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Breastfeeding

The Protocols for Induced Lactation — A Guide for Maximising Breastmilk Production
By Jack Newman, MD, FRCPC and Lenore Goldfarb, PhD, CCC, IBCLC, ALC

Based on the original Induced Lactation Protocol conceived and published by Jack Newman MD

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).

Pumping Instructions to Accompany the Protocols for Induced Lactation

We suggest a "baby honeymoon" for the first 48 hours of pumping. Pump every 2 hours by day and every 3 hours by night. Then over the next two weeks, start pumping as follows as often as you can.

8 - 12 times per day:

It is suggested that the mother pump every three hours.

Note: Stopping the birth control pill while maintaining the domperidone and then pumping should cause a rapid decrease in the mother’s serum progesterone level while causing an increase in the mother’s serum prolactin level. This process attempts to mimic what happens after a normal pregnancy and birth. This should cause the mother’s milk supply to come in.

Assisting the Milk Ejection Reflex (Let-Down)

  1. Breast Massage
    Do as you would for a breast cancer examination. Rotate the flats of your fingertips with gentle but firm pressure in concentric circles starting from the largest portion of the breast and working all around the breast towards the nipple. This will help to empty the alveoli (grapes) into the ducts (branches) and help to drain the breast.
  2. Light Tickle
    Using the nail side of the fingertips, very gently rake your fingertips from the top of the breast towards the nipple. This helps to move the breastmilk towards the collecting ducts located just behind the nipple and under the areola (colored tissue surrounding the nipple).
  3. Jiggle
    Lean over and give your breasts a light jiggle. This uses gravity to help move the breastmilk throughout the breast towards the collecting ducts and the nipple.

The entire procedure should take approximately 15 minutes.



Newman-Goldfarb Protocols for Induced Lactation © 2002-2010
Jack Newman, MD, FRCPC and Lenore Goldfarb, PhD, CCC, IBCLC, ALC

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

Donate online: canadahelps.org

Donate by mail: Canadian Breastfeeding Foundation, 5890 Monkland Ave, Suite 16, Montreal, Quebec, Canada H4A 1G2.


© 2002-2017 Dr. Lenore Goldfarb, PhD, CCC, IBCLC, ALC and contributing authors to AskLenore.info. All rights reserved.


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.

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