In addition to all of the amazing physical, mental, and emotional benefits for both mother and baby, breastfeeding can help in healing a mother’s heartache associated with infertility or not being able to conceive her own baby for whatever reason. When a mother is able to induce lactation without pregnancy, a baby and mother are able to connect through breastfeeding.
There is a biological connection that takes place and this can help a new mother and new baby.
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What Does It Mean To Induce Lactation?
Induced lactation means that a mother is trying to promote milk production through her own breasts. A mother tries to induce lactation because she is likely receiving the gift of a baby soon and wants the following:
- A breastfeeding bond with her baby
- The feeling of attachment that comes with breastfeeding
- To nurture her baby through the best nutrition possible
- Plus, many other reasons that are specific to a mother’s situation.
Every mother’s circumstance is unique. It’s important to work with a lactation consultant and have the support of your partner, family, and mother-to-mother support to aid in the experience.
Is Lactation Possible If You’ve Never Been Pregnant? Or, You Aren’t Pregnant and You’re Trying To Lactate?
Yes, it is totally possible! With the right strategy, support, and techniques, it is totally achievable.
My advice for any mother trying to induce lactation without pregnancy is to understand the process, educate herself on what to expect, get proper support through a lactation counselor like me, get support through other mothers with a similar experience, and to reach out to a La Leche League Leader and her health team.
It’s important to avoid false expectations, have an open mind going into the process, and to give it your very best! Moms can start by preparing their breasts and body prior to their baby’s arrival.
It’s critical to continue to introduce the baby to the breast to make milk once the baby arrives. Refer to the Newman-Goldfarb protocol for specific steps.
Benefits Of Breastfeeding For a New Mom & Baby
In the case of mothers who have experienced infertility especially, breastfeeding their baby really allows them to heal from some of the traumatic experiences they may have endured in trying. Breastfeeding helps them feel accomplished and “normal” in a sense, they can relate now to all the other mothers who were able to breastfeed.
Babies are thrown into a cold new world, and they are not ready to be separated from their “mother figure” at birth, so breastfeeding can create an attachment experience for them similar to an umbilical cord in the womb. There is a lot of research surrounding this topic as it relates to the “fourth trimester.”
Babies need that time to continue to develop attachment and bonding, and breastfeeding allows for that. According to one study, birth is not the end of the reproductive cycle of a mother, there is one more step for both mother and baby, and that is breastfeeding.
This period also promotes the creation and release of the “feel-good” hormone oxytocin which aids a mother’s milk letdown reflex.
What Circumstances Allow a Mother To Induce Lactation Without Pregnancy?
A mother may want to breastfeed that:
- Has experienced infertility and is having a baby through other means besides her own pregnancy
- Is adopting a child
- Is expecting a child through surrogacy
In the case of surrogacy, it would be beneficial to ask the birth mother to provide colostrum and expressed milk for the first several weeks of the baby’s life. A mother that has a timeline of when her baby is expected can prepare more definitively than someone who is adopting, or may not know when they are taking full care of a baby.
Other situations arise when mothers may want to induce lactation without pregnancy such as fostering scenarios where the intention is to on keep the baby long-term, a lesbian mother who wishes to co-breastfeed with her partner, or a relactating mother who birthed her baby but didn’t breastfeed initially.
From newborns to toddlers and even young children, all can benefit from breast milk because it is the best and easiest food for a baby to digest. The World Health Organization recommends babies breastfeed until they’re two years or older.
How Long Does It Take To Induce Lactation Without Pregnancy?
This can vary based on several factors, including whether you’ve ever been pregnant in the past, and if you have been on any protocol like the Newman-Goldfarb Protocol described above leading up to the baby arriving for you to feed. Other factors include whether you’ve started herbs or prescription medications to help induce lactation as described in this post.
In general, it can take several weeks up to a few months to see breast milk production based on the above factors. Since many moms want to produce milk before their baby arrives, it’s important to set realistic expectations for yourself. You may find that you can produce everything your baby needs, or you may find that your body produces half of what your baby needs and you will need to supplement the remaining. Either way- inducing lactation and producing any breast milk is amazing!
You may also find an increase in production and success at inducing lactation once your baby is born and is able to suckle at the breast. Nothing can replace an at-breast experience for you and your baby in terms of hormones releasing like oxytocin.
What To Expect When There Has Not Been a Prior Pregnancy With Lactation
A mother who has not had a prior pregnancy will want to ensure she’s equipped with knowledge and confidence going into the situation. She should also keep an open mind about the possibility of producing milk.
It won’t be an easy journey, and it will take time. A mother inducing lactation will want to look at the journey as part of the experience and enjoyment of nourishing her baby at the breast.
Enjoying the process as part of the experience will be critical to avoid a negative mindset and giving up when you may not produce milk at first. A proper latch is important in the milk production process, as are stimulating the hormones to induce milk production.
A mom’s breasts can be prepared for breastfeeding and breast stimulation by being near the baby, which can help trigger additional milk production. This helps hormones to be present that help with induced lactation.
You should expect to do this in conjunction with frequent breast stimulation and hormone therapy. Remember, milk supply is based on a supply and demand theory, the more milk that is removed the more the body knows to produce.
Milk production will be nonexistent at first (unless you have had a prior breastfeeding experience). It will then start out slowly. – a few drops hopefully.
But the goal will be to gradually increase it in time through physical techniques like frequent breast stimulation, breastfeeding your baby at the breast, and supplementation with hormone inducers, herbs, and foods.
What Kind Of Effort Is Involved With Inducing Lactation Without Pregnancy?
Once a mother accepts the commitment, her mindset will play a huge role in motivating her to continue the journey to induce lactation without pregnancy. The rewards are monumental for the mother and baby’s relationship.
It’s important for a mother to understand the time and energy involved in inducing lactation. There may be appointments required to meet with doctors, herbalists, nutritionists, and other complementary healthcare providers to find the best hormone inducers, herbs, and foods to support the mother.
There may be financial resources involved too, like purchasing a breast pump, an at-breast supplementer, herbs, and medications. Some of this may be covered by insurance.
If time is available prior to your baby being born, start preparing a month before by stimulating your breasts through pumping and medicine or herbal supplementation. And of course, there is the time involved in pumping – whether it be hand expression or with a manual pump.
What Kind Of Milk Supply Can Be Expected?
The amount of milk a mother is able to create will depend on a wide range of factors including:
- The mother’s health history
- Her motivation to induce lactation without pregnancy
- The condition of her breasts
- Whether she has ever breastfed in the past
- The amount of support from the mother’s partner, family, & healthcare team
- The time available to prepare the mother’s breasts and body
- The routine and protocol the mother follows to make milk once the baby arrives
According to the book Breastfeeding Without Birthing, “most mothers from Western countries who induce lactation produce 25% – 75% of their baby’s nutritional needs.” Some mothers have been able to produce to meet 100% of their baby’s needs, and some mothers don’t produce at all.
Milk content will be like that of a 10-day postpartum mother according to lab tests. There is a particular protocol called the Newman-Goldfarb Protocol that has a very good success rate (60-100%) for inducing lactation for most mothers.
It includes a combination of steps and can be started at any point prior to the arrival of the baby. The idea with any of the protocols to induce lactation without pregnancy is to mimic pregnancy and what happens after in terms of a drop in progesterone and estrogen, and a rise in prolactin after delivery.
Prolactin is the “milk maker” and oxytocin works to “release the milk.”
What Supplements, Foods, and Medications Help With Promoting a Good Milk Supply?
A baby suckling at the breast and/or frequent breast stimulation is the best way to induce the hormones needed to produce milk. Combine this with other herbal and prescription medications and you have a great protocol for inducing lactation without pregnancy.
There are several different protocols that have been developed by various experts in the field as mentioned above. There are also other ways mothers can help support milk induction, including using a breast pump to stimulate the breasts, herbal supplementation, prescription medication, and certain foods.
Next, we will review how to go about using these methods.
Preparing Breasts For Milk Making
If a mother has plenty of time to prepare for a new baby’s arrival into her life, starting a birth control pill for 6-9 months can help prepare her breasts for breastfeeding. The pill mimics the estrogen and progesterone that a pregnant mother would have in order to support breastfeeding.
It helps create glandular tissue and milk ducts. A mother can really start a protocol at any time to help prepare her breasts for making milk.
Making More Milk
Once a mom is able to produce milk, the act of removing milk will trigger the body to create more milk. The most effective prescription medication initiating that milk-making process initially is Domperidone because it can be used for an extended period of time without significant side effects to the breastfeeding mother or baby.
If a mother has heart-related conditions, it’s advised she not take it. Domperidone is approved in many countries including Canada, Switzerland, United Kingdom, South Africa, Mexico, and New Zealand to increase milk supply.
But, it is still in the process of being approved by the FDA in the U.S.
Herbal Supplementation
Herbal supplements that may be helpful in inducing lactation include moringa, alfalfa, blessed thistle, fennel, goat’s rue, and saw palmetto. Each of these has its own unique characteristics.
Timing may also be important in terms of when each should be taken and under which circumstances. A mother is advised to work with an herbalist to understand what’s right for a particular mother’s need.
As with all supplementation, it’s best to work with a healthcare team to ensure it is the best solution for you.
Lactogenic Foods
As far as specific lactogenic foods to increase milk production, there aren’t a lot of studies. But, we do have information that has been passed down to us from thousands of years of breastfeeding mothers.
Specific foods may be helpful for some mothers to increase milk production. More importantly though eating a diet rich in healthy fats, dark green vegetables, fruits, whole grains, and nuts and seeds is truly the best way to ensure optimal nourishment for a mother’s body.
One of the very few foods that has been studied is moringa or the Malunggay tree. It is a “superfood” grown in Asian countries and can be bought in a powdered form or the leaves can be cooked like spinach leaves.
This is a supplement I’ve used myself and can attest to its milk-boosting powers, with no noticeable side effects.
What Devices Can Be Used To Help a Mother “Experience” Breastfeeding and Promote At-breast Feeding?
An at-breast supplementer is a great way to breastfeed while physically stimulating the mother’s breasts and giving the baby the nutrition needed. Basically, it mimics the flow of milk to the baby through a tube that is inserted into the side or corner of his or her mouth.
It should be placed in such a position that the baby doesn’t notice that it’s there and it is mimicking a true breastfeeding experience through latching and milk transfer. The hope is the baby will think the milk is coming from the mother’s breasts through the baby’s suckling.
Some babies outsmart the system and figure out that by suckling at the end of the tube, the milk comes. On the other end of the tube, a bottle or bag of breastmilk is being used to transfer to the baby.
Over time, a mother may be able to use the supplementer less and less as she makes more milk. If there’s nothing coming from the breasts initially, this is a great way to still encourage the baby to suckle at the breast without losing interest because there’s nothing there.
The two most popular supplementers in the U.S. are:
Both have their advantages and drawbacks and sometimes babies figure out where the milk is coming from. But, overall these systems are definitely worth trying. They can be the bridge that fills the gap between when a mother is not producing to when she is able to produce milk.
How Can You Tell How Much Milk is Being Transferred When Lactation Starts?
Small quantities of milk may be produced at first, but within a month, if a mother is consistently removing milk out of her breasts, it may increase. Mothers can use frequent breast massage and expression to see how much they may be producing.
This breast massaging tool helps massage the breasts while pumping or nursing to encourage milk flow and removal through the milk ducts. A mother can also keep an eye on the baby’s cues, weighted feedings, baby’s weight gain, and adequate diaper output (both pees and poops).
Read more about milk transfer here.
What Are Some Helpful Mindset Techniques For Inducing Lactation?
- Keep an open mind so you are not disappointed. If you’re able to produce milk, great, if not, know you tried and still were able to build a bond with your baby.
- Remember why you want to breastfeed your baby. Just like in many areas of life, we have to have a strong enough “why” in order for us to stick with something.
- Have a list of all the reasons why you want to breastfeed. This will help in the times that you may need some encouragement.
- Positive affirmations can help to make you feel empowered and equipped to mentally and physically handle the experience. Saying things like “I’m a strong mother who produces breast milk for my baby” can really make a difference.
- Enjoy the process, including the relaxation as your hormones start increasing in your body, especially the oxytocin.
- Remember the nourishment that you’re offering your baby. The best source of nutrition for babies is breast milk.
- Breastfeeding helps you bond with your baby and create an attachment that your baby may otherwise feel upset without. Breastfeeding can help your baby transition from their birth mother to you.
- Keep a positive mindset, you CAN do this!
Can a Mother Use Her Own Milk Through Induced Lactation & Formula or Donor Milk To Supplement?
A mother can definitely use her own milk through induced lactation in addition to donor milk, or perhaps expressed milk from the birth mother if it was a surrogate type situation. Milk banks like Human Milk 4 Human Babies and Eats on Feets are two places that a mother can research in her local area to see if any donor milk is available.
Mother-to-mother sharing or community milk sharing is also common, but ensure you’re practicing safe sharing techniques and can verify a mother’s maternal health history. If breast milk isn’t available, then the next best thing is formula according to The World Health Organization’s hierarchy of feeding choices.
Keep in mind, any breast milk is better than no breast milk. I encourage mothers not to get down on themselves if they’re only able to supply a little bit, especially in the initial days of trying to induce lactation without pregnancy.
Be proud of what you can supply and don’t stress yourself out in the process because that will only hurt your production, not help.
Helpful Hints To Induce Lactation Without Pregnancy
- Babywear and co-sleep safely to allow your baby to get used to being close to you.
- If your baby is comfortable with skin to skin, try that first.
- Allow your baby to breastfeed when not super hungry.
- Try offering your breast when your baby is tired.
- Try finger feeding first which can mimic breastfeeding.
- Don’t force or push your baby. He or she may develop an aversion or negative association with breastfeeding.
- Learn proper positioning and latching techniques to ensure optimal milk removal and transfer.
- Understand how pumping works. It is not as efficient as a baby removing milk because oxytocin needs to be released for milk to flow.
- Eliminate the use of a pacifier and offer the breast when the baby wants to suck.
- Try breast compression, hand expression, breast massage, pumping, or a combination to stimulate the breasts.
Example Strategy From Breastfeeding Without Birthing Book
- Bottle feed baby skin to skin
- Breastfeed using a nipple shield and a feeding tube at the breast
- Breastfeed with a feeding tube on bare breast
- Breastfeed without any aids
What Are Some Baby Variables That May Play a Role in Relactation or Inducing Lactation?
As with all breastfeeding experiences, effective latching and milk production are the two key factors in establishing a successful breastfeeding journey. The instincts for breastfeeding diminish over time in a baby.
However, even a 4-year-old can learn to breastfeed. So, it’s important for a mother not to get discouraged even if she is trying to breastfeed a toddler.
Exposing a baby to breastfeeding can be helpful too – find breastfeeding groups locally, show videos of breastfeeding babies, read children’s books, or model it in a role-play situation. According to research, babies who are less than 8 weeks old are more likely to latch on successfully.
If a baby has any prior experience in breastfeeding from birth that will certainly be in a mother’s favor. A baby’s emotional state also plays a role in whether or not they want to breastfeed.
If a baby is coming from a negative place or situation, or was left unattended with a bottle, he or she may not be interested in breastfeeding at first. On the other hand, if a baby had some exposure to breastfeeding or was at least held by a caring person, the baby may be more likely to engage in a breastfeeding relationship.
Responding to your baby’s cues, doing skin-to-skin, and keeping your new baby close to you can help foster a trusting relationship, and therefore encourage breastfeeding.
Inducing lactation without pregnancy can be complicated, but there are many benefits to even just trying to make it happen.
It’s important for mothers to remember that even if their new baby never latches, they’ve still built a bond that they didn’t have before. Their baby now can learn to trust them by responding to their feeding cues and need for physical touch and cuddling.
This is still so valuable to the mother and baby’s new relationship. And whether the mother makes a few drops of milk or a full supply, success shouldn’t be measured on that.
Rather it should be based on the bond created and the fact that the mother breastfed! If the baby suckles at the breast, that means the baby is breastfeeding.
As with any breastfeeding journey, a mother will want to monitor her baby’s weight gain, diaper output (pees and poops), and satisfaction to ensure the baby is getting all the nutrition he or she needs to thrive.
And of course, breastfeeding has to be wanted by the baby and mother for it to be a successful and healthy experience.
Helpful Resources:
Alyssa Schnell – author of Breastfeeding Without Birthing
What are the Effects of Gluten in Breastmilk?
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