Help needed please.

I will be meeting with a mother who wishes to relactate for her child (about 
18 months old).  She stopped breastfeeding as she was pregnant (due to 
family pressure).  I don't know how long ago the last breastfeed was.

I will see what I find during the consult.   In the meanwhile I have been 
doing some thinking about the possibility of using galatogogues in 
pregnancy.

Domperidone is Pregnancy risk category C (Medication and Mothers' Milk - 
Hale 2010).  Metoclopramide is Pregnancy risk category B, but it should not 
be expected to work as a galatogogue when prolactin levels are high (as in 
pregnancy).

I suppose a lot will depend on how willing the toddler is to breastfeed - 
maybe an SNS?  What are her chances of inducing lactation while pregnant?

Many thanks

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask]

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