When is it appropriate to use domperidone?
Domperidone must never be used as the first approach to correcting breastfeeding difficulties. Domperidone is not a cure for all things. It must not be used unless all other factors that may result in insufficient milk supply have been dealt with first. (See Handout: Protocol to Increase Intake of Breastmilk by the Baby). What can be done? • Do as much skin to skin as possible with the baby, during and in between feedings. See handout: Skin to Skin Contact. • Correct the baby’s latch so that the baby can best obtain the milk the mother has available. Correcting the latch may be all that is necessary to change a situation of “not enough milk” to one of “plenty of milk” (See the video clips on our website www.drjacknewman.com). • Use breast compressions to increase the intake of milk. (See handout Breast Compression). • If you are breastfeeding exclusively, try expressing your milk after the feedings. A few minutes of hand expression after the feedings may be very effective to increase t
