The person who knows the most about what is in the medical literature about induced lactation is Karleen! All in all, though, there isn't a great deal in the medical literature that is all that helpful for individual moms trying to establish a breastfeeding relationship and milk supply for an adopted baby. Besides that, approaching it as a medical occurence, IMO, results in a lower success rate, overall. My goal, in breastfeeding my own adopted children, and with counseling others, is to see as many adopted babies as possible being nurtured at the breast, recieving some amount of breast milk, for as long as they want and need to keep nursing. Although it may seem that looking for scientific information would be the best course to take, IME, that approach tends to be more of a stumbling block than an advantage. The more medical approaches may result in a few mothers being able to claim larger milk supplies, but the overall percentage who succeed, according to the above definition, tends to be much lower. The medical approaches put the focus on milk. Those who concentrate on producing milk, rather than feeding and nurturing at the breast, are more likely to throw in the towel, when their milk supplies don't meet their expectations. Of those who do keep going, there is a large percentage who end up pumping and feeding with bottles. Besides the fact that the baby doesn't get any nurturing while his adoptive mother is pumping, very few moms will keep pumping for a very long time. I have known of a couple who lasted a year, but most only hang in there for a few months. I think it is important to ask which baby is getting the most benefits, one who gets lots of breast milk from a bottle for a matter of months, or one who enjoys a normal breastfeeding relationship and continues to get a significant amount of breastmilk for two years, or however long he feels the need? I sure see alot of evidence with my own kids, as to the answer to that, especially with my nearly 16 year old, with whom things have been challenging, to put it mildly! I'm not sure we would have made it without the rock solid bond that Thomas and I have as mother and son. Nearly everyone who has worked with him, and even many of the other kids he has gotten to know, who have been through similar problems, has commented on the bond we have. I am convinced that the fact that he was able to keep nursing, from the time I got him, at 15 days old, until he chose to pass "Mommy's nursies" on to his baby brother, Joseph, when he was four and half years old, was extremely beneficial. Had I focused too much on how much milk I was producing, rather than the nursing relationship, I am not so sure we would have made it beyond the first few months. That is not to discourage efforts to maximize milk production, just to keep it in perspective. Keeping the baby at the breast is actually the surest way to keep milk flowing too. Some ladies respond to medications and pumps, by producing milk, and some don't. Responses to a baby at the breast are alot more consistant. Anyway, I hope that this couple and their baby will be able to enjoy the multiple benefits of breastfeeding for an extended time! A good resource is www.fourfriends.com/abrw Aloha, Darillyn ""Wonderful couple planning to adopt an infant are looking for evidence-based guide to induced lactation. Does anyone have any resources to share? Thanks!"" *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html