Lactation Creation

A Comprehensive Blueprint for

Inducing Lactation or Relactation

Concerns or questions related to my circumstances:

If you find the course isn’t addressing your particular issues, post them on the Lactation Creation facebook group.

Expectations for my degree of milk production:

1. What assets do I have to draw on to make this a success?

2. What challenges to making milk am I likely to face in my individual situation?

3. What solutions can I seek?

The Partner Page

I am committed to support breastfeeding by….

If my help is needed with feeding, I am interested inCo-nursingFinger-feedingBottle-feeding in a way that supports breastfeeding

Some ways I might like to connect with my baby other than feeding are:BabywearingCo-sleepingCo-bathing

Infant massageSkin-to-skinPlay

My Health Care Team

A Group Specific to My Situation

(optional)

(optional)

Our lactation toolbox for

Would I like to prepare my breasts to make milk before my baby arrives? What are the benefits/risks of choosing to include this step for me and my situation?

Would you like to include in your plan?

Our lactation toolbox for

Would you like to include in your plan?

Would I like to start to make milk before my baby is in my arms? What are the benefits/risks of choosing to include this step for me and my situation?

Our lactation toolbox for

(only)

Things to remember:• Doing steps 1. 2, 3 can take a bit of time. If you know

you will have less than about 2.5 months before you are ready for step 3, then you should probably choose steps 1, 3 or steps 2, 3.

• Be sure you plan for at least a month in step 1 if you do not plan to use the meds BCP or progesterone and at least 2 months if you do.

• If step 2 is part of your plan but your baby arrives without any or much lead time, you can just skip this step. Your plan is flexible.

• As you are developing your lactation plan, you only need to complete the workbook pages corresponding to the steps you have chosen.

The start date for is the expected date I will begin feeding baby my milk: __________________.

is when you begin to make milk. This involves expressing your milk (pumping or hand expressing) 8 times per day. If I am doing a , how long do I want to be in this step? _______________ (Six weeks is

long enough to begin bringing in some milk, but not so long that it is overwhelming for most parents.)

By counting backwards the number of weeks/months I am planning in from the date I plan to begin , I can determine when to begin : _______________.

If I am doing a in which I am preparing my breasts for making milk before I am actually trying to make milk, I can start that anytime between now and 1 month (if I am not taking BCP or progesterone) and 2 months (if I am taking BCP or progesterone) before beginning my next step ( or if I am skipping ). If I am doing a I will be ready to begin on ______________________.

Use the calendar on the next page to lay out your schedule.

Planned start date:

Planned start date:

Planned start date:

(optional)

(optional)

Your

My notes;

Your

Things to remember:• Do not choose both BCP and progesterone.• Metformin is only recommended for parents with diabetes, PCOS, or insulin resistance.• Skipping herbs in may make sense if you have chosen to take BCP and

domperidone.• Herbs are not as essential in Step 1. Keep it simple by using no more than two

individual herbs, if you choose to use herbs at all.• Myo-inositol is only recommended for parents with diabetes, PCOS, or insulin

resistance who are not on Metformin.• If you choose to do manual stimulation/pumping in , for convenience you may

wish to begin these physical techniques only during the last month you plan on being in rather than for several months if you will be in this step that long.

• Manual stimulation/pumping needs happen only 1-2 times per day in

Your

BCP –or- Progesterone Domperidone Metformin

Goat’s rue Malunggay/

moringa Shatavari

Low carb -or- Paleo Myo-inositol

Breast massage

Nipple manipulation

Partner suckling

Hand expression

Pump –or- Hands On

Pump

Your

My notes;

Your

Things to remember:• Metformin is only recommended for parents with diabetes, PCOS, or insulin

resistance.• For convenience, you may wish to choose a combination herbal that contains

your herbs.• Myo-inositol is only recommended for parents with diabetes, PCOS, or insulin

resistance who are not on Metformin.• Lactuva Virosa is something you can add in whenever you are not getting the

milk production you desire.• Hand expression may be as or more effective than pumping as milk is starting to

come in. It can also be more convenient than pumping while at work.• Manual stimulation/pumping needs happen only 8 times per day including once

during the night in

Your

Domperidone Metformin

Goat’s rue Malunggay/

moringa Shatavari Fenugreek Blessed thistle Alfalfa

Lactogenic foods

Low carb -or- Paleo Prenatal

vitamins EFAs Myo-inositol Lactuca virosa

Breast massage

Nipple manipulation

Partner suckling

Hand expression

Pump –or- Hands On

Pump

Your

My notes;

Your

Things to remember:• Metformin is only recommended for parents with diabetes, PCOS, or insulin

resistance.• For convenience, you may wish to choose a combination herbal that contains

your herbs.• Myo-inositol is only recommended for parents with diabetes, PCOS, or insulin

resistance who are not on Metformin.• Manual stimulation/pumping can happen in lieu of, after, or between nursing. F

or parents who are feeding at the breast/chest at every feeding, manual stimulation/pumping can help boost milk production if desired.

Your

Domperidone Metformin

Goat’s rue Malunggay/

moringa Shatavari Fenugreek Blessed thistle Alfalfa

Lactogenic foods

Low carb -or- Paleo Prenatal

vitamins EFAs Myo-inositol Lactuca virosa

Breast massage

Nipple manipulation

Partner suckling

Hand expression

Pump –or- Hands On

Pump

Nurse –or- Nurse with at-

breast supplementer

These are only guidelines. Always watch your baby for signs that they are getting enough.

My baby’s age: My baby’s weight:

Typical intake per day for this age/weight: My milk production per day: Supplementation amount per day:

-or-

Typical intake per feeding for this age:My milk production per feeding: Supplementation needs per feeding:

If supplementation needs per day is more than about ¼ of the typical intake per day, then supplement every (daytime) feeding. Otherwise, you may be able to spread out supplementation over just some of the feedings.

1. Is my baby healthy and full-term? __________

2. Is the milk frozen in bags safe for human milk labeled with the date? __________

3. Is the donor giving this milk to her own baby? __________

4. Does the donor seem responsible, reliable, and hygienic? __________

5. Is the donor willing to disclose what medications she is taking and are these medications safe for lactation? (Your IBCLC can help you determine whether certain medications are safe while breastfeeding.) __________

6. Do I trust the donor? __________

If the answers to all of the above questions are yes, then feeding this donor milk to your baby is very likely to be safer and healthier than infant formula.

Before baby arrives, have your supplementation tool(s) ready.

Using an is my 1st / 2nd / 3rd (circle one) choice for supplementation. Preferred brand name or homemade: ______________________________________

Using a is my 1st / 2nd / 3rd (circle one) choice for supplementation. Preferred brand name or homemade: ______________________________________ (This could be the same brand or homemade version you are considering for at-breast supplementation.)

Using is my 1st / 2nd / 3rd (circle one) choice for supplementation. Preferred brand is Dr. Brown’s standard width preemie or level 1 (as of Mar 2017) .