This case report describes the experiences of an gravida 3 para 0 adoptive mother who initiated the use of bilateral pumping, metoclopramide, syntocinon nasal spray, and a supplemental nursing system to induce lactation. Lactogenesis was initiated within 10 days of the adoption. No measurable milk was pumped until the baby was 4 months old at which time the mother began pumping 4 ounces per breast within 1 week. The mother stopped pumping, taking metoclopramide (Regian) and syntocinon, and using the supplementer system at this time. She continued to breastfeed without the use of bottles throughout the fourth and fifth months with the baby maintaining adequate weight gain.
