Hi Kristi,
I would suggest that the main issue here is getting teh baby well attached
and suckling at the breast.
Relactation and induced lactation are normal natural processes and women who
have not recently or ever been pregnant have been breastfeeding babies for
millennia! Mothers can make all the hormones they require....prolactin does
the job (and it is released in response to nipple stimulation). There are
various hormonal protocols to assist with relactation/induced lactation
however, there is not any evidence that they are helpful (they might be but
other factors are clearly more important) and in the situation you describe
they would be counter-productive since the oestrogen that is included will
suppress lactation while the mother is taking it.
I conducted a review of the literature on adoptive breastfeeding a few years
ago (published in Breastfeeding Review) and it appeared that the most
important factor involved in maximising milk production is frequent,
effective breastfeeding.
Most adoptive mothers will be able to produce enough milk for their baby
they just need to breastfeed for long enough!
Karleen Gribble
Australia


----- Original Message ----- 
From: "Kristi Tullis" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, July 01, 2007 2:06 PM
Subject: induced lactation


> Hi,
> My name is Kristi and I am a long time reader/lurker, but have never
> posted.  I am a RN in Special Care Nursery and Post Partum studying for my
> IBCLC.
>
> Yesterday I ran into an usual sitution and have a couple of questions.  I
> have a mom who is adopting an infant just born here.  She wants to induce
> lactation and was told to take Reglan and Fenugreek.  I have known the use
> of both of these to increase supply, but it seems like she would need more
> like a hormone to actually induce lacation.  What are your experiences.
As
> background she has not gotten pg due to PCOS and just started Metformin.
>
> SO we were trying to get baby to latch using SNS.  She has large breasts
and
> her nipples are almost flat.  I have reverted to a sheild, but I have a
hard
> time getting the sheild full of breast tissue even after pumping, teasing
> the nipple out etc.  The baby sort of latched but it was more on the
sheild
> and he was able to get ABM from the SNS and does not pull the nipple fully
> into the sheild.  I am sort of at a loss as to help her.  Mom does do a
> great job at not getting to frustrated because she knows she will not
beable
> to exclusively BF, she just wants it as a bonding opportunity.
>
> TIA for any suggestions.
> Kristi
>
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