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Subject:
From:
Becky Krumwiede <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 8 Jun 1996 00:04:35 EDT
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To Julie Horwitz:

There's an recent article that you might want to obtain.  If the LC working with
this mother is hospital-based it ought to be easy for her to request it.
(Thanks to Lisa Marasco for mentioning it on Lactnet a few months ago.)
"Induced Lactation:  A Study of 37 Non-puerperal Mothers," Kuria Nemba, _Journal
of Tropical Pediatrics_, August 1994, Vol. 40, pp. 240-242.  The protocols they
suggest seem very reasonable to me (Dr. Craig's induced lactation protocol with
all the estrogen patches makes me nervous, but that's me) and they report good
success.  I haven't had an adoptive mother since I read the article, so I have
no personal experience with the protocol yet.

Basically, the procotol consists of:
For mothers who had never lactated:  A single priming dose of IM Depoprovera,
then one week later either chlorpromazine 25 mg 4x/day and/or metoclopramide
(Reglan) 10 mg 4x/day until adequate lactation was established.
For mothers who had lactated previously:  Either chlorpromazine or
metaclopramide, same dosage, until adequate lactation was established.
For all mothers:  lots of infant suckling and support.

Becky Krumwiede, RN, IBCLC, Appleton, WI
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