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Analysis of a Pharmacy Developed, Outpatient Lactation Consultant Initiated Domperidone Programme.
Chinnery, Katherine; Teoh, Stephanie Wai Khuan; Lebedevs, Tamara; Kildunne, Myra; Mukadam, Nabeelah.
Afiliación
  • Chinnery K; Pharmacy Department, King Edward Memorial Hospital, Perth, Western Australia, 6008, Australia.
  • Teoh SWK; Pharmacy Department, King Edward Memorial Hospital, Perth, Western Australia, 6008, Australia.
  • Lebedevs T; Pharmacy Department, King Edward Memorial Hospital, Perth, Western Australia, 6008, Australia.
  • Kildunne M; Breastfeeding Centre, King Edward Memorial Hospital, Perth, Western Australia, 6008, Australia.
  • Mukadam N; Pharmacy Department, King Edward Memorial Hospital, Perth, Western Australia, 6008, Australia.
J Mother Child ; 28(1): 23-32, 2024 Feb 01.
Article en 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacia / Galactogogos Límite: Female / Humans Idioma: En Revista: J Mother Child Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Polonia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacia / Galactogogos Límite: Female / Humans Idioma: En Revista: J Mother Child Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Polonia