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Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study.

Indira Lopez-Bassols1, Lara Olchanetzky Duke, Gayle Subramaniam1

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Journal of Human Lactation : Official Journal of International Lactation Consultant Association
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PubMed
Summary

A woman successfully relactated seven years after her last child, providing expressed milk for a friend's baby. This case highlights non-puerperal relactation as a viable option for infant nutrition, especially for LGBTQ+ families.

Keywords:
International Board Certified Lactation ConsultantLGBTQIA+breast pumpingbreastfeedinghuman milkinduced lactationrelactation

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Area of Science:

  • Reproductive Medicine
  • Human Lactation
  • Pediatric Nutrition

Background:

  • Non-puerperal relactation, the re-establishment of milk production in a woman who has not recently given birth, is uncommon.
  • This case involves a woman relactating 7 years after her last breastfeeding experience.
  • The milk was donated to an infant born via surrogacy to a same-sex male couple.

Purpose of the Study:

  • To document a case of successful non-puerperal relactation and milk donation.
  • To explore the feasibility of relactation for supporting infants in non-traditional family structures.
  • To emphasize the importance of professional support in non-puerperal lactation.

Main Methods:

  • The woman consulted with lactation consultants and a physician specializing in breastfeeding medicine.
  • A protocol involving domperidone, frequent expressing with a hospital-grade pump, and manual expression was implemented 6 months prior to the infant's birth.
  • Milk was expressed and shipped internationally to the recipient infant.

Main Results:

  • The woman successfully relactated and expressed a total of 35.06 liters of milk.
  • The infant thrived on the donated expressed milk during the first three months of life.
  • The process was supported by the woman's partner and family.

Conclusions:

  • Non-puerperal induced lactation and relactation can provide human milk for infants, including those in LGBTQ+ families.
  • Disseminating knowledge on supporting non-puerperal lactation is crucial for healthcare professionals.
  • This case demonstrates a successful model for milk sharing in unique family-building situations.