> I think that the difference in use of hormonal protocols is more in terms of the rate of the milk is production initially. If using a hormonal protocol with an abrupt withdrawal of oestrogen and progesterone women see milk start to be produced in significant amounts with a few days. With the more traditional relactation/induced lactation based on suckling of a baby or breast pumping the milk supply is built much more gradually. So that's the kick start. In the long term it's the frequency and degree of milk removal that builds the milk supply and it matters not which drugs have or have not been used. More drugs does not equal more milk. It is important for health providers and women considering the use of hormones to consider the potential side effects because they can be serious (and I get nervous about older mums to be doing long haul flights for adoption or surrogacy taking drugs that increase the risk of deep vein thrombosis).   
Ditto on the importance of knowledge and support Jean!
Karleen Gribble
Australia

> 
> The Newman-Goldfarb Protocol does seem to give induced lactation a kick
> start and many women do produce an ample milk supply.  The medications and
> herbs do have an important role, but I think the time spent in preparing and
> learning about breastfeeding is also essential.
> 
> Jean Ridler  RN  RM  IBCLC
> Cape Town, South Africa
> 
> 

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