Hi Betsy,
High oestrogen rather than low oestrogen is an issue in relactation/induced 
lactation so the concern with regards oestrogen would be whether she is on 
HRT...if she is, that will likely have a deliterious impact on milk 
production. I would not expect that prolactin levels would be affected by 
her being post-menopausal. Maximising breast stimulation (raising prolactin) 
and milk removal will maximise milk production. Grandmothers relactating is 
not unusual in many developed country contexts, the significance of being 
post-menopausal is not really known.
I think we look for barriers to relactation because we don't have confidence 
in it. Interestingly, when I was talking with some aid workers from Pakistan 
recently about how relactation is perceived in the west they were 
incredulous. "But they have enough food" was the comment from one (and the 
intent behind, why would women have trouble with relactation if they were 
well nouished?).
Karleen Gribble
Australia



----- Original Message ----- 
From: "Betsy Ayers" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, July 10, 2008 7:40 AM
Subject: adoptive nursing during menopause


I have searched in archives and could find little.

57 year old mom, no menstral period x 1 year.  Has 1 day old from surrogate
pregnancy.  Surrogate is pumping for 3 days for baby to have colostrum.

Mom is latching baby with feeding cues and is producing clear fluid from
breasts.

I know there is anecdotal info re grammas nursing into 70's and 80's.

Am I right in thinking that estrogen and prolactin are declining in 
menopause so
milk supply is  an issue for this mom?  She is considering milk bank supply 
and
using SNS at breast.

Here is one study I found re to attempting to stimulate prolactin.
http://grande.nal.usda.gov/ibids/index.php?
mode2=detail&origin=ibids_references&therow=69289

Anyone else have experience with this type of nursing situation.

thanks
Betsy Ayers RN,BSN,IBCLC

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