Milk Farm: Lesbians, Lactation & Luxury

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Supporting same-sex mothers in the Nordic child health field: A systematic literature review and meta-synthesis of the most gender equal countries. During this phase, consistent hand expression and pumping are begun, and should be gradually increased to 5–10 minutes 6–8 times per day. She is the director of the Penn Clinical Ethics Mediation Program and co-director of the Bioethics, Sexuality, and Gender Identity Project. Children raised by LGBTQ+ parents are well adjusted and healthy, and in such families children thrive. Appendix A1 offers a sample colactation plan that can be adapted for individual parents and may be created and shared with providers before birth.

Gender-affirming surgery: Surgeries specific to transgender people include feminizing and masculinizing procedures that align secondary sexual characteristics with a person's gender identity. For transgender people who want to preserve their fertility and/or breast/chestfeeding capability, deciding when to start gender-affirming treatment can be difficult.

If a child is being put to breast/chest during the expression phase, without or before a full supply is created, a supplemental feeding tube at the breast/chest may be used to encourage the child to stay latched. Having gender-neutral bathrooms (or single-user) mitigates these concerns and is an important aspect of respectful care. Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA. The parent's breasts/chest should be examined for herpes, and the parent should be counseled about not expressing or feeding during a herpes outbreak on the nipple(s), areola, or skin that would come into contact with the flanges of the pump or hangs if hand expressing.

If you nurse on demand, not supplementing with any formula at all…and continue to exclusively nurse until your milk supply is established (about 4 months before it’s established). When you're raised in a way that shields you from anything that's different, it really alters your ability to think outside of the small little box that's your world. So far, we have donated milk for six infants, and Melissa has also donated to a milk bank, so who knows how many more babies. Despite this, people who are transgender and/or whose sexual orientation is not heterosexual frequently experience misunderstanding and stigma, including in medical interactions.

The AAP includes in its breastfeeding recommendations: “Provide counsel to adoptive mothers who decide to breastfeed through induced lactation, a process requiring professional support and encouragement” [7]. In the United States, the typical context for inducting lactation in a nongestating mother pertains to an adoptive mother who wants to breastfeed an adopted infant [1-3]. These laboratories are routinely recommended in prenatal care and, as such, serve to guide both pregnancy and lactation management.