1. Start early to induce lactation so that you
have a good supply of milk when the baby arrives. (See Top Ten Tips for Breastfeeding the Adopted
Child and the
Creating a Family radio show.)
2. Switch to a wide nipple with a slow flow
for bottle feeding before offering your breast.
3. Switch from formula to breast milk that you
have pumped or has been donated. If you do not have enough
milk pumped mix your milk with baby formula.
4. Hold the baby in the breast feeding
position when feeding her with a bottle.
5. Gradually switch to nursing the baby with a
nipple shield and lactation aid (tubing). Gradually remove
the nipple shield. As your milk supply increases, you
may be able to stop using the lactation supplementation aid.
6. If child needs extra milk because you are
not able to produce enough breast milk, use a lactation aid rather than bottle, cup, or
7. Especially at the beginning, focus on skin
to skin contact between mother and baby. Undress the baby,
except for diaper, to maximize contact with the mom's
8. Have a board certified lactation specialist
available to work with you when you are first trying to breastfeed.
It is very helpful if this person is knowledgeable about the
specific issues a woman may face if she has not been
pregnant. Check with the International Lactation Consultant Association or the
La Leche League
or for someone near you.
9. Your focus should be on what is in the best
interest of the child. Be sensitive to your
child's need to have something familiar in her life during
the transition period to your home. Some children are very
attached to the bottle and the sudden removal of this source of
comfort is not a good idea. For these children, it is best to
cuddle and maximize skin contact while feeding her with the
bottle. Change should be gradual.
10. Remember, that breastfeeding is more than
just feeding your child. It can be a wonderful way to bond
regardless if you supply all his milk supply needs. If
breastfeeding does not work for you or your child, don't
worry. There are many other great ways to bond.