Yes, this topic is coming up more frequently.  There's a new book out 
(no financial interest for me) that overviews many different approaches 
to inducing lactation -- hormonal protocols, herbal regimens, and the 
essential frequent breast stimulations and milk removals alone.  It also 
maintains a nice focus on the mother-baby relationship.  It's so 
wide-ranging that it might overwhelm a mother who has just received the 
adopted baby with little notice --  would probably be more useful if the 
mother is in the early stages of considering this.  It does seem like a 
useful resource for an LC, to provide a good understanding of varied 
approaches, to help a mother sort through her options.

http://www.breastfeedingwithoutbirthing.com/

Margaret Wills, IBCLC, Maryland, USA


Date: Sun, 21 Jul 2013 14:08:11 +1000 From: vgthorley 
<[log in to unmask]> Subject: Re: induced lactation & protocols & 
stimulation I couldn't agree more with the comments from Jan Ridler and 
Karleen Gribble and, earliere, Pam Morrison. Hormonal help and sudden 
withdrawal can give a kickstart, but breast stimulation and expressing 
(or a baby at breast) have been used effectively, too, and after milk 
appears, no method works to maintain milk flow without ongoing, frequent 
milk removal. Back in the 1970s, a Sydney professor developed a protocol 
using high doses of oestrogen and progestogen, followed by withdrawal, 
but as time went on some of us became concerned about the doses, 
especially as women who were adopting babies tended to be older, and 
potentially more at risk of deep vein thrombosis (DVT). Karleen adds the 
point about long-haul flights overseas and DVT. For years, mothers and 
their GPs would contact me asking for contact details for the particular 
hormonal protocol - but it was hard to get across the need for frequent 
enough expressing as some expected a magic pill that would do the work. 
At least by talking to me first, they could decide whether they could 
commit to the time involved. Even today, "frequent" means different 
intervals to different people. The great thing today is that in Western 
countries there is increasingly more support and acceptance of mothers 
bringing in a milk supply for an adopted of foster baby, whatever 
methods they use at the start. Support and frequent milk removal are of 
course key, and lack of support - and consequent lack of confidence - 
was a reason why many women have given up or struggled. A breastfeeding 
culture (not their geographic location) makes a difference, and now 
mothers can also go online to get the support of a micro culture of 
others doing the same. I shall be going "no mail" later today and so any 
replies need to be copied to me privately. Virginia Thorley Brisbane, 
QLD, Australia Karleen Gribble wrote:

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