PTP:



Dear All,



I will be seeing a adoptive mom age 45 years in the next few days for induced lactation. The adopted baby is 7 months old. Now she wishes to lactate and dint know about any such possibility until a friend refered her to me. 



What are my options about getting the baby interested to breastfeed and also help mom lactate. I have thought about skin to skin and warm baths together. Would SNS be an option for a older child this age?



I will appreciate your inputs.



Thank You



Yasmin

MA, HDSE, LLLL, CLEC, IBCLC

Mumbai, India 

Sent on my BlackBerry® from Vodafone



-----Original Message-----

From:         Jessica Lang Kosa <[log in to unmask]>

Sender:       Lactation Information and Discussion <[log in to unmask]>

Date:         Tue, 31 Jul 2012 09:57:49 

To: <[log in to unmask]>

Reply-To:     Lactation Information and Discussion <[log in to unmask]>

Subject: Induced lactation - feeding during the first few days



PTP

I am working with a mother who is inducing lactation (Goldfarb protocol), and is expecting a baby through a gestational carrier.  She will be able to be with the baby probably within hours of birth.  The GC plans to express colostrum/milk for a few weeks after birth.  I am not sure what to advise the mother about feeding the baby during the first few days, when colostrum feedings are the normal food for the baby.  I lean towards encouraging her to give any colostrum provided by dropper or cup, and put the baby to the breast without a supplementer, on the theory that the colostrum plus the small volume of milk available from from her breast will be about right.  But I haven't found any published info on this - it seems that most info about induced lactation assumes that the baby is already >1 week old and needs larger volume feedings.  I also don't know how much colostrum the GC will be able/willing to express - other than watching for signs of hypoglycemia or dehydration, what should I tell the mom about needed volumes?

Does anyone have experience, resources, or thoughts to share?



Jessica Lang Kosa



PP IBCLC

Boston



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