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Wed, 1 Aug 2012 18:14:52 +1000
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Lactation Information and Discussion <[log in to unmask]>
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Karleen Gribble <[log in to unmask]>
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Lactation Information and Discussion <[log in to unmask]>
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Hi Yasmin,
Yes an SNS can work well, depends on the baby. At 7 mo there is a decent chance that the bub might come to the breast easily. Do you know how well the baby was cared for prior to adoption? 
I have an article that describes a variety of approaches with initiating breastfeeding with an older baby http://www.internationalbreastfeedingjournal.com/content/1/1/5
The Australian Breastfeeding Association also has a booklet that may assist http://www.mothersdirect.com.au/catalogue/booklets/relactation-and-adoptive-breastfeeding
Karleen Gribble
Australia

On 01/08/2012, at 1:14 AM, SUBSCRIBE LACTNET Effath Yasmin wrote:

> 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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