Darrilyn
Sorry, I don't have the address you want :( But I just wanted to say that
with the adoptive moms I've worked with (who were able to plan well ahead
of their babies' births) and with the re-lactating moms (one who had
suspended breastfeeding for 3 months, another for 6 months and neither baby
was ever persuaded to breastfeed direct again, so each received expressed
breastmilk) great results were achieved with hand expression until a
reasonable quantity of breastmilk was being produced - with or without a
galactogogue - consistently sulpiride in the cases I worked with and very
effective. I would suggest that the mother use gentle hand massage of the
whole breast (little finger-tip circles, working from the outside of the
breast in towards the areola) followed by gentle manual expression,
starting perhaps 3 - 4 times in 24 hours. Drops of milk were always
produced within 3 - 4 days. I then suggested expressing more often (short
massage/expressing sessions, say 5 minutes maximum, 7 - 8 times in 24
hours) and then increasing the time of each session, to express until each
breast was thoroughly drained. Milk production would increase so that
several teaspoonfuls were produced each day, then at each session. At this
point - once milk production was becoming much more plentiful - I'd suggest
changing to a pump. I don't know if this has been researched, but it seems
logical that the skin-on-skin effect of manual massage and expression might
be more likely to stimulate prolactin and oxytocin release than a plastic
pump. In addition, when the quantity of breastmilk is very tiny, the
mother can harvest those precious drops and freeze them in anticipation of
her adopted baby's arrival, rather than "losing" them on the inside of the
flange.
Pamela Morrison IBCLC
Rustington, UK
>Hey, could someone give me a contact address for the new Playtex pump? I
>am wondering if they would want to try to evaluate it for use with induced
>lactation. Some adoptive moms do great with a standard pump and
>domperidone, but others get very little response to anything but a baby at
>the breast. I am always hoping that some of these new ideas will offer
>help in this area. I thought the Whittlestone would be a great idea but
>it lacks the suction to do the job. I keep hoping someone will come up
>with something that does a better job of stimulating the breast, maybe
>even without the need for domperidone.
>
>Aloha,
>Darillyn
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