Factors and Outcomes Associated With Postpartum Cabergoline Use

NCT ID: NCT03965572

Last Updated: 2021-09-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-07

Study Completion Date

2023-05-12

Brief Summary

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Cabergoline is frequently being requested by many postpartum women with a live newborn to suppress lactation. The aim of the study is to investigate which women desire such an intervention, and what side effects they are experiencing.

Detailed Description

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Cabergoline is a dopamine receptor agonist. Outside of the United States, it is occasionally used to suppress lactation, most commonly after a pregnancy loss or stillbirth. However, the investigators noted that the patient population in Israel has been requesting cabergoline for administration after healthy births, for immediate lactation suppression.

Use of cabergoline after delivery comes with many concerns. One primary concern is that this medication can increase the risk of venous thrombotic events, particularly during postpartum when thrombosis risk is already elevated. Secondly, it may have effects that alter mood, which are similarly concerning during a vulnerable period when postpartum depression and other mental health disorders are common.

Finally, of course, is the issue that so many women are requesting lactation suppression immediately after birth, and therefore will not accrue the neonatal and maternal benefits of lactation.

The investigators want to understand the characteristics, demographics and other factors that lead these women to make this choice, as well as assess their risk of medical and psychological adverse effects from cabergoline used in the postpartum period.

During this study, the investigators will not be prescribing cabergoline or in any way affecting its use. The study will be recruiting as subjects women who requested and received cabergoline prescriptions independently, as is common practice throughout the country.

The study will involve three questionnaires with these subjects: one in the hospital, after birth; one a week after birth; and one 6 weeks after birth. The questionnaires will involve medical history, a validated lactation questionnaire, as well as demographic data. All data will be held in a private, password-locked database.

Conditions

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Lactation Suppressed Cabergoline Adverse Reaction Postpartum DVT Postpartum Depression

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Postpartum women who requested cabergoline

A cohort of postpartum women, after a live birth, who request cabergoline for lactation suppression.

No interventions assigned to this group

Control group

An age-matched cohort of women after a live birth who have not requested cabergoline for lactation suppression.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Postpartum women
* After a live birth
* Requesting cabergoline for lactation suppression

Exclusion Criteria

* those who request cabergoline for lactation suppression after a stillbirth or pregnancy loss
Minimum Eligible Age

16 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Laniado Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dr. Sarit Kalfon

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sarit Kalfon, MD

Role: PRINCIPAL_INVESTIGATOR

Laniado Hospital

Locations

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Laniado Hospital, The Betty Retter Mother & Baby Medical Center

Netanya, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Sarit Kalfon, MD

Role: CONTACT

+972547922182

Odelia Shmulevitz, B.Sc, MHA

Role: CONTACT

+972-(0)9-8925248

Facility Contacts

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Weisbrod, Dr.

Role: primary

972-9-8604601

References

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AlSaad D, ElSalem S, Abdulrouf PV, Thomas B, Alsaad T, Ahmed A, AlHail M. A retrospective drug use evaluation of cabergoline for lactation inhibition at a tertiary care teaching hospital in Qatar. Ther Clin Risk Manag. 2016 Feb 9;12:155-60. doi: 10.2147/TCRM.S96298. eCollection 2016.

Reference Type BACKGROUND
PMID: 26929627 (View on PubMed)

Eidelman AI. Breastfeeding and the use of human milk: an analysis of the American Academy of Pediatrics 2012 Breastfeeding Policy Statement. Breastfeed Med. 2012 Oct;7(5):323-4. doi: 10.1089/bfm.2012.0067. Epub 2012 Sep 4. No abstract available.

Reference Type BACKGROUND
PMID: 22946888 (View on PubMed)

Ben Natan M, Wiener A, Ben Haim Y. Women׳s intention to exclusively breast feed: The Israeli perspective. Midwifery. 2016 Mar;34:173-177. doi: 10.1016/j.midw.2015.11.013. Epub 2015 Nov 22.

Reference Type BACKGROUND
PMID: 26652854 (View on PubMed)

McGuire TM. Drugs affecting milk supply during lactation. Aust Prescr. 2018 Feb;41(1):7-9. doi: 10.18773/austprescr.2018.002. Epub 2018 Feb 1. No abstract available.

Reference Type BACKGROUND
PMID: 29507453 (View on PubMed)

Oladapo OT, Fawole B. Treatments for suppression of lactation. Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD005937. doi: 10.1002/14651858.CD005937.pub3.

Reference Type BACKGROUND
PMID: 22972088 (View on PubMed)

Senat MV, Sentilhes L, Battut A, Benhamou D, Bydlowski S, Chantry A, Deffieux X, Diers F, Doret M, Ducroux-Schouwey C, Fuchs F, Gascoin G, Lebot C, Marcellin L, Plu-Bureau G, Raccah-Tebeka B, Simon E, Breart G, Marpeau L. Postpartum practice: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF). Eur J Obstet Gynecol Reprod Biol. 2016 Jul;202:1-8. doi: 10.1016/j.ejogrb.2016.04.032. Epub 2016 Apr 29.

Reference Type BACKGROUND
PMID: 27155443 (View on PubMed)

Related Links

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Other Identifiers

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0017-19-LND

Identifier Type: -

Identifier Source: org_study_id

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