Yes, this topic is coming up more frequently. There's a new book out
(no financial interest for me) that overviews many different approaches
to inducing lactation -- hormonal protocols, herbal regimens, and the
essential frequent breast stimulations and milk removals alone. It also
maintains a nice focus on the mother-baby relationship. It's so
wide-ranging that it might overwhelm a mother who has just received the
adopted baby with little notice -- would probably be more useful if the
mother is in the early stages of considering this. It does seem like a
useful resource for an LC, to provide a good understanding of varied
approaches, to help a mother sort through her options.
http://www.breastfeedingwithoutbirthing.com/
Margaret Wills, IBCLC, Maryland, USA
Date: Sun, 21 Jul 2013 14:08:11 +1000 From: vgthorley
<[log in to unmask]> Subject: Re: induced lactation & protocols &
stimulation I couldn't agree more with the comments from Jan Ridler and
Karleen Gribble and, earliere, Pam Morrison. Hormonal help and sudden
withdrawal can give a kickstart, but breast stimulation and expressing
(or a baby at breast) have been used effectively, too, and after milk
appears, no method works to maintain milk flow without ongoing, frequent
milk removal. Back in the 1970s, a Sydney professor developed a protocol
using high doses of oestrogen and progestogen, followed by withdrawal,
but as time went on some of us became concerned about the doses,
especially as women who were adopting babies tended to be older, and
potentially more at risk of deep vein thrombosis (DVT). Karleen adds the
point about long-haul flights overseas and DVT. For years, mothers and
their GPs would contact me asking for contact details for the particular
hormonal protocol - but it was hard to get across the need for frequent
enough expressing as some expected a magic pill that would do the work.
At least by talking to me first, they could decide whether they could
commit to the time involved. Even today, "frequent" means different
intervals to different people. The great thing today is that in Western
countries there is increasingly more support and acceptance of mothers
bringing in a milk supply for an adopted of foster baby, whatever
methods they use at the start. Support and frequent milk removal are of
course key, and lack of support - and consequent lack of confidence -
was a reason why many women have given up or struggled. A breastfeeding
culture (not their geographic location) makes a difference, and now
mothers can also go online to get the support of a micro culture of
others doing the same. I shall be going "no mail" later today and so any
replies need to be copied to me privately. Virginia Thorley Brisbane,
QLD, Australia Karleen Gribble wrote:
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