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
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