Pat The protocol I use (and most recently for a mom inducing lactation for her baby in a surrogate situation) is to have mom see doctor about adviseability of sulpiride as a galactogogue, 50 mg three times in 24 hours), and use massage and manual expression, ideally 8-10 times in 24 hours (usually only 2-3 minutes until she obtains drops of milk - which happens within 4-5 days) and then longer until all drops are drained. She should switch-express to maximize output. As drops become teaspoonfuls, save and freeze all EBM for supplementation as needed after baby's birth. Once she can express about 30ml then start using pump, but switch-pump and finish each session with manual expression. If mum has approx 3 months before baby's birth I've found they produce between 250 - 400ml in 24 hours. After birth, breastfeed as usual, watch baby's intake carefully (output and fairly frequent weight checks), then supplement with EBM as necessary. I had one mother manage to exclusively breastfeed with this protocol, but most have had to supplement. Once mother is happy with her milk supply, and/or realizes that it will not increase any more then she can taper off the sulpiride (50mg twice a day for a week, and then 50mg once a day for a week) without negatively compromising her milk production. Once the baby reaches 6 months weaning foods can gradually take the place of any formula supplements and mom and baby can continue breastfeeding as long as they want. Sulpiride seems not to be used in England, but the last mom was living in another country and had a South African OB who was very happy to prescribe. I suspect it is more effective than domperidone which is the galactogogue of choice here. Pamela Morrison IBCLC Rustington, England From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Patricia Bilyk Sent: Wednesday, July 17, 2013 12:12 PM Subject: Newman-Goldfarb Protocol for Induced Lactation Wondering if any Lactation Consultants on this Listserv , other than those working with Dr. Newman,have every used this protocol with their adoptive moms? If yes, what was the outcome. Anyone use another protocol? Thank you in advance, Pat Bilyk, RN, IBCLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome