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Gua sha therapy may be more effective than hot packs with massage for reducing breast pain.
2020 Cochrane Database of Systematic Reviews Treatments for breast engorgement during lactation Zakarija-Grkovic I, Stewart F
Systematic Review
In this version of the review, 21 studies involving 2170 breastfeeding women were analysed. A range of interventions for the treatment of breast engorgement were tested. These included: cabbage leaves, various compresses (ginger, cactus/aloe, hollyhock), massage plus cactus and aloe compress, acupuncture, ultrasound, acupressure, scraping therapy (Gua Sha), cold breast‐packs, electromechanical massage, Oketani breast massage, and medical treatments (serrapeptase, protease, oxytocin). Six studies used individual breasts as the unit of analysis making it difficult to evaluate the true effect of the studied intervention. Due to the heterogeneous interventions, we were unable to pool results in meta‐analysis; hence, a qualitative analysis resulted in the following findings.