Hi Darillyn,
The paper that you refer to is by Nemba? is that correct? I spoke to him
fairly recently about his paper (a nice guy, working in WAust now) That
particular drug protocol was used (and perhaps still is) extensively in PNG.
It is published in Paediatrics for Doctors in Papua New Guinea. My
daughter's paediatrician who worked in PNG for a number of years used it.
However, drugs are just a part of the story. Women were also told that they
would be successful in making milk (building confidence was explicitly
stated as being a part of the protocol), they were given traditional
galactagogues (milk to drink) to also build confidence, they were
hospitalised so that breastfeeding was all they concentrated on. They were
also within a breastfeeding culture and knew about breastfeeding and
practiced frequent suckling. I think that the other factors associated with
the success of milk production in relactation/induced lactation in PNG (ie
factors apart from drug use) should not be overlooked. Just how much of a
role the drugs play??? I just don't know. I considered using the PNG
protocol myself but decided not to in the end (and I did fine without it). I
guess my point is that lots and lots of women have used this protocol.
Karleen Gribble
Australia

> 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.

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