Relactation and Induced Lactation
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LLLGB 20-page booklet for mothers who have stopped breastfeeding because of a difficult start, have very low milk production or want to induce milk production to feed an adopted baby or a baby born by surrogacy.
The booklet outlines strategies for getting started, encouraging a baby to breastfeed and for establishing, increasing and maintaining milk production. Also includes information on managing supplements and using galactogues (herbs or medications that can increase milk production).
20-page A5 LLLGB booklet
Supplementary information on Galactogogues (from March 2012)
In addition to the information on p16 of Relactation and Induced Lactation please read the latest UK guidance summarised below.
- Always consult a health professional if considering using a galactagogue.
- Only use a galactogogue if there is objective evidence to support diagnosis and where breastfeeding methods have not been effective.
- There are no drugs licensed in the UK to improve lactation.
- Domperidone is the first choice drug treatment for low milk production because it is the most effective, has the least side effects, and minimal amounts pass into breastmilk.
- Do not take domperidone if either you or your baby have a heart disorder or are receiving treatment with drugs known to affect the heart’s QT interval e.g. ketoconazole or erythromycin. If this is the case, metoclopramide is the preferred alternative.
- Do not exceed a daily dose of 30mg of domperidone.
There is insufficient evidence that herbal remedies are effective.
Drug treatment of inadequate lactation, UKMi Q&A 73.4,
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals. 1 March 2012.
"Well put together information, clear, well explained a good starting place to explore options and understand what is involved in building a milk supply back up or induced lactation."