\s=b\ Induced lactation is breast-feeding without prior pregnancy. Preparation includes breast and nipple stimulation, supplementing the maternal diet, and occasional use of hormones. Infants younger than 8 weeks are more willing to nurse than infants older than 8 weeks. Previous lactation experience is related to increased likelihood of milk production, decreased need for supplemental fluids, and duration of breast-feeding. Tandem nursing an older biological infant and the adoptive infant does not guarantee an increase in milk production sufficient to meet the adoptive infant's needs. Three fourths of the women who took part in this questionnaire survey evaluated their experience positively, regardless of infant age at weaning or need for supplemental fluids. Most respondents stressed the maternal-infant relationship and its enhancement through breast-feeding, rather than milk production, as the reason for attempting induced lactation.(Am J Dis Child 1981;135:340-343)Adoptive nursing is not a new idea, XjL but it has received little more than speculative treatment in the literature.1-' As breast-feeding is hormonally and physiologically linked to pregnancy, many professionals have expressed doubt that it is possible to produce milk through suckling stimu¬ lation alone.46 Occasional reference to adoptive nursing continues to excite interest because little is known about it and because success is considered unlikely. As part of a retrospective study of relactation/induced lacta¬ tion, we sought to determine (1) why a mother would choose to breast-feed an adopted infant, (2) how she would go about preparing to nurse her nonbiological baby, (3) to what extent mater¬ nal history affects her experience, (4) in what way or ways the infant influences the induced lactation expe¬ rience, and (5) the most appropriate way to assess success with adoptive nursing.
METHODS
SourcesRespondents were obtained through sev¬ eral sources. Secondary referral included contacting women whose names were obtained from the manufacturer of a nursing trainer (Lact-Aid Nursing Train¬ er, Resources in Human Nurturing Inter¬ national, Denver), breast-feeding support organizations, and persons who had contact with adoptive nursing mothers.Primary referral occurred when persons responded to announcements of the study inviting participation of mothers who had nursed an adopted baby. Participants com¬ pleted a detailed, 15-page self-report ques¬ tionnaire that included adoptive nursing episodes from 1970 to 1977. The modal year of initiation of induced lactation was 1976.
Study PopulationTwo hundred forty women from the United States and three British Common-wealth countries participated, repre¬ senting three fourths of the persons con¬ tacted. They were characterized by the following three distinct maternal histories: group 1, those who had never been preg¬ nant and had never lactated before nursing their adopted baby (N = 83); group 2, those who had been pregnant but who had never lactated before (N = 55); and group 3, those who had nursed one or...