International Board of Certified Lactation Consultant (IBCLC) Practice Exam

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Which herbal galactagogue is contraindicated for women allergic to chickpeas, soybeans, or peanuts?

Fennel
Fenugreek
Thistle
Milk thistle

The correct answer is: Fenugreek

Fenugreek is the correct choice as an herbal galactagogue that is contraindicated for women with allergies to chickpeas, soybeans, or peanuts. This is largely due to the biochemical similarities among these legumes. Fenugreek, belonging to the Fabaceae family, can trigger allergic reactions in individuals sensitive to other members of this legume family, including chickpeas and peanuts. Therefore, understanding the potential for cross-reactivity is critical for ensuring the safety of breastfeeding mothers who may have food allergies. Fennel, thistle, and milk thistle are different types of herbs and do not share the same family lineage as legumes, making them safer alternatives for women with allergies to chickpeas, soybeans, or peanuts. The distinct properties and classifications of these herbs are essential to consider when recommending herbal galactagogues, as they can help avoid adverse allergic reactions while supporting lactation.