Hi Pat.  I have used this protocol for many years as a basis for assisting
adoptive mothers.  

I find there is not a one-size-fits-all protocol, due mainly to the
different scenarios we find here.  We have open and closed adoptions and
surrogacy situations.  Babies arrive with little warning (especially with
closed adoptions) so planning is difficult - some have arrived within days
of contacting me.  So one has to adapt along the way.    A longer
preparation time usually yields more milk, but some mothers have produced
abundant supplies with very little preparation and no pumping.  

They can all be "breastfeeding mothers" as all feedings take place at the
breast.  Of course, the milk they produce is a bonus as breastfeeding is
about so much more than nutrition.  

The Newman-Goldfarb Protocol does seem to give induced lactation a kick
start and many women do produce an ample milk supply.  The medications and
herbs do have an important role, but I think the time spent in preparing and
learning about breastfeeding is also essential.

 Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

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