i'm doing it again. the adoptive breastfeeding thing. so i thought i'd walk you all through the process and give you a little insight into my pill popping world of late.
first off, to breastfeed an adopted baby (or baby born via surrogate) you've got to prepare well in advance. i should have started sooner, but i think i'm still fine. basically, you can find information on the different ways to prepare to breastfeed on a website called ask lenore, as well as on a website called the adoptive breastfeeding resource website. both are great places in terms of the information they provide, but both have their own feel to them. the abrw has moderators that tend to lean toward the natural way of inducing lactation and ask lenore is a little more balanced, in my biased opinion. both have message boards that are a great place to get your questions answered, but the abrw recently started charging a fee for the use of their boards, and the ask lenore boards are free of charge. both also have multiple boards dealing with things like infertility, surrogacy, natural and medicated methods of inducing lactation and a host of other topics. these sites are both good places to begin your research. and research you must! but i'll get into that a little more in-depth later.
to induce lactation last time i used the Newman-Goldfarb protocols for Induced Lactation: The Guide for Maximizing Milk Supply. i used the accelerated protocol to prepare for z, but this time around i'm using the regular protocol, since i have the time. in other words - i go the completely medicated route. i just don't have the persistence to stick with the natural route. so to do this, here's what i have to do:
- take a birth control pill, either yasmin or microgestin continuously for six months. this prevents me from having a period and makes my breasts prepare in a similar fashion to what happens during pregnancy. they basically get at least a cup size larger and become painful. what fun, right?
- the same day i start the birth control pill (i'm taking the yasmin) i begin taking 10 mg. of a drug called domperidone four times a day, twenty minutes before i eat. domperidone is a stomach medication that is not fda approved. but it's been well-researched in the breastfeeding community. and the reason it's not approved is because there are other stomach medications out there that the fda feels do what domperidone would do and it is therefore unnecessary to approve dom. anyhow - it's all bureaucracy. to obtain domperidone, one must semi-illegally import it through a company called global drug, or get a prescription from your physician (like i did this time) and obtain it through one of the few compounding pharmacies in the u.s. so it's legal, just not approved - get me? and domperidone has the amazing side effect of telling your pituitary gland to lactate. cool stuff, huh?
- a week after beginning things, i must up my dosage of domperidone to 10 mg. four times a day.
- i continue with everything for six months.
- once the six months is up (for me, it will be august 7th) i stop the yasmin, continue on the domperidone and should have a period of massive proportions. it's like what happens in a pregnant woman when the placenta is expelled. again, fun, huh?
- i also start in with the breast pumping. this stimulates my milk to come in, as if i had a baby breastfeeding at this time. i've purchased, for a smoking good deal, a used hospital-grade medela lactina breastpump. don't worry - this one is actually approved for multiple users - and is the exact model that my local lactation clinic uses. it's hefty duty. and lovely, don't you think? you wanna know how many times i have to pump a day? every three hours and once between the hours of 1:00 a.m. and 5:00 a.m., as my prolactin levels will be highest at that point in the day. yes, that means that i will be strapped to the blue monster at 8am, 11am, 2pm, 5pm, 8pm, 11pm, 2am, and then i get a break until i wake up again to pump at 8am.
- good news, though! this means that i will begin getting breastmilk that can be stored in my freezer for up to 12 months. so if nothing else, i will have a massive stock pile built up for coffee when you come visit me!
- and i must continue the domperidone throughout breastfeeding.
- i can also take herbs like blessed thistle and fenugreek (which makes me smell like curry, yum!) three times a day and eat oatmeal once a day to also help increase my milk supply.
so - guess what the maximum amount of pills i will have to take per day will be? just guess. you'll never guess. ok. i must, at one point in this process, take twenty pills a day. my god. at this point, my gag reflex gets a little heightened, as i try to down six pills at once.
in order to be able to logistically pump as much as i'll need it, i need to buy one of these. or maybe i'll try making my own. and then i can sit online and blog six times a day for fifteen to twenty minutes a day.
once the baby is home, he will do most of the work of the breast pump (thank god) and i'll be able to significantly reduce my pumping time. and all that saved-up frozen milk? well - if you won't accept it in your coffee or tea - someone will have to use it. so i guess it will be the baby. and the way we'll use it is with one of these handy dandy thingys. i put the milk in the bag, strap the tube to my breast, and plop my breast in the baby's mouth. and ta da! we have milk from the bag, milk from me, and the baby stimulating my milk supply to increase.
with these protocols, it is expected that i'll be able to produce most of my child's milk needs. the rest will come through the lact-aid from my frozen milk and if necessary, i'll supplement with an organic formula. i know that sounds doubtful, but my friend certainly did it. she was like a one-woman dairy farm on the regular protocol. last time, i managed to pump quite a bit of milk, but because of multiple factors, z and i had to give up the breastfeeding just a few short months after we began. this time, those factors won't get in our way, and i hope to breastfeed my son as long as he damn well pleases. but no, he will not be allowed to as for my 'nu nus' or 'ta tas' or 'nuk nuks' or even 'bubbies'. they are breasts. when he wants to nurse, he'll have to ask to nurse. or breastfeed. or maybe he'll wean early. who knows.
now - how many of you are asking, 'why on earth is she doing this?'
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