Mahla Salarfard - Instructor, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Somayeh Moeindarbary - Assistant Professor, Department of Obstetrics and Gynecology, Neonatal and Maternal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Zahra Khojastehfard - MSc of Midwifery, School of Nursing and Midwifery, Mashhad University Of Medical Science, Mashhad, Iran.
Fahime Vafisani - MSc of Nutrition, Medicine Faculty, Mashhad University of Medical Sciences, Mashhad, Iran.
Zoleykha Asgarlou - Instructor, MSc of Midwifery, Khoy University of Medical Science, Iran.
Mehrdad Khodabandeh - Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
Ali Rokni - Orthopedic Resident, Department of Orthopedic, Kerman University of Medical Sciences, Kerman, Iran.
Farzane Ashrafinia - Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

Background Effective interventions on exclusive breastfeeding that are appropriate for the existing conditions can have significant benefits on maintenance, continuity, and promotion of breastfeeding in mothers. The aim of this study is to evaluate the effect of Fenugreek on breast milk sufficiency in nursing mothers. Materials and Methods In this review, trials on the effect of Fenugreek on breast milk sufficiency were searched on the electronic databases of Scopus, EMBASE, Cochrane, Web of Science, and Medline, with no language or time restrictions before the end of December ۲۰۱۹, using the combination related keywords of Mesh. Study selection was done by two reviews. Results Reviews of ۹ eligible clinical trials indicated the positive effect of fenugreek on breast milk adequacy and increased breast milk supply markers in the research participants compared to the control group. Effects of Fenugreek on breastfeeding adequacy were demonstrated in increasing neonatal weight gain, breastfeeding frequency, and fecal excretion frequency, number of changing diapers, increased breast milk production, and increased maternal prolactin hormone levels. Conclusion According to the results of reviewing previous studies, the use of fenugreek to improve breastfeeding adequacy and promote neonatal growth is recommended, considering its ease of access and use and rare adverse effects on the mother and infant.

Breast milk, Fenugreek, Growth, Infant, Mother