Non-gestational mothers often induce lactation, including after adoption or surrogacy and also lesbian parents.
In the UK, the NHS does not offer the induced lactation protocol, but staff are familiar with it and able to give support to women who are receiving the protocol privately.
We planned that I would go through the protocol as a back up but would pump rather than feed, so our baby would have the benefit of her gestational mother’s superior milk, but with my milk available once my wife went back to work which she had to do at 5 months.
In the event, my wife was unable to breastfeed and after two weeks working unsuccessfully with multiple lactation consultants her milk dried up completely, so I had to take over much earlier than planned.
I’m glad we did it and on balance, after reading all the research, I think our daughter benefited from having induced breast milk from me rather than formula only.
However, I found that the breast feeding world generally was much too casual about the process. There is some evidence about the quality of milk from induced lactation (in women) and the risks to babies from the medication, but it was hard to make a scientific judgement about the overall benefit of induced, medicated milk over formula. Some HCPs also understated the risks of a protocol which is demanding and sometimes dangerous to the woman using it.
Overall I found both the NHS and private professionals I spoke to (doctors, midwives, psychologists) placed a very high value on the bonding with me of breast feeding and quite low value on the relative nutritional benefits and risks to baby of induced milk. They mostly thought it odd that I didn’t plan to breast feed until my wife had stopped, and assumed our baby would benefit roughly the same from either mother’s milk, at least after the end of my wife’s colostrum.
For me, the current level of knowledge suggests that induced lactation should only be considered as a back up when natural lactation is not possible. I would like proper research to be done comparing induced to non-induced milk at every stage for at least the first year, both quality and quantity, so that women who are considering induced lactation have all the information to make good decisions.
Proponents of male breast-feeding seem to me to start from a misunderstanding about what we know about induced lactation in women. I suspect many HCPs want to be supportive of non-gestational mothers and so overstate the evidence out of love, but at root is an institutional carelessness towards babies’ and women’s health which women should not accept even when it is dressed up as inclusion of adoptive and lesbian mothers.