Darrilyn

Sorry, I don't have the address you want :(  But I just wanted to say that 
with the adoptive moms I've worked with (who were able to plan well ahead 
of their babies' births) and with the re-lactating moms (one who had 
suspended breastfeeding for 3 months, another for 6 months and neither baby 
was ever persuaded to breastfeed direct again, so each received expressed 
breastmilk) great results were achieved with hand expression until a 
reasonable quantity of breastmilk was being produced - with or without a 
galactogogue - consistently sulpiride in the cases I worked with and very 
effective.  I would suggest that the mother use gentle hand massage of the 
whole breast (little finger-tip circles, working from the outside of the 
breast in towards the areola) followed by gentle manual expression, 
starting perhaps 3 - 4 times in 24 hours.  Drops of milk were always 
produced within 3 - 4 days.  I then suggested expressing more often (short 
massage/expressing sessions, say 5 minutes maximum, 7 - 8 times in 24 
hours) and then increasing the time of each session, to express until each 
breast was thoroughly drained.  Milk production would increase so that 
several teaspoonfuls were produced each day, then at each session.  At this 
point - once milk production was becoming much more plentiful - I'd suggest 
changing to a pump.  I don't know if this has been researched, but it seems 
logical that the skin-on-skin effect of manual massage and expression might 
be more likely to stimulate prolactin and oxytocin release than a plastic 
pump.  In addition, when the quantity of breastmilk is very tiny, the 
mother can harvest those precious drops and freeze them in anticipation of 
her adopted baby's arrival, rather than "losing" them on the inside of the 
flange.

Pamela Morrison IBCLC
Rustington, UK


>Hey, could someone give me a contact address for the new Playtex pump?  I 
>am wondering if they would want to try to evaluate it for use with induced 
>lactation.  Some adoptive moms do great with a standard pump and 
>domperidone, but others get very little response to anything but a baby at 
>the breast.  I am always hoping that some of these new ideas will offer 
>help in this area.  I thought the Whittlestone would be a great idea but 
>it lacks the suction to do the job.  I keep hoping someone will come up 
>with something that does a better job of stimulating the breast, maybe 
>even without the need for domperidone.
>
>Aloha,
>Darillyn

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