I tried Reglan with a couple of my adopted kids, and had too much trouble 
with depression to stay on it.  I felt like it helped some with milk supply, 
but definitely not enough to merit dealing with the increase in depression.  
For quite a few years, I would run into adoptive moms who had used it but 
almost no one felt they could deal with the depression and/or anxiety it 
caused them.  A few of those had very serious problems that took months to 
get over, after they stopped taking it.  I don't recommend it to anyone.

What I would do, for the prospective adoptive mom, is make sure she knows 
that she can get a Lact-Aid and just start nursing the baby with it, whether 
she has any milk to start with, or not, and then tell her what the options 
are for trying to start milk production in advance.  If I was going to be 
adopting another baby, given what is available at this point in time, I 
would probably go ahead and start taking domperidone and pumping a couple 
times a day, fairly soon, and then play it by ear, as far as increasing the 
pumping and such.  It is always good to consider the fact that many planned 
adoptive placements do not end up going through.  That is one reason that I 
think the all out efforts, like the Newman protocol, are best considered for 
surrogacy situations, where the placement of a baby is much more certain.  
The adoptive mom who has been pumping a few ounces a day and freezing it can 
still offer her baby a significant amount of breast milk from the start, 
while maintaining a situation where it is easier to stop pumping, if she 
ends up with no baby and feels the need to avoid the subject for a while.

Of course, another option is pumping alone, although it is important to know 
that moms who pump in advance, without taking domperidone, might not see 
much milk until after they are able to replace the pump with a baby at the 
breast.  Some moms have given up before they even had a chance to nurse a 
baby because they thought that what they got from a pump was an indication 
of what they would produce for a baby at the breast.  There have been moms 
who have pumped for weeks without seeing any more than droplets, but have 
been producing ounces quite soon after they started spending a great deal of 
time suckling a baby with a supplementer.

I wish the prospective mom the best!  Breastfeeding my adopted kids has been 
the most wonderful thing I have ever done!

Darillyn

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