Thank you, Rachel for a beautiful story!

Alla (busy with finishing my promo materials on adoptive breastfeeding 
for a huge adoption conference in NYC this month)
Alla Gordina, MD, IBCLC, FAAP

On 5/7/2013 1:10 PM, Rachel Myr wrote:
> Short case report, for the record.
> Mother took Dostinex (brand name for cabergoline, lactation suppressant
> drug) on day 3, and regretted having done so a short time later. Over the
> next few days she decided to try to breastfeed again anyway.  She carried
> baby in a sling to keep her close, used paced bottle feeding for the
> formula she had to give for 21 days, while hand expressing to maintain
> supply.  In the first week, production dwindled to almost nothing and
> stayed very low for the second week. After two weeks she noticed it was
> increasing again. We were unable to find any information that would allow
> me to advise her to wait for less than three weeks.
>
> Using the biological nurturing position, baby was invited back to breast
> when awake but not desperately hungry. Had to dribble a little formula on
> nipple to get baby focused, and then she attached herself and fed for about
> 20 minutes, falling asleep at the end. She woke up when lifted off by
> mother, and took the other breast without hesitation.
>
> This goes counter to a lot of the beliefs people working in maternity care
> here have: that if you interrupt breastfeeding for any more than a single
> feed, it is unrecoverable, and especially if baby is fed by bottle,
> to mention the two main ones. We all know the drive to breastfeed persists
> for a long time but it's not common knowledge. For me, it was the constant
> input here on Lactnet about adoptive breastfeeding, plus my limited
> experience with relactation, that gave me the confidence to support this
> particular mother through the process. It was not hard in this case. The
> baby didn't even seem surprised to be breastfeeding again. So, to all of
> you who have contributed to the gold mine that is our archives, thank you!
>
> I haven't gone into the background of how she ended up getting cabergoline
> - obviously there is a story there, but it's not for Lactnet :-)
> Rachel Myr
> Kristiansand, Norway
>
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