A scientific article from Parc Taulí reveals a great general ignorance about the possibility of breastfeeding by mothers who have not given birth
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Many mothers by adoption, as partners of another woman, or by pregnancy by substitution or surrogacy, are unaware of this possibility and miss the opportunity to enjoy the benefits of breastfeeding.
The article, published in the journal Nursing, Pediatrics, Obstetrics and Gynecology, Journal of Human Lactation, reveals a great deal of ignorance, on the part of the healthcare professionals themselves, about the fact that mothers who have not given birth also have the possibility of breastfeeding their children. An ignorance that leads, as a consequence, that many mothers by adoption, as partners of another woman, or by pregnancy by substitution or subrogation, are not informed of this possibility and lose the opportunity to do so.
The publication is signed by two midwives from Parc Taulí, Gemma Cazorla - first signer - and Noemí Obregón, in collaboration with Paola Galbany, researcher at the University of Vic and current president of the Official College of Nurses. of Barcelona (COIB), and Josefina Goberna, also a midwife and professor at the University of Barcelona. This publication is part of the results of the first author's doctoral thesis on induction of breastfeeding.
Induced breastfeeding and relactation are two different processes that allow breastfeeding in mothers who do not conceive:
Induction is a possibility available to women who want to breastfeed for the first time, and is a slow process that requires a few months of anticipation. It consists of a combination of hormonal treatment - estrogen and progesterone without interruption - and breast stimulation, with or without drugs to increase milk production, and it is recommended to start five months before the birth of the baby so that it is 'n can benefit from the first day of life.
Gemma Cazorla points out that the success of induction is very relative, and it should be borne in mind that, in most cases, what is sought is not so much to do exclusive breastfeeding, but to be able to breastfeed even if it is combining breastfeeding with formula milk or, in the case of couples of two women, shared with the pregnant woman.
On the other hand, breastfeeding is the process offered to women who have previously breastfed another child, pregnant or not by her. It could be the case of a woman who already has a child to whom she has breastfed and who is now the mother of another child, now by adoption, and with whom she also wants to enjoy the benefits of breastfeeding. This process is usually shorter than that of induction of breastfeeding and is generally less medicalized.
There is no state registration of women who have undergone a process of induction or breastfeeding.
The methodology of this qualitative study consisted of a series of in-depth interviews with women from different parts of Spain - pregnant by surrogacy, by adoption or as couples of two women - who had gone through a process of induction of breastfeeding or relaxation. The sample was obtained thanks to contact with breastfeeding groups and breastfeeding counselors, as there is no national registration of women who have gone through this experience.
In conclusion, Cazorla points to new challenges, arising from the lack of information from health professionals, the lack of support from family and friends or the solution to the problems and doubts that arise with the breasts and with the amount of milk produced, among others. According to the researchers, "the experience of women who have gone through a process of induction of breastfeeding or breastfeeding can help us make better advice and create guides that can help us in daily practice."
A subsequent review, published in the Journal of Human Lactation itself, reviews the different methods used to induce breastfeeding over the past 40 years, as well as factors related to effective breastfeeding and breast milk production. .
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