Tropical Doctor > Volume 38, Number 1 > Pp. 30-32

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Cabergoline for suppression of puerperal lactation in a prevention of mother-to-child HIV-transmission programme in rural Malawi

L Buhendwa MD MpH   ^*   R Zachariah MBBS PhD      R Teck MD PhD   ^*   M Massaquoi MD MpH   ^*   J Kazima SRN SNM      P Firmenich MD      A D Harries MD FRCP   ^¶ #

^* Medecins sans Frontieres, Thyolo District, Malawi; Medecins sans Frontieres, Operational Research, Medical Department, Brussels Operational Center B-1090 Belgium; Thyolo District Health Services, Ministry of Health and Population, Thyolo, Malawi; Medecins Sans Frontieres, Operations Department, L-1617 Luxembourg; ^¶ HIV Care and Support, Ministry of Health, Lilongwe, Malawi and; ^# London School of Hygiene and Tropical Medicine, UK

Correspondence to: Dr R Zachariah, Medicins sans Frontieres, Brussels Operational Center, 68 Rue de Gasperich, L-1617 Gasperich, Luxembourg Email: zachariah{at}internet.lu

This study shows that cabergoline (single oral-dose) is an acceptable, safe and effective drug for suppressing puerperal lactation. It could be of operational benefit not only for artificial feeding, but also for weaning in those that breast-feed within preventive mother-to-child HIV transmission programmes in resource-limited settings.

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