Breast feed adopted baby

Breastfeeding An Adopted Baby - La Leche League International

Breastfeeding an Adopted Baby

It is possible to establish milk production for an adopted baby, even if you have never been pregnant or given birth. The amount of milk you may produce depends on many factors.

Most mothers are able to produce at least a little milk. You might be able to induce lactation (start to produce milk), and then build up your milk supply by putting your baby to your breast often and/ or expressing.

Some adoptive and non-gestational mothers stimulate milk production by using a breast pump every 2-3 hours, before the baby comes. It can take anything from a few days to a few weeks to start to produce drops of milk. The more stimulation your breasts get the more milk you will produce. If you produce any milk before your baby comes you can store it to use later.

Even if your baby does not breastfeed, you can still hold him for all his feedings (and lots of holding in between!) and foster the same kind of attachment that nurturing through breastfeeding brings.

Many mothers find they can produce enough milk to be able to give up formula supplements totally. While there is no guarantee that you will be able to meet all of your baby’s needs, you can maximise the amount of human milk your baby has. Any amount of breastmilk is beneficial Even if you haven’t managed to cut out supplements totally by the time your baby is over six months old, solid foods can gradually start to replace any formula supplements.

Many adoptive and other non-gestational mothers use the Newman-Goldfarb protocol to stimulate their milk supply. You can read more here.

Using a nursing supplementer

If your baby needs a supplement of expressed milk or formula you might want to consider using a nursing supplementer. Doing this can give your baby that extra milk while they are nursing.
Supplementers can help parents have an at-breast or at-chest relationship with their baby whether or not they are able to produce milk.
You might find this post on supplementers useful.

The image at the top of this post shows a mother encouraging her adopted baby to latch on by holding her familiar bottle next to her breast. The baby went on to breastfeed successfully.

Skin-to-skin

Skin-to-skin contact is beneficial for babies and parents; it simply means holding your naked baby on your bare chest. You can drape a blanket over you both for warmth. Within minutes, you will see the benefits of skin-to-skin as you and your baby relax. Your baby’s body temperature, breathing, and heart rate will stabilise. Babies often latch on and nurse more efficiently during and after skin-to-skin contact.

It is a lovely way to nurture your baby even if you are not nursing.

Milk sharing

La Leche League fully supports the use of human milk for babies; we cannot facilitate or set up milk sharing networks, though your local LLL Leader can help you with contact information for non-profit human milk banks, other regulated collection centres, and formal/medically supervised or informal milk sharing networks. ³

Human milk banks provide pasteurised, screened donor milk. There are documented benefits and risks to informal milk sharing. Human Milk for Human Babies (HM4HB) is an “informed milk sharing network”, and is an international organisation that many parents use to source human milk.

Support

LLLI groups are a great place to find support, whatever your circumstances. If you plan to adopt or have a baby born by surrogacy, you can attend LLL meetings before your baby arrives just like other expectant mothers and parents.

Once you have your baby you will find a warm welcome in your group, and help and information you may need to help you meet your breastfeeding goals.

LLL meetings are held in a wide range of venues – La Leche League is not affiliated to, and does not endorse or support, any business, organisation or religion whose premises we use.

Resources

Breastfeeding Without Giving Birth
Full Drip-Drop Feeding Article
Full Milk Donation and Sharing Article
LLL Great Britain Article: Relactation & Induced Lactation
LLL France Article: Allaiter un Bebe Adopte

Published January 2018

Breastfeeding Your Adopted Baby | Breastfeeding USA

Yes, you can breastfeed a baby to whom you did not give birth. In fact, breastfeeding an adopted baby is recommended by the American Academy of Pediatrics. It is even possible to breastfeed if you have never been pregnant or have reached menopause. Breastfeeding an adopted baby is different than breastfeeding a baby after being pregnant, but it can be achieved through the process of induced lactation.

There are several different methods used to induce lactation when you have not been pregnant. It may also be possible to breastfeed your adopted baby with no preparation at all. However, if you have advance notice that you will have a new baby joining your family, you may wish to explore methods that stimulate milk production before baby arrives. The same methods can be used by traditional adoptive mothers, mothers whose babies were born to surrogates, and even the female partners of birth mothers.

Before learning about the process involved in breastfeeding an adopted baby, consider why you want to do it in the first place. Breastfeeding an adopted baby takes a lot of time and effort, but can be very rewarding. If your wish is to produce enough milk to exclusively breastfeed your infant, then you may need to adjust your expectations. Establishing a milk supply takes time and you may need to provide supplemental milk for an extended period of time. Adoptive mothers can make enough milk for their babies. For some mothers it may be in early infancy, and for others it can be after their babies are well on solids, or even after one year. Providing all of the milk your baby needs may not happen right away, but eventually you can expect to get there. While providing mother’s milk may be the primary goal for many women in this situation, the qualities of the milk itself are not the only reasons to breastfeed an adopted baby.

How much milk a mother can produce through induced lactation varies from woman to woman and even baby to baby. There is no way to know ahead of time how much milk you will be able to provide for your baby, especially when you first begin expressing milk. It is important to keep in mind that even small amounts of your milk, tailor-made for your baby, will be of benefit. Try to keep your focus on the breastfeeding relationship and not just the milk.

The physical connection of breastfeeding benefits both mother and child. ALL adoptions involve a loss for the child. Even a newborn infant who is placed right into the loving arms of his adoptive parents is being separated from the only mother he knows:

Adoption universally involves loss. Babies recognize their mothers at birth and at delivery healthy babies placed on the abdomen of their mother will crawl up onto her chest and, locating the nipple via its familiar smell, will attach to her breast and suckle. Newborn infants desire to remain with their mother and if removed from skin-to-skin contact with her will give a specific "separation distress cry/call" as an appeal for reunion. Maternal separation is stressful for infants, and all adopted children have experienced the loss of their birth mother (Gribble, 2006).

Breastfeeding places you and your baby in skin-to-skin contact, which is important both to your baby’s development and the attachments between you and your baby. Some of the benefits of skin-to-skin contact for your baby are better organization of reflexes, stable temperature, and regulated heart rate. Some of the benefits for you include increased milk production, easier breastfeeding, and better oxytocin release (Moore, Anderson & Bergman 2009).

Research has shown breastfeeding to have positive psychological effects for mothers as well. One study compared mothers’ moods when they alternately breastfed and bottle-fed mother’s milk to their babies. The researchers found a correlation between breastfeeding and a positive mood immediately after breastfeeding, but the same effect was not apparent for bottle-feeding. The researchers suggested that the higher levels of the hormone oxytocin released by breastfeeding may have contributed to the positive mood (Mezzacappa and Katkin 2002). Bonding is a crucial aspect of adoption, and the hormones released during breastfeeding can facilitate that process.

Inducing lactation before your baby arrives

When studying the various methods for inducing lactation, keep in mind that it is equally important to learn as much as you can about how the body is stimulated to make milk by the removal of milk from the breasts. Knowing the natural process of lactation can help you as you work to increase your milk production.

To prepare you can stimulate your breasts by hand or by pump for several weeks or months before your baby arrives. Hand expression requires no equipment and can be used to stimulate milk production.

If you use a breast pump it is recommended that you use the highest quality pump available to you when inducing lactation. The first choice would be a rental-grade pump, which you can find in your local area by contacting your birthing facility and asking what rental pumps are available near you and where. These pumps are often available for rent through hospitals, medical supply stores, WIC, private-practice lactation consultants, online vendors, and even some popular baby stores.

Whether you are using a pump, hand expression, or both, this method is most effective when done as many times a day as a baby would be breastfeeding, at least eight to ten times a day. Combining hand expression and breast massage with pumping has been shown to increase milk production more quickly (Morton, Hall & Wong, 2009). Many women begin to notice breast changes in the first 6 weeks of expression. Mothers may notice breasts that feel larger and firmer, breast tenderness, protruding nipples, and drops of milk.

Another strategy, which can be used in combination with others, requires you to take hormones and/or galactagogues daily to prepare your body for lactation (West, Marasco, 2009). A galactagogue is an herb or prescription medication that increases milk production, likely by increasing prolactin (the “milk making” hormone) levels in the blood. One method is called the Goldfarb-Newman Protocol. It involves first taking birth control pills to simulate pregnancy hormone changes and then both expressing and taking medication that increases hormonal levels. Herbal remedies such as fenugreek are available over the counter. You should discuss prescription medications and over the counter galactagogues with your health care provider. Variations in treatment may be appropriate according to the needs of an individual woman.

If you choose to use herbal or prescription galactagogues or hormones to facilitate lactation, it is important that you work with your health care provider. All of these substances have potential side effects and may be contraindicated for persons with certain medical conditions. Your health care provider can help you weigh any risks and benefits and decide what will work best in your situation. If you have questions about the safety of medications and herbs while breastfeeding or inducing lactation, contact the InfantRisk Center. The InfantRisk Center is dedicated to providing up-to-date, evidence-based information on the use of medications during pregnancy and breastfeeding.

Inducing lactation after your baby arrives

If you do not prepare before your baby arrives, you can still begin breastfeeding and expressing milk right away. You can also discuss the use of a galactagogue with your health care provider.

Some moms use an at-breast supplementer so that their babies can receive supplemental milk through a small tube at the breast. There are two main brands available: the Lact-Aid Nursing Trainer and the Medela Supplemental Nursing System (SNS). Both products work by allowing your baby to get supplemental milk while breastfeeding, but there are some differences in how they work. The SNS allows milk to flow by gravity, and comes with a variety of sizes of tubing for faster and slower flow. The Lact-Aid does not allow milk to flow unless baby is sucking. It is worthwhile to do some research on the pros and cons of these products before investing in one.

A supplementer has dual benefits: the baby gets nourishment, while the mother's breasts get the stimulation needed to begin producing milk. In fact, some mothers do not use a bottle at all. They find that, if they can get the baby to the breast frequently using an at-breast supplementer and encourage comfort nursing between supplements, they do not need to spend time expressing milk between feedings. Don’t worry about offering your baby a breast with no milk. Keep in mind that babies enjoy comfort suckling and are often offered pacifiers. There is no milk in them, either!

Bringing your baby to the breast

You may be surprised to learn that you can breastfeed a baby or toddler of any age. When thinking about how to get your baby to take the breast and learn to breastfeed, you need to consider the age and experience of your baby.

If your baby is being carried by a surrogate or in an open adoption where adoptive parents have been matched with the birth mother before birth, you may be able to be at the delivery of your baby and put your baby to the breast immediately. Babies are hardwired to breastfeed at birth. If you are able to put your baby to the breast right away then the procedures you will follow will be the same as if you had given birth to your baby, like those described in Baby-Led Latch: How to awaken your baby's breastfeeding instincts.

Even if baby has only had bottles, he may still instinctively root, search for, and take the breast when placed skin-to-skin on his mother’s bare chest. If your baby has a strong preference for bottles, it is still possible to teach him to breastfeed.

When you are working to teach your baby to take your breast, it is important to be patient and relax. The older your baby is, the more time it may take for him to be comfortable being skin-to-skin with you. A child who has experienced neglect or abuse will need time building trust and attachment before he will be ready to breastfeed (Gribble, 2006). There are many ways to get to know your baby and become comfortable being in the close physical contact required of breastfeeding:

Spending lots of time lying down with your baby skin-to-skin
Taking baths together
Frequently carrying or wearing your baby during the day
Sleeping near your baby
Holding your baby while bottle feeding
Sitting baby on your lap while giving solid foods

Maximizing milk production

Perhaps you have been preparing and inducing lactation for several months, or maybe you started when you met your baby. Either way, the key to establishing breastfeeding with your baby is time together. Research shows that adoptive mothers in developing countries are more successful at producing more milk than mothers in the West. These mothers in may have higher milk production due to cultural differences that are conducive to breastfeeding such as frequent breastfeeding and remaining in close physical contact with their babies. Their cultures may be more supportive of breastfeeding as well. Emulating the mothering styles of women in developing countries, and creating a support network for breastfeeding may help to maximize your milk production (Gribble, 2004).

The more your breasts are stimulated, and the more milk you remove, the more milk your body will produce. Be patient; the first milk you may notice will be a few drops, and the increase is very gradual. Nursing as much as possible is the best way to increase production and decrease the need for supplements.

If at all possible, feed only at the breast using an at-breast supplementer.
Offer both breasts twice at every feeding, and use breast compressions to maximize the amount of milk removed.
Encourage comfort nursing between feedings. Offering the breast without supplemental milk flowing provides more stimulation to your breasts and keeps the baby interested and comfortable with nursing at a breast with less milk flow.
If baby is unable or unwilling to nurse without the supplementer, consider expressing milk between feedings.

As you are able to produce more milk, you can decrease the amount of supplemental milk your child is receiving. Counting wet diapers and watching baby’s weight-gain will reassure you that your baby is getting enough. One technique for decreasing supplements that can work well is to start by eliminating supplements in the morning, when milk flow is usually highest. Try not supplementing after the first morning feeding. Each time your baby finishes nursing on one side, offer the other side. Keep offering the other breast until baby seems satisfied or falls asleep. Gradually delay the first supplement later and later. When your baby begins to eat solid foods, let the solids begin to replace supplemental milk, not time at the breast.

Finally, make sure you have built a support system. Consider contacting a Breastfeeding Counselor or International Board Certified Lactation Consultant to work with you. Read as much as you can about adoptive breastfeeding and induced lactation. The resources below will give you a place to start.

ADOPTIVE BREASTFEEDING STORIES

My Adoptive Breastfeeding Story

Breastfeeding My Adopted Child

We Are Breastfeeding

My Adoptive Breastfeeding Journey

Becoming Nana

ADDITIONAL RESOURCES

Books

Breastfeeding an Adopted Baby and Relactation, by Elizabeth Hormann.

The Breastfeeding Mother’s Guide to Making More Milk, by Diana West and Lisa Marasco.

Websites and online articles

Asklenore.com

Dr. Jack Newman: Breastfeeding your Adopted Baby or Baby Born by Surrogate

Lowmilksupply.org

Breastfeeding Outside the Box Podcasts

REFERENCES

Buckley, K. & Charles, G. (2006) Benefits and challenges of transitioning preterm infants to at-breast feedings. International Breastfeeding Journal 1:13

Gribble, K. (2004) The influence of context on the success of adoptive breastfeeding: Developing countries and the west. Breastfeeding Review; 5-13.

Gribble, K. (2006) Mental health, attachment and breastfeeding: implications for adopted children and their mothers. International Breastfeeding Journal 1:5.

Horman, E. (2006) Breastfeeding an Adopted Baby and Relactation. Schaumburg, IL: La Leche League International.

Induced Lactation and the Newman-Goldfarb Protocols for Induced Lactation. (2000). Retrieved January 20, 2012, from http://asklenore.com/breastfeeding/induced_lactation/gn_protocols.shtml

Breastfeeding Your Adopted Baby or Baby Born by Surrogate/Gestational Carrier. (2009). Retrieved January 20, 2012, from http://www.nbci.ca/

Mezzacappa, E. S., and E. S. Katkin. (2002). Breastfeeding is associated with reduced perceived stress and negative mood in mothers. Health Psychology 21:187-193.

Moore ER, Anderson GC, Bergman N. (2009) Early skin-to-skin contact for mothers and their healthy newborn infants Cochrane Summaries

Morton J, Hall, J and Wong, R et. al. (2009, July, 2) Combining hand techniques with electric pumping increases milk production in mothers of preterm infants. Journal of Perinatology advance online publication; doi: 10.1038/jp.2009.87

West, D. and Marasco, L. (2009) The Breastfeeding Mother’s Guide to Making More Milk. McGraw-Hill.

Teglene is the stay at home mother of three children. She breastfed all of her children including two biological sons and one adopted daughter.

Breastfeeding an adopted child - 19 answers

I would like to share the story of a mother whom I was lucky to meet the other day.

The uniqueness of this woman is that she has never given birth, has never been pregnant, but she is lactating.

Parents adopted the baby when he was 2 months old. Mom really wanted to breastfeed him, she prepared in advance - she looked for the necessary literature, corresponded with women who already had such experience. 2 weeks before the adoption, she began active actions: pumping her breasts with a breast pump (5 times a day or more, 15 minutes each breast), apilak, Mlekoin (there is no evidence that these are effective drugs), domperidone (she took it for 2- 2. 5 months). And after a few weeks, she began to have milk.

The first task was to persuade the baby to take the breast. It took about a month. At first it was just bottle feeding at bare breasts, lots of body contact, co-sleeping, wearing in a sling. The baby began to take an interest in the breast, lick it. Then they switched to finger feeding with a syringe. And about a month after the adoption, the child took the breast and sucked. Since then, they have been fed through the SNS. Mom turned to breastfeeding consultants for help, who supported her at the very beginning of her journey and gave valuable advice. The peak of milk production was in the 4th month of the child, he suckled well and quite often at the breast and SNS. Milk was about 30-50 ml at a time. The baby could for some time attach and suck on the breast without SNS. Then a pacifier appeared in their lives and spoiled the grip, the mother felt pain during feedings, the child became more restless, and often began to refuse the breast. In general, he has not yet observed much love for the breast, he takes it only with the SNS and only when he is hungry. At night and in a dream almost never takes.

Now the child is 7 months old, tries complementary foods and eats a mixture of 6x170 ml. When he does not take a breast and his mother supplements him with a syringe, she eats 200-220 ml. My mother's periods disappeared on the background of breastfeeding, they recently returned again.

I helped my mother cope with lactostasis, pumped her breasts. I will tell you that this is just a magical picture: in front of me was a woman who had never given birth and I was extracting milk from her breasts in streams. For some reason, my mother did not know how to express with her hands, and the breast pump does not suck anything out of her soft breasts. With me, she began to learn and train to express with her hands and in 10 minutes she got about 10 ml. I have already begun to figure out a scheme for how to increase the amount of milk per day by 2-3 times, but my mother said that the volume that she has now suits her quite well. She is glad that the baby is fed at the breast (albeit with SNS) and receives her milk, albeit in small quantities.

It's really not easy for her right now. There are many doubts, but is it all in vain? Or maybe you should not continue .. Periods of peaceful motherhood are replaced by restless weeks, when the child bites the nipples or completely refuses the breast. And you need to find the resources in yourself to endure these difficulties and not give up. They and the baby go through a difficult path of overcoming, connecting. I am sure that this unique experience is essential for both her and the child.

I hope that the experience of this wonderful mother will first of all inspire and give strength to women who decide to relactate with their own babies. If breastfeeding is real for the one who did not bear or give birth, then it is real for everyone.

Breastfeeding an adopted child

Jack Newman.

Are you about to adopt a child and want to breastfeed him? Wonderful! It's not only possible, it's even relatively easy, and chances are you'll be able to produce a significant amount of milk. It's not difficult, but it's different from breastfeeding a baby you've been pregnant with for 9 months.
Breastfeeding and breast milk.
Successful breastfeeding of an adopted child requires only two goals to be achieved. The first is to convince the baby to take the breast. The second is to start producing milk. And here you need to really assess your capabilities. Since the process of breastfeeding is more important than the composition of milk, many mothers are already happy with the very opportunity to feed their baby naturally, not expecting that they will have enough milk. First of all, mothers are looking for that special relationship, closeness, biological connection that breastfeeding provides. As one foster mother said, “I want to breastfeed. If at the same time the baby will receive breast milk, this is generally wonderful. ”
Attaching the baby to the breast.
Although many do not believe that early introduction of bottle supplements can interfere with breastfeeding, early introduction of a pacifier does. The sooner you put your baby on the breast after birth, the better. It is still worth remembering that many kids are used to that. that milk comes in a continuous stream from a bottle (or a cup, or while finger-feeding), need the same flow from the breast in order to continue sucking without refusing. What can you do?
1. Talk to the staff at the hospital where the baby will be born. Let them know you want to breastfeed. They should go along with your desire and feed the newborn with a cup or with your finger if you yourself cannot begin to feed him immediately after birth. In fact, increasingly, by agreement, adoptive mothers have the opportunity to be present at the birth of a child and immediately attach it to the breast. The sooner you start feeding, the better.
2. Some biological mothers themselves want to feed their baby during the first days. As a result, social workers are concerned that this will force the biological mother to change her mind. It's likely and you might not want to risk it. However, if this has already happened, then the baby received colostrum, then breast milk, and not artificial nutrition.
3. Proper attachment to the breast is just as important, even more important, if the mother's milk supply is insufficient. Proper attachment means painless feeding. With proper attachment, the baby will receive more milk if you have a lot of it and if it is not enough.
4. If your baby needs to be supplemented, use LactAid while suckling. Babies learn to suckle during breastfeeding, not bottle, cup or finger feeding. Of course, you can use breast milk that has been expressed previously for supplementary feeding.
5. If the baby does not want to breastfeed, seek help from a specialist as soon as possible.
Breast milk production.
As soon as you start preparing for milk production. Please be aware that you will probably never be able to fully meet your baby's milk needs, although this is not impossible. Don't get frustrated by the amount of milk collected with a breast pump before your baby is born. Pumping cannot give the same effect as a properly attached to the breast actively sucking baby. The main task before the baby is born is to prepare the breast for feeding, and not to create a supply of breast milk for the future, although it is good if you succeed.
a. Pumping. If possible, rent an electric breast pump that pumps milk from both breasts at the same time. Double pumping not only saves time, but also stimulates milk production better. Start when a baby is expected in the foreseeable future, even if it takes 4 months to pump. It is not necessary to pump often and on a schedule. Do what you can. In the beginning, two times a day is enough. If only once a day on weekdays, but 6 times a day on weekends - fine. Husbands can help stimulate nipples.
b. Domperidone (motilium). This medicine may help with milk production. It is not necessary to take it when breastfeeding a foster child, but it can help produce more milk in less time.