Factsheet: Breastfeeding Your Adopted Baby

You are about to adopt a baby and you want to breastfeed him? Wonderful! It is not only possible, it is fairly easy and the chances are you will produce a significant amount of milk. It is not complicated, but it is different than breastfeeding a baby with whom you have been pregnant for 9 months.

Breastfeeding and Breastmilk

There are really two objectives involved in nursing an adopted baby. One is getting your baby to breastfeed. The other is producing breastmilk. It is important to set your expectations at a reasonable level. Since there is more to breastfeeding than breastmilk, many mothers are happy to be able to breastfeed without expecting to produce all the milk the baby will need. It is the special relationship, the special closeness, the biological attachment of breastfeeding that many mothers are looking for. As one adopting mother said, "I want to breastfeed. If the baby also gets breastmilk, that's great."

Getting the baby to take the breast

Although many people do not believe that the early introduction of bottles may interfere with breastfeeding, the early introduction of artificial nipples can indeed interfere. The sooner you can get the baby to the breast after he is born, the better. However, babies need flow from the breast in order to stay latched on and continue sucking, especially if they have gotten used to get flow from a bottle or another method of feeding (cup, finger feeding). So, what can you do?

Speak with the staff at the hospital where the baby will be born and let the head nurse and lactation consultant know you plan to breastfeed the baby. They should be willing to accommodate your desire to have the baby fed by cup or finger feeding, if you cannot have the baby to feed immediately after his birth. In fact, more and more frequently, arrangements have been made where the adopting mother is present at the birth of the baby and takes the baby immediately to nurse. The earlier you start, the better.
Some biological mothers are willing to nurse the baby for the first few days. There is some concern expressed amongst social workers and others that this will result in the biological mothers' changing her mind. This is possible, and you may not wish to take that risk. However, this has been done, and it allows the baby to breastfeed, get colostrum, and not receive artificial feedings at first.
Latching on well is just as important, even more important, when the mother does not have a full milk supply, as when she does. A good latch means painless feedings. A good latch means the baby will get more of your milk, whether your milk supply is abundant or minimal. (When Latching).
If the baby does need to be supplemented, this should be done with a lactation aid with the supplement being given while the baby is breastfeeding (Using a Lactation Aid). Babies learn to breastfeed by breastfeeding, not cup feeding or finger feeding or bottle feeding. Of course, you can use your previously expressed milk to supplement.
If you are having trouble getting the baby to take the breast, come to the clinic as soon as possible for help.

Producing Breastmilk

As soon as a baby is in sight, start getting your milk supply ready. Please understand, you may never produce a full supply for your baby, though it may happen. You should not be discouraged by what you may be pumping before the baby is born, because a pump is never as good at extracting milk as a baby who is sucking well and well latched. The main purpose of pumping before the baby is born is to start the changes in your breast so that you will produce milk, not to build up a reserve of milk before the baby is born, though this is good if you can do it.

Pumping. If you can manage it, rent an electric pump with a double setup. Pumping both breasts at the same time takes half the time, obviously, but also results in better milk production. Start pumping as soon as the baby is in sight, even if this means you will be pumping for 4 months. You do not have to pump frequently on a schedule. Do what is possible. If twice a day is possible at first, do twice a day. If once a day during the week, but 6 times during the weekend can be done, fine. Partners can help with nipple stimulation as well.
Domperidone. (Domperidone). This drug can help you produce more milk. It is not necessary for you to use in order to breastfeed an adopted baby, but it will help you develop a more abundant milk supply faster. There is no such thing as a 100% safe drug. If you do decide to take it, the dose is 20 mg four times a day. Check the factsheet for more information. Ask at the clinic.

Using pumping and domperidone, most adopting mothers have started to produce drops of milk after two to four weeks.

But will I produce all the milk the baby needs?

Maybe, but don't count on it. Some breastmilk is better than none. But if you do not, breastfeed your baby, and allow you and him to enjoy the special relationship that it brings.

Breastfeeding your Adopted Baby. January 1998
Written by Jack Newman, MD, FRCPC
May be copied and distributed without further permission.

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Comments

If you're considering this, I can encourage you. Even though I was my daughter's first mother and made plenty of milk, it was pretty skim milk :) and so we supplemented. I nursed for ten minutes on each side, if I remember correctly, and then we gave her just a few ounces of formula to build up the fat stores. It was a great solution and a precious time. This went on until she was 8 months old, when she began cruising and figured out the bottle was portable! :)

Oh, and a lot of people don't realize that men can breastfeed, too. Even though they don't start out with the fat stores of many women (but lots of flat-chested women breastfeed very well), the suckling has the same effect in men as in women. Apparently, throughout our evolution, that comes in handy in times of famine.

Posted by: FineLineWriter at 11/19/2005 03:23 PM

I saw this one time on a "Baby Story" show on TLC. This woman adopted a baby and then breastfed it using a breastfeeding aid that also gave the baby formula while suckling at the breast. In this way, the baby was getting some breastmilk, but was also getting the nutrition that it needs. I think that this is an excellent way to bond with your baby and should be encouraged more often. Check with the lactation consultant at the hospital if you adopt a young baby. It may be the best thing that you have ever done!

Posted by: jmrodg at 11/15/2005 03:54 PM

This is fascinating to me, and something I had not thought was even possible! There are so many studies that link breast milk and simply the act of breast feeding in general to so many developmental advantages -- physical and emotional -- and I've always thought breast feeding adopted children was not a possibility, which always struck me as another challenge in child rearing for those that need to feel the special bond breast feeding produces, or want to enjoy the health benefits for the adopted child, when it comes to adoption. I do wonder from any adoptive mothers that have decided they wanted to do this however, how difficult it was, whether the baby spent the first few days feeding from his/her biological mother's breast or not breast feeding at all, how challenging it was to get the baby to take to a new experience. I know every baby is different in general anyway, and for some it is harder than others even without the change in breast milk, but I'm curious to know how parents felt about this experience, and if it was worth it in the long run!

Posted by: backslash at 11/13/2005 11:38 AM

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