Wendy,
I just finished reading an article (J of Trop Ped 8/94) on the induction of
milk in non-puerperal women in Papua New Guinea.  A very high success rate
(89% for those finishing the program) was obtained using a simple protocol of
either cholorpromazine 25mg, 4X a day or metaclopramide 10 mg, 4X a day,
until adequate lactation reestablished. (mothers who never lactated were
first "primed" with single dose of intramuscular medroxyprogesterone
[depoprovera!] 100mg given 1 week prior to second step) These mothers put
baby to breast, but you can also augment with pumping.  Adequate lactation
achieved between 5 and 10 days!

This is a *very* controversial topic, and I have not seen these results
duplicated in the U.S.  I know that Dr. Randall Craig has also developed a
similar protocol, but uses the metoclopramide for much longer periods with
many moms than in this study..  I do wonder why the difference in protocol
and results: is it because the study women were from a breasfeeding culture
and may have a better attitude and put baby to breast more frequently? Would
love to know!

-Lisa Marasco, LLLL, IBCLC
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