title: Lactation Induction in a Commissioned Mother by Surrogacy: Effects on Prolactin Levels, Milk Secretion and Mother Satisfaction.
abstract: Case report of a 39-year-old intended mother of a surrogate pregnancy who underwent induction of lactation by sequential exposure to galactagogue drugs (metoclopramide and domperidone), nipple mechanical stimulation with an electric pump, and suction by the newborn. The study aimed to analyze the effect of each step of the protocol on serum prolactin levels, milk secretion and mother satisfaction, in the set of surrogacy. Serum prolactin levels and milk production had no significant changes. Nevertheless, the mother was able to breastfeed for four weeks, and expressed great satisfaction with the experience. As a conclusion, within the context of a surrogate pregnancy, breastfeeding seems to bring emotional benefits not necessarily related to an increase in milk production.
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitário de Brasília, Brazil.
authors.forename: Emilie
authors.initials: E
authors.lastname: Zingler
authors.affiliation: Department of Pharmaceutical Sciences, Campus Darcy Ribeiro, Universidade de Brasilia, DF, Brazil.
authors.forename: Angélica Amorim
authors.initials: AA
authors.lastname: Amato
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitário de Brasília, Brazil.
authors.forename: Alysson
authors.initials: A
authors.lastname: Zanatta
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitário de Brasília, Brazil.
authors.forename: Maria de Fátima Brito
authors.initials: MF
authors.lastname: Vogt
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitário de Brasília, Brazil.
authors.forename: Miriam da Silva
authors.initials: MD
authors.lastname: Wanderley
authors.affiliation: Department of Woman's Health, Universidade Cidade de Sção Paulo, Universida de São Paulo, São Paulo, Brazil.
authors.forename: Coríntio
authors.initials: C
authors.lastname: Mariani Neto
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Universitário de Brasília, Brazil.
authors.forename: Alberto Moreno
authors.initials: AM
authors.lastname: Zaconeta
mesh_terms: D000328:Adult; D001942:Breast Feeding; D004294:Domperidone / Q000494:pharmacology*; D005260:Female; D006801:Humans; D007774:Lactation / Q000187:drug effects*; D008787:Metoclopramide / Q000494:pharmacology*; D010549:Personal Satisfaction; D011388:Prolactin / Q000097:blood* / Q000187:drug effects*; D013533:Gestational Carriers
chemical_list: D004294:Domperidone; D011388:Prolactin; D008787:Metoclopramide