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Nursing the adopted infant.

Cathy A Bryant1

  • 1St. Vincent Family Medicine Residency, Indiana University School of Medicine, 8220 Naab Road, Suite 200, Indianapolis, IN 46260-1933, USA. cabryant@stvincent.org

Journal of the American Board of Family Medicine : JABFM
|July 1, 2006
PubMed
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Adoptive mothers can induce lactation using various methods, though milk supply may vary. Emotional benefits are significant, and physicians can guide parents on available tools for this unique journey.

Area of Science:

  • Lactation induction
  • Infant nutrition
  • Adoptive parenting

Background:

  • Breastfeeding is the preferred infant nutrition source.
  • Adoptive parents often desire to induce lactation for nursing.
  • This desire stems from both nutritional and emotional considerations.

Purpose of the Study:

  • To explore methods for inducing lactation in adoptive mothers.
  • To review available pharmacologic and physiologic approaches.
  • To discuss the benefits and challenges of adoptive nursing.

Main Methods:

  • Information gathered from personal experience and online resources.
  • Medical literature searched via OVID/MEDLINE.
  • Keywords included: induced lactation, adoptive nursing, domperidone, metoclopramide.

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Main Results:

  • Physiologic and pharmacologic methods can initiate milk supply.
  • Milk quantity may not fully meet infant needs, but emotional benefits are substantial.
  • Controversy exists regarding domperidone and metoclopramide; herbals like fenugreek lack research.

Conclusions:

  • Induced lactation for adoptive nursing is achievable with available tools.
  • Physicians play a crucial role in educating and supporting adoptive parents.
  • Further research is needed, especially on herbal supplements.