Trial Induced Lactation Protocol: Summary

I won’t bore you with why exactly the line went dead – suffice it to say, a kidney infection can take a mama down pretty hard.

I did some research and from everything I can tell, the induced lactation protocol probably didn’t have anything to do with the sudden mama-felling illness. I’ve never had anything quite like that, but I’ve breastfed plenty and taken domperidone as well as herbs before, so I think it was just an unfortunate conincidence. While I recovered pretty fast from the infection, it took me a long time to get back up to speed while we were in full-on end of school year mode.

So, when I was finally able to sit up again, I decided to hang up the pump phalanges for a while. I proved to myself that I could produce milk, but truthfully, trying to pump 6-8 times a day (even 4 times really) is a lot to organize. It’s also hard to imagine committing this much energy and mindspace to a process that could go on indefinitely with no baby in sight. I know now that I can make some milk, which boosted my confidence, but I think that’s enough for now.

What’s next then? Well, I’m on the Yasmin pill (and having some side effects that I’ll talk about later) and domperidone per the Goldfarb regular protocol. I’m hoping that when/if we get a match, I’ll have enough time to build up a good supply, but if not, we’ll deal. It makes me a bit sad to think that I won’t have a ‘stash’ ready for myself, but that too is a bridge that’s far enough into the horizon that I can worry about it then.

I turned out fine, didn’t I?

I struggle with the changes in adoption practices sometimes. When folks start talking about loss and lifebooks and sharing the story, I have a reflex reaction. My head starts saying, “Well, I never had any of those and never will and I turned out just fine“. Usually, this is also accompanied by a big roll in my mind’s eye. That reaction though is a defensive one – about myself (because I am not irreparably damaged) and about my parents (who did the best thing they knew to do).

It’s not a rational one about what we know is the best practice to protect and nuture adopted children and give them the best shot at a well-adjusted identity that they form for themselves. It’s sort of like grandmothers who recoil from their breastfeeding daughters: “Well, you had formula and turned out fine.” Yup – sure did and so did most babies – but there’s no way to know what might have been easier for their babies if they’d been breastfed.

The adopted adults I know grew up in a time of closed adoptions and secrecy – and, yup, they’re just fine. But it doesn’t mean that all the gains we’ve made in understanding attachment and identity aren’t valuable – we can’t deny those new insights just because we didn’t have them before.

On wearing many veils…

I wonder sometimes what it’s like for an adoptive parent who isn’t adopted themselves and has no experience of this family-making except through the lens of the experts who guide them. Being adopted myself, I know that my experience of adoption affected our choice to go forward – especially the ease of trusting that this child can be our child. I know it can be because I’ve lived it before, but I can see how strongly it troubles parents.

From our training sessions and chats with other prospective parents, it seems that there’s a division into two camps -the worriers and the non-believers. The worriers are preoccupied heavily by the losses and risks in adoption – you can feel the weight of their guilt at being the keepers of the baby when the ‘real’ parents can’t. The non-believers nod and smile their way through the training and the discussions about loss – but their detachment shows that they think it’s all BS: that really the baby will be theirs and that this is just a politically correct way of making birth families feel better. In these discussions, which really take place outside what’s being said because no one really says these things, everyone is really really interested in what I have to say.

Am I damaged? Who do I resent more? What trauma has been foisted upon me because I was given up? Will it really be ok? It’s a hard conversation to have for a lot of reasons.

My experience of adoption is just mine. Not anyone else’s – my sister was also adopted and grew up in the same house with the same parents, but I know her experience was different. Adoption is a reality in my family of origin and hopefully will be someday a part of my mothering story as well – but in truth, it’s a pretty small part of my identity. That’s certainly not true of every adopted adult – and there’s just no way to know how much an individual will draw on a particular part of their history in forming their sense of themselves. I can’t promise anyone that if they’re good parents who tell their kids the truth and love them that everything will be all right. Really, who can?

Even if my experience is typical (I don’t know if it is, really) and adoptive parents could gain some comfort from it, the adoption that my parents completed to bring me into their family over 30 years ago isn’t the same kind of adoption as they’re doing in 2010. Adoption in the late 70s wasn’t was it is today – my parents were chosen by a social worker, primarily it seems on the basis of how attractive they and their home was (it’s ok – it worked out ;) ).

The records surrounding my adoption were completely sealed and they had no expectation that I would ever have any contact with my birth mother, nor were they told I might seek it. In fact, it seems that it wasn’t uncommon even in those days for parents to chose not to tell their children about how they came to be a family. It’s shocking to suggest it now, but it was the prevailing wisdom at the time. Luckily for me, my parents were always open about my adoption and held brave against their own fears – but these were the underlying beliefs around adoption. A parent who is adopting today ( at least where I am) is getting exactly the opposite message.

I hope that the fact that I’ve been the child adopted and believe that it is the best way to complete my family gives hope and serenity to others. I hope it gives the non-believers some insight into the fact that even when it works out fine shrouded in secrecy and silence, it’s still isn’t the best way. And never was.

Day 9: Trial Induced Lactation Protocol

Back to pumping schedule and it seems to be going better. Twopointoh continues to circle me omniously eyeing the tubing with his little green scissors – it may too much to ask to expect him not want to cut that nice thick plastic tubing that drapes so enticingly. I am getting definite drips of milk and while the cups don’t runneth over, there’s some definite action going on in there.
I’m continuing to do some more reading about galactologues, mainly herbal ones. The usual fenugreek and blessed thistle route is kind of the gold standard. While there are various dosages recommended, the best rule is take equal dosages of each 3-4 times per day until you’re sweating maple syrup. Despite having survived the great indignities of two pregnancies, births and infancies, I can safely say that one of the very strangest experiences of my life was going to the bathroom and evoking the special scent of a sugar bush. It’s weird, let me tell you.
It’s also very tiresome to be taking multiples of large capsules, plus domperidone, plus vitamins, plus Omega-3 oil (’cause you gotta make smart breastmilk, dontchaknow?). All told that’d be 36 pills a day right now (3 X 4 X 3 = is my math right?) just in galactologues.
But if 36 milk-making pills a day isn’t enough, Mother Nature has more out there for me. Goat’s Rue, Stinging Nettle, Alfalfa… alfalfa? Please God, no sprouts! On the upside, oatmeal is an approved galactologue (I just love that word, don’t you?) and so I’m not only cleared for brown sugar at breakfast, but also at least a cookie a day. Ah, this may be why I have trouble losing while breastfeeding when everyone else seems to let it melt away.

Day 8: Trial Induced Lactation Protocol

More of the same from yesterday – today, Twopointoh stood beside me opening and closing his scissors menacingly. At $50 a pop, buying a new pump set is not the budget, kiddo. Not managing as much pumping today, but finding that evening when everyone little is in bed is a good time to hook up and pump lots. Anonydaddy is the unfortunate victim, having his evenings to the steady swoosh-woosh rhythm of my pump. He’s a good egg, that one – puts up with a lot of my crazy projects, even though I’m quite sure he’s not so committed to them. He’s a lactivist in his heart and I don’t think it’s just because it let him sleep more in those early months, either. A good egg.

Day 7: Trial Induced Lactation Protocol

I think I may have turned a bit of a corner – starting to get real droplets of liquid that looks distinctly like breastmilk. Not sprays by any means, but maybe even a few that look like dribbles. Yesterday and today, I’ve been very focussed and it does seem to help – with the milk anyway, certainly, not much else gets done. The taste is still fairly salty, but starting too to taste sweet as it should. However, breasts still don’t feel particularly different which is the big marker I am waiting for.

Day 6: Trial Induced Lactation Protocol

Another long day of pumping – does seem that yesterday’s break didn’t help, so I am pumping longer and more frequently today. Still not much and really no discernable breast changes. I wonder if I won’t have significant changes since I’ve breastfed for so long and have “mature” breasts. We’ll have to see. I’m also trying to figure out how to make pumping easier – I’ve been researching hands-free get-ups, but haven’t been abler to justify investing in yet more “stuff” for this little experiment quite yet. I seem to be jerry-rigging something with my nursing bras ok (as I did when the kids were in NICU), but I know it’s not quite right and I’m putting too much pressure on the tissue. Plus, killing my back.

Day 5: Trial Induced Lactation

This whole pumping schedule is super tough – ironically, today Anonydaddy and I were out of town all day for an adoption related meeting (so many meetings, so much paper). So pumping wasn’t really in the cards for most of the day – though I did do the stimulation and hand “expression” as regularly as I could – I figure at this stage stimulation is the key thing.

The meeting went well, but I’m starting to detect a strong trend when I mention breastfeeding our adopted baby to adoption professional. Surprise. Guarded support. Discouraging commentary. Withdrawal. Change of subject. This one was no different really except that it did convince me that we need to be more upfront about our intention to breastfeed – because I don’t want to be having the conversation late in the game.

Day 4: Trial Induced lactation

Breasts aren’t feeling much different, but definitely seeing drops. Still not “milk” really and the pumping schedule is tiresome. The kids are confounded by this new contraption and Twopointoh is suspiciously circling with scissors. Note to self – put the tubing away.

Trial Induced Lactation Protocol: Day 3

This whole pumping for nothing is starting to really get me down. Yes, I know that it’s only been three days, but honestly, I did really expect that I would just take a few doses of domperidone and the milk would gush forth. After all, the girls have and a half years of breastfeeding between them – they’ve got experience.

Apparently, though, Lenore was right when she said that involution usually takes about 80 days about breastfeeding ceases. In case you’re wondering what involution means, it’s the process by which the milk-making ducts in the breast shrink back following lactation. Apparently, if you stop breastfeeding but start again within that magic window, it’s much much easier to bring a full supply in again. Yeah, that would have helpful to know in oh, January or so when Twopointoh weaned.

So, I keep at it – no real breast changes to speak of – nipples are sore though. I am not much of lanolin convert, but have been finding that coconut oil has helped tons with the soreness and to provide a little extra lubrication. Who knew?