Induced lactation: Can I breastfeed my adopted baby?
Mayo Clinic FAQ
With considerable dedication and preparation, breastfeeding without pregnancy (induced lactation) might be possible.
Normally, the natural production of breast milk (lactation) is triggered by a complex interaction between three hormones — estrogen, progesterone, and human placental lactogen — during the final months of pregnancy. At delivery, levels of estrogen and progesterone fall, allowing the hormone prolactin to increase and initiate milk production.
Induced lactation depends on the successful replication of this process. If you have months to prepare, your health care provider might prescribe hormone therapy — such as supplemental estrogen or progesterone — to mimic the effects of pregnancy. Hormone therapy may last for months.
About two months before you expect to start breastfeeding, you'll likely stop hormone therapy and begin pumping your breasts with a hospital-grade electric breast pump. This encourages the production and release of prolactin. At first, pump for five minutes, three times a day. Work up to pumping for 10 minutes every four hours, including at least once during the night. Then increase pumping time to 15 to 20 minutes every 2 to 3 hours. Continue the routine until the baby arrives.
If you have a short time to prepare, hormone therapy might not be an option. Your health care provider might recommend other medications to help induce lactation. Pumping remains important for whatever time you have.
