photo of Lenore Goldfarb
The Newman-Goldfarb Protocols for Induced Lactation, a guide for maximizing breast milk production
The Newman-Goldfarb protocols were developed from information published in Dr. Newman's book "Dr. Jack Newman's Guide to Breastfeeding"
(Harper-Collins, 2000). In the US the title is "The Ultimate Breastfeeding Book of Answers" by Dr. Jack Newman (Prima Publishing, 2000).

BREASTFEEDING BASICS

BREASTFEEDING AND HEALTH

ADOPTIVE BREASTFEEDING

NEWMAN-GOLDFARB PROTOCOLS FOR INDUCED LACTATION

Introduction to Induced Lactation

Introduction to the Protocols

Origin of the Protocols

Regular Protocol

Accelerated Protocol

Menopause Protocol

Which Protocol is Right For You?

Decision Tool (pdf)

-No "Significant" Breast Changes?

Medical Conditions and the Protocols

Medications and Herbs

Breastfeeding Your Adopted Baby

Frequently Asked Questions

Additional Information

 

WHEN YOUR CHILD
NEEDS EXTRA CARE

ISSUES AND CONCERNS

BREASTFEEDING MYTHS

INTERESTING QUOTES

ADDITIONAL RESOURCES

CHINESE ARTICLES

What to Do If the Mother Does Not Experience "Significant" Breast Changes

Significant breast changes include:

These symptoms are indications of adequate growth of the milk making apparatus of the breasts. If the mother does not experience significant breast changes within 15 days of beginning either of the protocols, she may want to consider increasing her progesterone intake.

There are three reliable ways to do this.

  1. Replace her current birth control pill with Yasmin. This medication has three times the amount of progesterone that is in the "1/35" type birth control pills.
  2. Replace her current birth control pill with Microgestin. This medication has a third more progesterone than is in the "1/35" type birth control pills.
  3. Continue on the current "1/35" birth control pill and add at least 1 mg of progesterone another way such as by adding 1/2 a pill of Provera 2.5.

Adding progesterone usually solves the problem but option 1 works better than option 2 because of the nature of the progesterone contained in the Yasmin or Microgestin.

A word of caution about creams...they do not provide the needed level of progesterone in a reliable manner. An oral form of progesterone is consequently a better choice.

Each element of the protocol serves a specific function. Consequently, it is very important to follow the protocols as written. If any of the ingredients for success are left out, the mother is likely to produce less breastmilk.


backnext


printerprint this page   •   print the Newman-Goldfarb protocols

Newman-Goldfarb Protocols. © Jack Newman, MD FRCPC and Lenore Goldfarb, B.Comm, B.Sc, IBCLC. November 2002. All rights reserved.


If you value this service, kindly consider a donation to the Canadian Breastfeeding Foundation (registered charity) and earmark the donation for the Newman Breastfeeding Clinic and Institute and/or the Goldfarb Breastfeeding Program.

You can donate through their website, canadianbreastfeedingfoundation.org, or by mail to Canadian Breastfeeding Foundation, 5764 Monkland Ave, Suite 424, Montreal, Quebec, Canada, H4A 1E9.


Disclaimer: All material provided in asklenore.info is provided for educational purposes only. Consult your physician regarding the advisability of any opinions or recommendations with respect to your individual situation.

top