Kathy Leeper wrote:

> I am the Pediatrician in Lincoln Nebraska working on starting up a bf
> support center with 4 (maybe 5 now!!) other women.  We had a meeting about
> it today, and one of the gals (a doula) has a client who wants to induce
> lactation for an adopted baby.  The lady's OB is willing to prescribe
> whatever is necessary.  But my friend found 2 different protocols, both
> using progesterone and Reglan.  But one used progesterone via patch, and
> the other injection.  She asked my opinion (HA!) and I told her I knew
> where to look!
> I searched the archives, and found several questions relating to induced
> lactation, but no specific protocols.  I also found a posting about using
> fenugreek and blessed thistle rather than the progesterone and Reglan.
> So...is there any protocol that is endorsed over others at this point in
> time?

I just happened to be reading the Searses new book, _The Breastfeeding
Book_. There's a nice section on nursing the adopted baby. On p. 211, he
refers to "a 1994 study" (sorry, no references) in which "the majority of
adoptive mothers were able to lactate with the following medical regimen:
one injection of 100 milligrams of Depo-provera one week before beginning to
induce lactation, hollowed one week later by 10 milligrams of metoclopramide
four times a day taken orally until they made enough milk."

Just one data point -- I'm sure others here will have different ideas.
Janice Berry
Westerville, OH

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