACT
BACKGROUND:
Domperidone is a commonly prescribed galactagogue used off-label for lactation insufficiency. Prescriber unfamiliarity or safety concerns can lead to therapeutic delay and potential early breastfeeding discontinuation. To facilitate access, the study site pharmacy department developed a Structured Administration and Supply Arrangement (SASA) for International Board-Certified Lactation Consultants (IBCLC) to screen and initiate domperidone using a checklist.MATERIAL:
To validate a domperidone screening tool via analysis of its use and compliance, together with a staff satisfaction survey.METHODS:
Records were extracted from the REDCap® database for women with documented domperidone supply between 06/05/2022 and 27/01/2023 and reviewed with medical records. A staff survey was distributed assessing compliance and attitudes towards the SASA.RESULTS:
Records of supply revealed that 34% (17/50) of patients were referred to a physician, revealing a discrepancy between database documentation and checklists, as no referrals were documented. Overall staff satisfaction with the SASA was rated 4.6 out of 5. 77.7% (7/9) felt confident counselling and supplying domperidone with the SASA in place. 88.9% (8/9) felt confident using the checklist to identify the appropriateness of therapy and referral to a physician.CONCLUSIONS:
The system in place allows the IBCLCs to initiate and supply domperidone in a timely manner to breastfeeding mothers with lactation insufficiency. The support tools, including domperidone SASA, REDCap® documentation database and the checklist domperidone as a Galactagogue Checklist, can be greatly appreciated by the LCs. Continued discussion with IBCLCs to refine and improve the SASA and associated education package will result in more consistent compliance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Farmácia
/
Galactagogos
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Mother Child
/
J. Mother Child
/
Journal of Mother and Child
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Austrália