Breastfeeding Without Birthing with Alyssa Schnell, IBCLC

Episode Summary:In this episode of Behind the Latch, Margaret Salty interviews Alyssa Schnell, IBCLC, author of Breastfeeding Without Birthing. They explore the process of inducing lactation, the challenges faced by non-birthing parents, and how lactation consultants can best support families in these unique situations.Inducing Lactation: The Process and ChallengesAlyssa shares her personal journey of adopting and successfully breastfeeding her child. She explains the different pathways to inducing lactation and how timing plays a role in milk supply success. Topics include:The difference between starting lactation induction before or after adoption matchesManaging expectations around milk production and supplementationThe hormonal and mechanical processes involved in bringing in milkThe Evolution of Breastfeeding Without BirthingAlyssa discusses why she wrote Breastfeeding Without Birthing, the gaps she saw in existing resources, and how her book has helped both parents and professionals navigate lactation induction. She also shares updates on her professional training program for IBCLCs who want to specialize in this area.Understanding the Three Steps of Inducing LactationAlyssa outlines the key components of inducing lactation and how IBCLCs can guide parents through the process:Simulated Pregnancy – Using hormones and other methods to prepare the breast tissueMilk Production Stimulation – Using pumping and supplements to start lactationBreastfeeding and Milk Supply Growth – Managing supplementation and maximizing production once the baby arrivesMedications, Supplements, and Pumping TechniquesAlyssa and Margaret discuss the role of pharmaceuticals and herbal supplements in inducing lactation, as well as the importance of proper pumping techniques:The use of progesterone and domperidone vs. ReglanWhy domperidone is widely used globally but not FDA-approved in the U.S.The importance of multi-user pumps and properly fitting flanges for milk productionSupporting Families Using Supplemental Nursing Systems (SNS)Alyssa shares insights into using a supplemental nursing system (SNS) to optimize milk transfer and sustain breastfeeding relationships. Topics include:The learning curve of using an SNS and how to help families through the adjustment periodWhy many families find SNS to be a valuable long-term solutionThe most effective SNS options for different situationsThe Role of IBCLCs in Supporting Induced LactationMargaret and Alyssa discuss how IBCLCs can stay within their scope while supporting families who want to induce lactation. Key takeaways include:When and how to refer to medical providers for prescriptionsThe importance of evidence-based education to help families access safe and effective lactation induction optionsHow IBCLCs can work alongside local lactation consultants to provide hands-on support while accessing expert guidanceExpanding Awareness of Induced LactationAlyssa emphasizes the need for greater awareness of lactation induction within adoption and surrogacy communities. They discuss:Why many parents don’t realize inducing lactation is an optionHow lactation professionals can collaborate with adoption agencies and surrogacy organizationsThe growing demand for resources in the LGBTQ+ and surrogacy communitiesGuest Info:Alyssa Schnell, IBCLC, is an expert in induced lactation and the author of...

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