The shared journey of induced lactation: A case study

Background: Induced lactation or adoptive breastfeeding is a little-spoken-of event and can be life-changing for participants. While not common, it is nonetheless within our realm of practice as midwives and, therefore, important that we understand how our role can support whānau who make this choice. Aim: The aim of this case study is to share a narrative of induced lactation and adoptive breastfeeding from the midwifery and whānau perspectives. The multilayers of midwifery care evident in this case study and breastfeeding success will be discussed, with the hope that this can also support midwives who are caring for LGBTQIA+ whānau who are inducing lactation. Method: This is an anonymised, “instrumental” case study that offers a first-person practitioner narrative and reflection of a single case, representative of a phenomenon that most midwifery tauira (see glossary) and early-career midwives may not readily observe first-hand. Discussion: Three important outcomes are noted. First, the intrapersonal and psychosocial factors that are part of the narrative were incorporated in a care plan providing holistic assessment and clinical decisions, acknowledging the gift of breastfeeding that carried a much larger significance than purely a nutritional choice. Second, collegial relationships support an inclusive experience for all involved. Third, re-telling, reflecting on and analysing the various elements in Anna’s story offer an educational example for in-depth learning and understanding. Conclusion: The professional responsibility of the midwife was a part of the process, and integral to Anna’s positive experience of induced lactation.