LDS Adoption Blog

01/10/07

Breastfeeding an adopted baby, part 3

Posted by : Tana W. in LDS Adoption Blog at 07:21 pm , 441 words, 195 views  
Categories: Infant, Adoptive Breastfeeding
I can’t begin to present all of the available information and resources on adoptive breastfeeding here, but in a nutshell, adoptive moms have four major areas to investigate and consider as they decide whether to breastfeed:

1. Herbal and pharmacological options: Domperidone is no longer available to Americans, but some women have success with the drug Reglan. Some mothers also use the herbs fenugreek and blessed thistle. (See comments below for further info.)

2. Pumping: Especially if you aren’t using an herbal or medical approach to increasing your milk supply, pumping is crucial. You can rent a hospital grade pump for around $35 a month, and take it from someone who’s had to do a lot of pumping – they’re worth every penny. Cheaper pumps you can purchase just won’t do the trick. They’re OK for a mom who already has an established milk supply, but you need the most effective equipment possible if you want to bring in your milk, especially if you’ve never lactated before. You can contact your pediatrician’s lactation consultant to rent a good pump, and most medical supply store carry them as well.

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3. Feeding Aids: It’s a good idea to accept that you will have to use a supplemental nurser of some sort for the duration of your nursing experience. You may be pleasantly surprised and be able to get away without one once you get things going, but in the beginning, it’s essential. See the links below for information on how to order.

4. Support: It’s crucial that you align yourself with other like-minded individuals, especially if you want to nurse an older baby or toddler. Whether it’s an online discussion board or a real life support group or just an encouraging friend, you’ll need others to cheer you on and celebrate with you when others in your life try to talk you out of it (and they will!) or tell you it’s “weird.”

If you’d like to know more, please visit any of the following helpful links. I’m also happy to answer any questions you may have, so feel free to leave a comment! :)

General information:

Dr. Jack Newman's website, complete with adoptive breastfeeding protocol
Adoptive Breastfeeding Resources Website (ABRW)
La Leche League adoptive breastfeeding information

Adoptive breastfeeding journals:

Shannon's adoptive breastfeeding journal
Kay's adoptive breastfeeding journal

Books:

Breastfeeding the Adopted Baby, Revised Edition, by Debra Stewart Peterson.
The Nursing Mother’s Companion, by Kathleen Huggins

Discussion groups:

Adoptive Breastfeeding Mothers
Dr. Jack Newman's website
Adoptive Breastfeeding
Breastfeeding the Adopted Child

Supplies (supplemental nursers):

Medela Supplemental Nursing System (scroll down)
Lact-Aid supplemental nurser

Comments, Pingbacks:

Comment from: Holly [Member] Email · http://africa-adoption.adoptionblogs.com
Great, Tana - good job! I also have breastfed adopted babies. My only caveat is that with Reglan, you should not use it if you've had a history of depression. Oh, and you can still order the Dom. ;) The Lact-Aid is my favorite. I have a new kit in my closet, ready to go to Africa with me.
PermalinkPermalink 01/10/07 @ 20:15
Comment from: Tana W. [Member] Email · http://lds.adoptionblogs.com
Good for you, Holly! I can't wait to do it again. :o)

I linked to some info about Reglan, but here's a more complete list of reason why it shouldn't be taken:

Have epilepsy or are on anti-seizure medications
Have a history of mental depression or are on antidepressant drugs
Have a tumor called a Pheochromocytoma or uncontrolled high blood pressure
Have intestinal bleeding or obstruction
Have a known allergy or prior reaction to Reglan®(Metoclopramide)

And here's a link to the FDA warning about Domperidone:

http://www.fda.gov/bbs/topics/ANSWERS/2004/ANS01292.html

You're correct that individuals in the US can still order Domperidone, but they must use pharmacies in Mexico, Canada, and a few other countries. (I saw it for sale in pharmacies in China!) Sorry for the confusion. :o)

I definitely advocate letting your physician know you want to use Domperidone, and technically, you must have a prescription anyway. I was really lucky to have a great OBGYN who was very interested in my success and did everything he could to help me.
PermalinkPermalink 01/10/07 @ 20:38
Comment from: Wendy B. [Member] Email · http://haiti.adoptionblogs.com
That is awesome Tana. I did not know that about you. I wanted to breastfeed Ryland, but by the time he actually vame home, I lost my nerve. Then I tried a little with Claire and it was a failure. I gave up immediately. I wish I had had a support system to help me succeed with her. I think it is a wonderful blessing for those that can do it.

Great info!
PermalinkPermalink 01/11/07 @ 16:21
Comment from: afrindiemum [Member] Email
i also breastfed my daughter - i did use domperidone. it is available in the u.s. through compounding pharmacies (www.asklenore.com has info on how to obtain it with a prescription). it's much safer than reglan - which can cause side effects that could potentially mirror insanity.
PermalinkPermalink 01/16/07 @ 12:08
Comment from: afrindiemum [Member] Email
and i should also say - i'm not a medical professional. so don't just take my word for it :)
PermalinkPermalink 01/16/07 @ 14:31
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