Hi Mellanie,
Welcome to lactnet and good luck w/ your ibclc studies.
I'm sure you will get answers from lactnetters more experienced with
adoptive nursing, but here's my 2 cents: Each situation is different. Your
client who is successfully bf w/ the lactaid will make milk, though when
that will occur and in what quantities cannot be accurately predicted.
*Possibly* she will make more milk sooner w/ the galactagogues and/or extra
pumpings, but I would say this was by no means assured. It seems that
mothers who have had pregnancies and lactations prior to adopting do have an
advantage, but then again, this mother is already SUCCESSFULLY
BREASTFEEDING, so I would be inclined to just support that. Of course if the
mother has a strong goal of xxx milk production or of decreasing the
percentage of artificial milk taken by baby, then using galactagogues and/or
pumping might be the thing.
I think Darrilyn Starr has had some super-excellent posts on this very
subject, so I would be sure to check the archives for these posts. One thing
*I think* she said that really stuck with me was something like this "one
day mom will make all the milk the baby needs, if she breastfeeds long
enough." To me that meant even if a mother makes one ounce of milk in 24
hrs, at some point this will be what the baby/child needs (a 3yo?). I
thought that was a pretty profound statement and validates that bf is an
extended, not short-term, experience.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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