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Subject:
From:
Karleen Gribble <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 3 Dec 2003 21:29:37 +1100
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Hi Dru,
I'll have a go at answering your questions.
I don't know if donation to a milk bank has been done by a woman who has
induced lactation. Certainly however, women have informally donated milk to
other women who need it.

> First, if she is able to induce even a limited degree of lacatation she
does
> not wish to discard her milk and would prefer to donate it either to a
milk
> bank or possibly privately. Is this possible? If so, how does an
individual go
> about donating to a milk bank, especially if they have induced lactation?


No, this is not correct. Relactation/induced lactation are a normal backup
mechanisms for situations where a child cannot be breastfed by their mother.
As such, all that is required is a suckling baby (or mechanical or hand
breast expression). Nipple stimulation raises prolactin levels and prolactin
alone can cause development of the milk making structures within the breast.
Some women use hormonal treatments with oestrogen and progesterone but there
is no evidence that it is beneficial. There is a wide variation between
women in how much milk they make when relactating or inducing lactation,
partially a result of individual responsiveness but also due to the
frequency of suckling. The WHO has a great booklet on relactation online
http://www.who.int/child-adolescent-health/New_Publications/NUTRITION/Relact
ation_EN.html

> Second, it is my understanding that in order to induce lactation in the
> absence of pregnancy, estrogen and progesterone would need to be used to
mimic
> pregnancy and allow for sufficient glandular development prior to the
> initiation of pumping and galactogogues. Am I on the right track?

Karleen Gribble
Australia

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