Background: Ginger has been used as a galactagogue in Southeast Asian countries. However, limited evidence of its effect has been reported. This systematic review summarizes the efficacy and safety of ginger regarding human milk volume. Methods: A systematic review was conducted. Randomized controlled trials (RCTs) which studied the effect of ginger on human milk volume were included. The primary outcome was 24-h human milk volume. Results: We found five RCTs. Two studies reported ginger as a single intervention, while three studies reported ginger in a combination with other herbs. We found that ginger could enhance human milk volume in mothers with vaginal births. It failed to improve human milk volume in mothers with cesarian section (C-section). Ginger in several combination products has been shown to be effective in enhancing human milk volume, including ginger with pandan, with turmeric and fenugreek, and with Xiong-gui-tiao-xue-yin. No adverse effect directly related to ginger was reported. Discussion: Ginger could be used to enhance human milk volume in mothers with vaginal births, but not in mothers with C-section. Combined ginger products could also be considered to improve human milk volume. These findings could guide healthcare providers or mothers to consider using ginger to increase human milk production.
Complement Med Res

中文翻译：

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生姜对母乳量和相关临床结果的功效和安全性：随机对照试验的系统评价


背景：生姜在东南亚国家被用作催乳剂。然而，其效果的证据有限。本系统综述总结了生姜对于母乳量的功效和安全性。方法：进行系统评价。其中包括研究生姜对母乳量影响的随机对照试验（RCT）。主要结果是 24 小时母乳量。结果：我们发现了五项随机对照试验。两项研究报告将生姜作为单一干预措施，而三项研究报告将生姜与其他草药结合使用。我们发现生姜可以增加阴道分娩母亲的母乳量。它未能提高剖腹产母亲的母乳量。多种生姜组合产品已被证明可有效增加母乳量，包括生姜与班兰、姜黄和葫芦巴以及芎桂调血饮。没有报道与生姜直接相关的不良反应。讨论：生姜可用于增加顺产母亲的母乳量，但不适用于剖腹产母亲。还可以考虑组合生姜产品来增加母乳量。这些发现可以指导医疗保健提供者或母亲考虑使用生姜来增加母乳产量。
 补充医学研究