Hi Cathleen,

When is her baby due? Does she live in the states? I go by Dr. Newman's
protocol:  https://ibconline.ca/induction/ for inducing lactation. His plan
requires 4-6 months (ideally 6), but any amount of time is helpful! He
recommends Microgestin, which is estrogen/progesterone in lower doses than
standard BCP. He also recommends Domperidone, which is illegal to prescribe
in the states, so I just substitute herbals while teaching.

Hope this helps!

Sarah Peck
RN, CLE
Boston, MA

On Thu, Feb 7, 2019 at 1:49 PM Cathleen Redus <
[log in to unmask]> wrote:

> PTP working with an intended mother who will have a baby in May via
> surrogate.  She has hx of being able to make some milk after the loss of
> her twins.. Her preferred method is to take BCPills (which she has been on
> already) and has started goats rue. Then will begin pumping end of March...
> her question is regards to taking the BCPills.  Does she take them like
> normal with sugars and all? And when she stops does she stop and the end of
> a cycle or suddenly in the middle of taking BCPills before the sugar pills?
> My initial thought would be to finish off a month and then just start
> pumping but I wanted to confirm this and get your thoughts.  Also she is
> currently take an estrogen/progesterone BCP, does that matter? Should it be
> progesterone only? She’s a bit hesitant to change what she’s already been
> taking. TIA!!
>
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