It was great
to hear from our show's co-host, Hope, about her inspiring journey
to nursing her daughter by adoption. Hope originally learned
that breastfeeding in adoption was possible during her doula
training. Armed with the knowledge that breastfeeding would
be possible for her even though she
to conceive, Hope found resources on adoptive breastfeeding to be
pretty scarce at first. Fortunately, more information and
support continued to emerge. Here are some of the top
resources that Hope found:
The asklenore website* got her started with a
step-by-step approach for inducing lactation, called the
Newman-Goldfarb Protocol. The Newman-Goldfarb Protocol
primarily consists of pumping and the use of pharmaceutical
medications to induce lactation.
Several months later, Hope discovered additional options for
inducing lactation in the newly released book, Breastfeeding Without Birthing. Using some
ideas she read about, she choose to enhance the steps in the
Newman-Goldfarb protocol by adding some natural techniques, such as
herbs and acupuncture
Hope consulted with a local
International Board Certified Lactation Consultant (IBCLC) to help
guide and support her as she induced lactation, and then with
nursing once her baby arrived. To find an IBCLC in your area
who works with mothers through adoption or surrogacy, see
the Find a Lactation Consultant page on the
Breastfeeding Without Birthing website.
*Note: Updates to
increase the simplicity and safety of the Newman-Goldfarb protocol
were published in Breastfeeding Without Birthing. Details regarding
these updates can be found on the Breastfeeding Without Birthing blog.
Supplementation When Hope started the process of
inducing lactation, she was hoping to achieve a full milk supply.
But, like most mothers who induce lactation, she did produce
a significant amount of milk but not a full supply.
Knowing how much to supplement can
be tricky - not enough supplemental milk or formula means baby
won't have enough to eat, but too much supplemental milk or formula
can mean less breastfeeding. Looking back, Hope wonders if
she supplemented too much too early. Her pediatrician
recommended supplementing 3 ounces per feeding within her
daughter's first few days of life, but this recommendation was way
more milk/formula than a baby needs in total at that
At 3 days, normal intake during a feeding is 1 ounce.
At 1 week, normal intake during a feeding is 1.5
At 2 weeks, normal intake during a feeding is 2-2.5
At 1-6 months, normal intake during a feeding is 3-4
[Mohrbacher & Kendall-Tackett,
If a mother has induced lactation
with pumping before her baby arrives, she will have a pretty good
idea how much milk she is producing at a feeding, and can use the
difference between her milk production and the normal intake
numbers above as a starting point on how much to supplement.
About the Podcast
We are proud to present a series of podcasts for parents Breastfeeding Outside the Box, where we aim to support the nourishing and nurturing of babies in exceptional families - families who historically have not received the help and support they need and deserve. Our exceptional families include adoptive, intended, and foster families; gender and sexual minorities; families with special needs babies; parents who have had breast surgery; mothers with IGT or low milk production for other reasons; exclusively pumping mothers; and more.