Hi Kristi

This will not fully answer your question but I am studying to sit my LC exam (in 4 weeks - Eekk!!) and this is from one of the online exam preparation courses. 

It was in answer to a question about a woman adopting a three week old baby and she had never been pregnant before. You may find this reference helpful and also encouraging for the mum. This is one of those times where mind over matter will be a big part. Confidence on her part will be a determining factor. If she has been pregnant and breastfed (even for a short time) before she has a bigger advantage than the one in this exam prep question. 

Frequent, effective suckling, which removes milk as it is produced is all that is needed. Read the Nigerian study by Abejide, 1997. Galactagogues and prenatal hormones may also be helpful, particularly to induce a good supply before the baby is received by the adopting mother, but not necessary to stimulate a supply. 

You may find this helpful   http://www.who.int/child-adolescent-health/New_Publications/NUTRITION/WHO_CHS_CAH_98_14.pdf

You may like to post something to the list if you find out more. 

Best Wishes what an awesome experience to be involved with,
PS good luck with your LC exam!! are you sitting this year??
Del
*~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~*
Del Smith
Breastfeeding Counsellor
Southern Lakes Group WA http://www.starwon.com.au/~delma/index.htm
Australian Breastfeeding Association www.breastfeeding.asn.au


----- Original Message ----- 
From: "Kristi Tullis" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, July 01, 2007 12:06 PM
Subject: induced lactation


> Hi,
> My name is Kristi and I am a long time reader/lurker, but have never
> posted.  I am a RN in Special Care Nursery and Post Partum studying for my
> IBCLC.
> 
> Yesterday I ran into an usual sitution and have a couple of questions.  I
> have a mom who is adopting an infant just born here.  She wants to induce
> lactation and was told to take Reglan and Fenugreek.  I have known the use
> of both of these to increase supply, but it seems like she would need more
> like a hormone to actually induce lacation.  What are your experiences.  As
> background she has not gotten pg due to PCOS and just started Metformin.
> 
> SO we were trying to get baby to latch using SNS.  She has large breasts and
> her nipples are almost flat.  I have reverted to a sheild, but I have a hard
> time getting the sheild full of breast tissue even after pumping, teasing
> the nipple out etc.  The baby sort of latched but it was more on the sheild
> and he was able to get ABM from the SNS and does not pull the nipple fully
> into the sheild.  I am sort of at a loss as to help her.  Mom does do a
> great job at not getting to frustrated because she knows she will not beable
> to exclusively BF, she just wants it as a bonding opportunity.
> 
> TIA for any suggestions.
> Kristi
> 
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