Description

Episode Summary:

In this episode of Behind the Latch, Margaret Salty interviews Alyssa Schnell, IBCLC, author of Breastfeeding Without Birthing. They explore the process of inducing lactation, the challenges faced by non-birthing parents, and how lactation consultants can best support families in these unique situations.

Inducing Lactation: The Process and Challenges

Alyssa shares her personal journey of adopting and successfully breastfeeding her child. She explains the different pathways to inducing lactation and how timing plays a role in milk supply success. Topics include:

• The difference between starting lactation induction before or after adoption matches
• Managing expectations around milk production and supplementation
• The hormonal and mechanical processes involved in bringing in milk

The Evolution of Breastfeeding Without Birthing

Alyssa discusses why she wrote Breastfeeding Without Birthing, the gaps she saw in existing resources, and how her book has helped both parents and professionals navigate lactation induction. She also shares updates on her professional training program for IBCLCs who want to specialize in this area.

Understanding the Three Steps of Inducing Lactation

Alyssa outlines the key components of inducing lactation and how IBCLCs can guide parents through the process:

1. Simulated Pregnancy – Using hormones and other methods to prepare the breast tissue
2. Milk Production Stimulation – Using pumping and supplements to start lactation
3. Breastfeeding and Milk Supply Growth – Managing supplementation and maximizing production once the baby arrives

Medications, Supplements, and Pumping Techniques

Alyssa and Margaret discuss the role of pharmaceuticals and herbal supplements in inducing lactation, as well as the importance of proper pumping techniques:

• The use of progesterone and domperidone vs. Reglan
• Why domperidone is widely used globally but not FDA-approved in the U.S.
• The importance of multi-user pumps and properly fitting flanges for milk production

Supporting Families Using Supplemental Nursing Systems (SNS)

Alyssa shares insights into using a supplemental nursing system (SNS) to optimize milk transfer and sustain breastfeeding relationships. Topics include:

• The learning curve of using an SNS and how to help families through the adjustment period
• Why many families find SNS to be a valuable long-term solution
• The most effective SNS options for different situations

The Role of IBCLCs in Supporting Induced Lactation

Margaret and Alyssa discuss how IBCLCs can stay within their scope while supporting families who want to induce lactation. Key takeaways include:

• When and how to refer to medical providers for prescriptions
• The importance of evidence-based education to help families access safe and effective lactation induction options
• How IBCLCs can work alongside local lactation consultants to provide hands-on support while accessing expert guidance

Expanding Awareness of Induced Lactation

Alyssa emphasizes the need for greater awareness of lactation induction within adoption and surrogacy communities. They discuss:

• Why many parents don’t realize inducing lactation is an option
• How lactation professionals can collaborate with adoption agencies and surrogacy organizations
• The growing demand for resources in the LGBTQ+ and surrogacy communities

Guest Info:

Alyssa Schnell, IBCLC, is an expert in induced lactation and the author of...