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Subject:
From:
Darillyn Starr <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 26 Oct 2003 07:01:52 -0700
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Writing my previous post has prompted me to ask about this subject, again,
and see if anyone on the list might have any thoughts or experiences on it.
I got a depo provera injection, when my last child was about 8 or 9 months
old.  I did this in an attempt to control my severe PMS.  I had researched
and felt like it would have little or no effect on my milk supply.  Some
information said that it may even increase milk production, although I did
not expect to be fortunate enough to be one for whom it did.

However, it made a very big difference in my milk production.  Joanna, who
had been nursing with the Lact-Aid, moved the tube from my breast one day,
before latching on, and didn't use it again.  I'd had a terrible time
producing much milk for her, prior to that, and was surprized to find that,
nursing without the Lact-Aid, she was swallowing regularly.  We went along
fine until I got a period, six months after the depo injection.  I was
afraid of feeling rotten for three weeks, like I had after the first
injection, and put off deciding whether to get a second one.  I thought it
might mean a reduction in milk production, if it wore off, but didn't think
if would be dramatic.  As soon as I got a period, my milk production
plummeted to almost nothing, and Joanna started losing interest in nursing.
She continued to nurse a little bit for a few more months, but weaned
completely at 20 months, which seemed pretty early to me.

So, my question is, would depo provera be of benefit to other adoptive moms?
  The only other evidence I know of is the study from Papua, New Guinea, of
adoptive moms, where those who had never been pregnant were given depo,
along with metoclopramide.  Unfortunately, that study is pretty brief.  I
haven't suggested that any other adoptive moms try it.  Since one is stuck
with the effects of it for months, it wouldn't be wise to suggest it with as
little evidence as I have now.  However, I think it might possibly be very
helpful, at least for some moms.  One advantage of depo over the practice of
taking BCPs and domperidone is that, where the BCP routine must be done for
months before there is a baby nursing, to offer an advantage over other
methods, the depo could be administered whenever a baby arrived.  Predicting
when placement will take place is very difficult, and there are many, many
cases where someone who is waiting for a specific situation doesn't end up
with the baby.  It can be a very stressful situation for a woman who have
gone all out to produce milk in advance an then has a situation fall
through, or just goes month after month with no word about a baby.

Anyone have any experiences or thoughts to offer?

Thanks!
Darillyn

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