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Subject:
From:
Ola Beaman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 3 Apr 2003 23:12:43 -0500
Content-Type:
text/plain
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My name is Ola Beaman, I am a nursing student at the University of North
Dakota currently finishing my junior year.  The question that I wish to
pose to this listserv is in regards to induced lactation for the adopted
child.  There is very little published research literature on this subject
and your clinical expertise would be greatly appreciated.  Cheales-
Siebenaler states that many mothers report having had successful
breastfeeding experiences despite their only being able to produce limited
quantities of milk (1999, pg. 41) and that success is "more related to the
mother's feelings about her breastfeeding experience than to the quantity
of milk produced or how long she breastfeeds (1999, pp. 42-43)."  Lawrence
offers, "when a mother chooses to nurse her adopted infant, the goal is
usually to achieve a mother-infant relationship that may have the benefit
of some nutrition (1999, pg. 635)."  I understand that the induction of
lactation is brought about in a variety of ways, including nipple
stimulation, pump suction, and galactogogues, most notably metoclopramide,
domperidone, sulpiride, chlorpromazine, HGH, TRH, oxytocin [nasal spray],
and the herb fenugreek (Gabay, 2002).  The degree to which each of these
methods works appears limited and highly variable from case to case.
My questions to this listserv are how often you have encountered/encounter
adoptive mothers wishing to breastfeed, what their motives tend to be, what
course of action is typically taken to assist these mothers, and to what
degree success is achieved.  Any knowledge or thoughts that could be
extended to me would be greatly appreciated.
Thank You,
Ola Beaman

References:
Cheales-Siebenaler, N.J. (1999).  Induced lactation in an adoptive mother.
     Journal of Human Lactation, 15(1), 41-43.
Gabay, M.P. (2002).  Galactogogues: Medications that induce lactation.
     Journal of Human Lactation, 18(3), 274-279.
Lawrence, R.A. (1999).  Breastfeeding: A guide for the medical profession
     (5th ed.).  St. Louis: Mosby.

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