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Domperidone/Motilium: A Commentary Other factors like stress can inhibit lactation. When inducing lactation, a woman must be able to avoid, (or at least cope with comfortably), stressful lifestyles and situations. When stress is a major factor in a woman's life, she may not be able to letdown for an infant or an adult lover. Poor diet will also suppress lactation: when breast feeding, a woman should avoid any food or stimulant which may inhibit lactation. To produce enough milk to adequately breast feed, a woman must maintain a healthy diet that includes enough water to replace fluids lost through lactation. Keep in mind, the one whom you are breast feeding is taking both nutrition and fluids from your body, and they must be replaced. When you are mentally and emotionally ready to induce lactation, the second step is to establish your stimulation routine. Your stimulation routine should include a consistent schedule of breast, nipple and areola stimulation by suckling, breast and nipple massage, and/or breast pumping. When training your body to breast feed on a preset schedule, it is important to maintain a systematic schedule of stimulation sessions while inducing lactation. By far, suckling is the best stimulation technique for inducing lactation, even before milk appears. If you are inducing lactation in anticipation of breast feeding an adopted child, you should schedule up to eight, 20 minute, stimulation sessions per day to mimic the breast feeding schedule of an infant. If you are inducing lactation to breast feed an adult lover, two or three stimulation sessions per day may be sufficient. A woman may breast feed two or three times each day, and still maintain an adequate supply of milk. Where lactation is concerned, the body will adjust to meet the demand. After stimulation sessions become routine and noticeable changes in the breasts have occurred: it is at this point Domperidone may be useful as a galactagogue. During early stimulation sessions, milk will often come in on it's own; however, in some cases the subconscious will block letdown for no obvious reason. When best efforts to induce lactation result in only clear drops, or no drops at all, the sudden jolt of Prolactin created by Domperidone is usually enough to "jump start" lactation. However, Domperidone works at it's optimum for only about fourteen doses. During this short window of opportunity, a woman should consciously focus on her body's own natural ability to make milk, and not let herself become dependent on Domperidone for milk production. After the fourth or fifth day, it is common for a woman to believe she needs Domperidone to lactate, when in reality her body's own natural ability to make milk has taken over. Although it will likely take longer than 4 or 5 days, a woman should start trying to wean herself from the drug as soon as possible. Domperidone can produce dramatic results by jump starting lactation; however, because it artificially regulates hormone secretion, it can also limit milk production. The female body's natural ability to produce milk has no such limits: natural lactation is limited only by the need.
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