A Pilot Study on the Protein Composition of Induced Nonpuerperal Human Milk

Perrin, Maryanne T.; Wilson, Erica G.; Chetwynd, Ellen; Fogleman, April

doi:10.1177/0890334414552827

Cited by 10 publications

(7 citation statements)

References 41 publications

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“…Few researchers have reported about milk composition comparisons between non-puerperal and puerperal human milk. Researchers have reported similar protein levels and described non-puerperal milk as an adequate source of proteins and bioactive proteins providing immunological benefits to the infant (Perrin et al, 2015). A call for more HCP education and a shift in public attitudes is needed.…”

Section: Discussionmentioning

confidence: 99%

Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study

Lopez-Bassols

Duke²,

Subramaniam

2021

J Hum Lact

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Introduction A woman was able to relactate 7 years after breastfeeding her children. She donated her expressed milk to her friends, a same-sex male couple, who had a child through surrogacy in the United States. She lived in London and shipped her milk to Hong Kong, where they lived. The infant thrived on the donated expressed milk received during the first 3 months of his life. Main issue This case is unusual because the woman was not breastfeeding at the time, which would have made expressing easier, and she was not adopting. She consulted a National Childbirth Trust Breastfeeding Counsellor and an International Board Certified Lactation Consultant® who helped her explore non-puerperal relactation protocols. Management Her plan started 6 months before the birth and included the use of domperidone, frequent expressing by hand and with a hospital-grade pump. A breastfeeding specialist physician made suggestions on the dosage of domperidone. She donated a total of 35.06 L. She had the full support of her partner and family. Conclusion Non-puerperal induced lactation and relactation offer ways to make human milk accessible to all infants, particularly those from LGBTQ+ families in which no parent is lactating, as was the case with the same-sex male couple participating in this study. It is essential to disseminate the knowledge and skills needed to support non-puerperal induced lactation and relactation among all healthcare professionals involved.

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Section: Discussionmentioning

confidence: 99%

Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study

Lopez-Bassols

Duke²,

Subramaniam

2021

J Hum Lact

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“…Our patient and her new family reported a very positive experience. Moreover, a recent study comparing the components of human milk obtained through nonpuerperal induced lactation to mature human milk reported similar levels of total protein and immune-active proteins (Perrin, Wilson, Chetwynd, & Fogleman, 2015), indicating that in addition to enriching mother-infant bonding, induced lactation has both nutritional and health benefits for the infant.…”

Section: Discussionmentioning

confidence: 99%

Induced Lactation in a Mother Through Surrogacy With Complete Androgen Insensitivity Syndrome (CAIS)

2020

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Introduction: Breastfeeding offers the optimal feeding option for newborns in terms of nutritional content and reinforces mother-infant bonding. As a physiological process intrinsically linked to parturition, breastfeeding is no longer reserved for puerperal mothers. Progress in understanding the intricacies of lactogenesis and breastfeeding has further paved the way for artificially induced lactation in recent years. Main issues: We describe the case of a mother through surrogacy with XY karyotype and complete androgen insensitivity syndrome who wished to breastfeed her child. Management: Through a combination of estrogen therapy, galactagogues, and mechanical breast stimulation she was able to partially breastfeed her child for one month. Conclusion: This case further shifts the concept that breastfeeding is a physiological process confined to only puerperal mothers and offers an opportunity to a wider group of nontraditional mothers to take part in the unique experience of breastfeeding.

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“…For women who lactate beyond a year, research demonstrates that milk has a significantly higher content of fat and energy value compared to mature milk from mothers who gave birth preterm or at full term. The protein content in milk obtained from mothers who breastfed beyond a year did not differ compared to protein levels in full term milk [ 5 , 6 , 7 ]. Human milk beyond one year postpartum also provides immunomodulatory components or antioxidant properties [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Tandem Breastfeeding: A Descriptive Analysis of the Nutritional Value of Milk When Feeding a Younger and Older Child

et al. 2021

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Breastfeeding is a gold standard of feeding of newborns and infants. Tandem breastfeeding (TBF) is feeding two children of different ages at the same time. The knowledge about the composition of human milk in prolonged lactation is still scarce. Milk from tandem breastfeeding women and after weaning was examined. Milk samples were collected from 13 TBF mothers. A 24-h milk collection was done. Analyses of fat, protein, carbohydrate and energy content were performed using MIRIS. Sociodemographic characteristics of TBF mothers was done. Higher fat content, energy value and total protein concentration was found in TBFM milk during tandem breastfeeding, than in milk after weaning the older child. The carbohydrate content remained stable. The composition of breastmilk, in terms of macronutrients, changes after weaning, taking into account the nutritional requirements of the younger child. The milk of nursing mothers in tandem did not show diurnal variability in individual components. These findings suggest an adaptive role of human milk to nutrient requirements of newborn and older children. The results may support the promotion of long breastfeeding, including tandem breastfeeding.

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A Pilot Study on the Protein Composition of Induced Nonpuerperal Human Milk

Abstract: This pilot study suggests that nonpuerperal milk has similar or higher levels of total protein, sIgA, lactoferrin, and lysozyme compared to puerperal, mature milk at 11 months postpartum, which warrants more attention as adoptive mothers increasingly choose to induce lactation.

Cited by 10 publications

References 41 publications

Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study

Three Continents, Two Fathers, One Donor: A Non-Puerperal Relactation Case Study

Induced Lactation in a Mother Through Surrogacy With Complete Androgen Insensitivity Syndrome (CAIS)

Tandem Breastfeeding: A Descriptive Analysis of the Nutritional Value of Milk When Feeding a Younger and Older Child

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