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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