Re: First time adoptive mom, interested in breastfeeding
Welcome to the forum and congratulations on the baby to come! I hope everything goes as hoped and planned.
I haven't personally breastfed an adopted baby, but I know people who have. One was already breastfeeding her slightly older biological child, and she had little trouble putting her adopted newborn to the breast and producing sufficient milk for both kids. The other mom had never breastfed or even been pregnant. She used a supplemental nursing system to help her breastfeed her newborn, and after several weeks of supplementing at the breast was able to produce some milk. Not enough to fully feed her child, but some. Around that time, her baby learned to spit out the breast and drink from the SNS tube, at which point she decided she had had enough. She had to accept that her breastfeeding journey was not going to be what she had envisioned, and had to redefine what breastfeeding success meant to her.
Honestly, it seems that you have a lot of factors working against you. Breast reduction can damage your ability to produce milk, even after full healing and restored sensation. PCOS can impact your ability to produce milk- about 30% of women with PCOS have low supply (the other 2/3 have normal or overabundant supply). And birth control pills can impact your milk supply. And it sounds like you've never been pregnant- so that may work against you, too, because pregnancy generally causes breast growth and prepares the breast to lactate.
So that's all the bad news. How about the good news? It sounds like you have a realistic assessment of your situation- you want to produce milk, but bonding with your baby is your first priority. I think you will have no trouble bonding with your baby, even if you decide to do bottles of formula from day one. And if you nurse, there's a good chance you'll get some milk. I think that realistically, you're unlikely to achieve a full supply. But you will probably get SOME milk, and that will be awesome!
When it comes to medications, I think the protocol is basically this:
1. Combination estrogen-progestin pills- taking them basically tricks your body into thinking "I'm a little bit pregnant"
2. Oxytocin nasal spray to assist letdown
3. Reglan or Domperidone to elevate Prolactin levels (Prolactin is the hormone that governs milk production)
The best way to bring milk in, in addition to the drugs mentioned above, is to pump frequently using a high-quality pump (think hospital-grade rental). You'd want to pump frequently- say 8-10 times a day for 20 minutes at a time. The 2 problems with pumping are, first, that it can mean a huge investment in time and energy, and second, that if you're successful in inducing lactation but not successful in adopting the baby, you can end up with a lot of emotional fallout.
See http://kellymom.com/bf/got-milk/adoptivebf/ for more! Also, check out bfar.org for information on nursing post-reduction.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"