Abstract

Induced lactation is a process of producing breast milk in non-puerperal women. There are various reasons for adoptive mothers to breastfeed their adopted child through induced lactation method. For Muslim communities, the main motivating factor for an adoptive mother to breastfeed their adopted child is to establish a mahram relationship. The mahram relationship allows the adopted child to interact with other family members as if they are biologically related. The mahram relationship is achieved when adoptive mothers give breastmilk to the adopted child aged less than two years old for at least five satisfying feedings. In this paper we report the journey of two women who went through the induced lactation process in order to achieve mahram relationship with their adopted infant. In both cases, the mothers were finally able to produce milk, feed their adopted infant and reach mahram relationship.
 Bangladesh Journal of Medical Science Vol.20(4) 2021 p.918-922

Highlights

  • A non-puerperal woman who are not undergoing the process of pregnancy and delivery may induce lactation and breastfeed a child

  • The relationship subsequently leads to legal prohibition of marriage among them and the adopted child having the same status as a biological child in regards of e.g. aurah, which addresses the body parts that must be covered with clothing while in the presence of family and non-family members and describes appropriate touch and interaction.[3]

  • Case 2 Domperidone started at follow up week 5 Duration on domperidone:[10] weeks through the induced lactation process in order to achieve the mahram relationship with their adopted child allowing the family members to interact with the child as though as the child is biologically related. 3, 4

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Summary

Introduction

A non-puerperal woman who are not undergoing the process of pregnancy and delivery may induce lactation and breastfeed a child. Induced lactation case report:The journey to attain mahram relationship (combined oral contraceptive pills) were prescribed for 21 days She was advised to practice skin-toskin contact with her adopted infant and using supplemental nursing system (SNS) for feeding method. She was married for 11 years with no children and had history of abortion for two times in 2008 She adopted a 20day old baby girl who she wanted to establish the mahram relationship through breastfeeding. She already fed her infant twice with 45 mL in each feeding session after seventh weeks of follow up She defaulted the follow up due to her busy working schedule, but managed to continue milk stimulation regularly, taking domperidone tablet 20mg twice daily and adhered to all the instruction and advice given.

Discussion
Conclusion
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