Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effect of Fenugreek on Milk Production
Brief Summary: Each year, approximately 3 million mothers in the USA alone leave the hospital breastfeeding an infant. However, a large number discontinue breastfeeding, because milk synthesis is poor or simply stops. Termed "Insufficient Milk Syndrome," this condition probably accounts for approximately 5-10% of the total population of breastfeeding mothers and includes many mothers with premature infants, mothers with polycystic ovary syndrome, and a myriad of other unknown causes. The mother's inability to breastfeed causes enormous feelings of inadequacy, grief, depression, and other problems, not to mention increased health risks to the infant.

The most popular herbal remedy used around the world for increasing milk synthesis is fenugreek. Fenugreek (Trigonella foenum graecum) is a seed product from the legume family that is commonly sold, since the dried, ripe seed and extracts are used as an artificial flavor for maple syrup. When used orally in amounts commonly found in foods, it has been granted Generally Recognized as Safe (GRAS) status in the USA by the FDA. Although it is used by millions of women around the world to increase their milk supply, we have only one small case report which suggested it might actually increase the milk supply.

In this one study, the authors found an approximate 40% increase in milk production, although the study was not blinded, nor did they use a control population. For these reasons, we still do not know with certainty if fenugreek works as a galactagogue.

This study is designed to accurately determine if seven days of fenugreek will stimulate milk production in a selected group of subjects with poor milk supply. We hypothesize that the women enrolled in the test group will have increased milk production at the end of the 8-day study.


Options:
A: Arm Label: A; Type: ACTIVE_COMPARATOR; Interventions: Drug: Metoclopramide (Maxolon) | Arm Label: B; Type: PLACEBO_COMPARATOR; Interventions: Drug: placebo | Arm Label: C; Type: ACTIVE_COMPARATOR; Interventions: Drug: Metoclopramide (Maxolon) | Arm Label: D; Type: PLACEBO_COMPARATOR; Interventions: Drug: placebo | Intervention Type: DRUG; Name: Metoclopramide (Maxolon); Assigned to Arm(s): A, C | Intervention Type: DRUG; Name: placebo; Assigned to Arm(s): B, D
B: Arm Label: Placebo; Type: PLACEBO_COMPARATOR; Interventions: Dietary Supplement: Placebo | Arm Label: No treatment; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Herbal galactagogue; Type: EXPERIMENTAL; Interventions: Dietary Supplement: Herbal galactagogue | Intervention Type: DIETARY_SUPPLEMENT; Name: Herbal galactagogue; Assigned to Arm(s): Herbal galactagogue | Intervention Type: DIETARY_SUPPLEMENT; Name: Placebo; Assigned to Arm(s): Placebo
C: Arm Label: Fenugreek category 1; Type: EXPERIMENTAL; Interventions: Drug: fenugreek | Arm Label: Placebo Category 2; Type: PLACEBO_COMPARATOR; Interventions: Drug: Placebo (Psyllium) | Intervention Type: DRUG; Name: fenugreek; Assigned to Arm(s): Fenugreek category 1 | Intervention Type: DRUG; Name: Placebo (Psyllium); Assigned to Arm(s): Placebo Category 2
D: Arm Label: Women with recent GDM pregnancy; Type: N/A; Interventions: N/A

Answer: C