{"id":9526,"date":"2018-02-17T04:48:31","date_gmt":"2018-02-17T04:48:31","guid":{"rendered":"http:\/\/pahichan.com\/?p=9526"},"modified":"2018-02-17T04:48:31","modified_gmt":"2018-02-17T04:48:31","slug":"transgender-woman-breast-feeds-baby-after-hospital-induces-lactation","status":"publish","type":"post","link":"https:\/\/pahichan.com\/en\/transgender-woman-breast-feeds-baby-after-hospital-induces-lactation\/","title":{"rendered":"Transgender Woman Breast-Feeds Baby After Hospital Induces Lactation"},"content":{"rendered":"<div class=\"story-body-supplemental\">\n<div class=\"story-body story-body-1\">\n<p class=\"story-body-text story-content\" data-para-count=\"264\" data-total-count=\"264\">Kathmandu (Pahichan) February 17 &#8211; When a transgender woman told doctors at a hospital in New York that she wanted to breast-feed her pregnant partner\u2019s baby, they put her on a regimen of drugs that included an anti-nausea medication licensed in Britain and Canada but banned in the United States.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"257\" data-total-count=\"521\">Within a month, according to the journal\u00a0<a href=\"http:\/\/online.liebertpub.com\/doi\/10.1089\/trgh.2017.0044\">Transgender Health<\/a>, the woman, 30, who was born male, was producing droplets of milk. Within three months \u2014 two weeks before the baby\u2019s due date \u2014 she had increased her production to eight ounces of milk a day.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"181\" data-total-count=\"702\">In the end, the study showed, \u201cshe was able to achieve sufficient breast milk volume to be the sole source of nourishment for her child for six weeks,\u201d according to the journal.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"299\" data-total-count=\"1001\">Dr. Tamar Reisman and Zil Goldstein, a nurse practitioner, of the\u00a0<a href=\"http:\/\/www.mountsinai.org\/patient-care\/service-areas\/center-for-transgender-medicine-and-surgery\">Mount Sinai Center for Transgender Medicine and Surgery<\/a>\u00a0in New York, say the case illustrates that, in some circumstances, modest but functional lactation can be induced in transgender women who did not give birth or undergo surgery.<\/p>\n<p id=\"story-continues-1\" class=\"story-body-text story-content\" data-para-count=\"303\" data-total-count=\"1304\">\u201cWe believe that this is the first formal report in the medical literature of induced lactation in a transgender woman,\u201d said the study\u2019s authors,\u00a0<a href=\"http:\/\/www.mountsinai.org\/profiles\/tamar-reisman\">Dr. Reisman<\/a>\u00a0and\u00a0<a href=\"http:\/\/www.mountsinai.org\/patient-care\/service-areas\/center-for-transgender-medicine-and-surgery\/our-team\">Ms. Goldstein<\/a>, a transgender activist and program director at the center. They were not immediately available for comment on Thursday.<\/p>\n<\/div>\n<\/div>\n<div class=\"story-body-supplemental\">\n<div class=\"story-body story-body-2\">\n<p id=\"story-continues-3\" class=\"story-body-text story-content\" data-para-count=\"445\" data-total-count=\"1749\">Some hailed the case study, published in January, as a \u201cbreakthrough\u201d for transgender families; others called it \u201cdangerous\u201d and \u201cdisturbing.\u201d But if confirmed in wider studies, the regimen could represent a next major stage in transgender parenthood. Transgender men like\u00a0<a href=\"http:\/\/www.nytimes.com\/2008\/06\/22\/fashion\/22pregnant.html\">Thomas Beatie<\/a>,\u00a0<a href=\"https:\/\/edition.cnn.com\/2017\/07\/31\/health\/trans-man-pregnancy-dad-trnd\/index.html\">Trystan Reese\u00a0<\/a>and\u00a0<a href=\"http:\/\/www.bbc.co.uk\/news\/av\/uk-42441695\/kaci-sullivan-i-gave-birth-as-both-genders\">Kaci Sullivan<\/a>\u00a0have made headlines by giving birth. But breast-feeding for transgender women had not been officially documented.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"483\" data-total-count=\"2232\">Breast milk is considered the best form of nutrition for infants.\u00a0<a href=\"https:\/\/well.blogs.nytimes.com\/2016\/08\/04\/breast-fed-babies-may-have-longer-telomeres-tied-to-longevity\/\">Breast-fed babies<\/a>\u00a0have healthier immune systems, score higher on I.Q. tests and may be less prone to obesity than other babies. Advocacy campaigns have noted that the practice facilitates mother-child bonding, and saves families from spending money on infant formula. The World Health Organization, in setting new international bench marks for children\u2019s growth, has said that\u00a0<a href=\"http:\/\/query.nytimes.com\/gst\/fullpage.html?res=9802E1DC1331F930A25755C0A9609C8B63\">breast-feeding is the biological norm.<\/a><\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"204\" data-total-count=\"2436\">But in the case published in Transgender Health, it is not known whether breast milk from this kind of induced lactation is equivalent to milk produced after giving birth by women who are not transgender.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"210\" data-total-count=\"2646\">Dr. Joshua D. Safer, medical director of transgender medicine and surgery at Boston Medical Center, called the study \u201ca very big deal\u201d and said he expected it to become very popular among transgender women.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"261\" data-total-count=\"2907\">\u201cIt\u2019s out there on internet forums, but there\u2019s a lot on the internet that\u2019s true or untrue to varying degrees,\u201d he said\u00a0<a href=\"https:\/\/www.newscientist.com\/article\/2161151-transgender-woman-is-first-to-be-able-to-breastfeed-her-baby\/\">in an interview<\/a>\u00a0with the weekly magazine New Scientist. \u201cIt\u2019s a very big deal to have this recorded in a reliable document.\u201d<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"83\" data-total-count=\"2990\">Others were skeptical about the study and what it could mean for transgender women.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"290\" data-total-count=\"3280\">\u201cWe all want to have the same experiences as women,\u201d Maria Clifford, 38, a British transgender mother who has been using a surrogate to breast-feed her child, said on Thursday. \u201cWe need further testing and evidence to show that these drugs aren\u2019t going to cause harm to the baby.\u201d<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"156\" data-total-count=\"3436\">\u201cBreast milk is the most important product for the development of a child,\u201d Ms. Clifford added. \u201cWe need to make sure it\u2019s pure and hormone free.\u201d<\/p>\n<div id=\"newsletter-promo\" class=\"newsletter-signup auto-newsletter variant-1-hidden\" data-newsletter-productcode=\"\" data-newsletter-producttitle=\"\" aria-labeledby=\"newsletter-promo-heading\">\n<h3 class=\"headline\"><\/h3>\n<p class=\"summary\">Get the best of Well, with the latest on health, fitness and nutrition, delivered to your inbox every week.<\/p>\n<\/div>\n<p class=\"story-body-text story-content\" data-para-count=\"378\" data-total-count=\"3814\">The transgender woman in the experiment \u2014 she, her partner and their hometowns were not identified \u2014 approached the medical professionals for hormonal medications in 2011 as part of transgender treatment. She had been receiving it for several years before she began breast-feeding, according to the study. She had not had gender-reassignment surgery nor breast augmentation.<\/p>\n<p id=\"story-continues-4\" class=\"story-body-text story-content\" data-para-count=\"150\" data-total-count=\"3964\">She took on the responsibility of breast-feeding because her partner, who was five months pregnant when they approached the hospital, did not want to.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"341\" data-total-count=\"4305\">As part of the lactation treatment, the woman stimulated her chest using a breast pump. The study\u2019s authors prescribed progesterone and estradiol, hormones that can influence lactation and that normally occur in pregnant women. They discussed with the couple using domperidone, an anti-nausea drug known to increase breast milk production.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"320\" data-total-count=\"4625\">The couple obtained it on their own in Canada, and Ms. Goldstein and Dr. Reisman advised them on the dosage. Though used in many countries,\u00a0<a href=\"https:\/\/www.nice.org.uk\/advice\/esuom18\/ifp\/chapter\/About-domperidone\">including in Britain<\/a>, domperidone has been banned in the United States because of Food and Drug Administration concerns about its associations with cardiac arrest and sudden death.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"185\" data-total-count=\"4810\">Previous studies with transgender women have reported only the basic framework for what is known as nonpuerperal induced lactation, the process by which women are stimulated to lactate.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"254\" data-total-count=\"5064\">\u201cThere have been self-reported cases online of transgender woman trying to D.I.Y. regiments to induce breast-feeding, but this is the first case of induced functional lactation in academic literature,\u201d Dr. Reisman was quoted in the journal as saying.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"223\" data-total-count=\"5287\">The study\u2019s authors said that the woman was able to exclusively breast-feed the infant for six weeks. During that time, a pediatrician reported that the child\u2019s growth, feeding and bowel habits were developing normally.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"112\" data-total-count=\"5399\">At six weeks, the woman began to supplement breast-feeding with a formula because of concerns about milk volume.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"247\" data-total-count=\"5646\">The woman\u2019s hormone regimen was considered safe and similar to ones used on mothers who are unable to produce milk. But she continued to take the drug spironolactone, which blocks testosterone and \u201cis excreted in human milk,\u201d the study said.<\/p>\n<p class=\"story-body-text story-content\" data-para-count=\"155\" data-total-count=\"5801\">The baby is now 6 months old, the study\u2019s authors said. They wrote that it was unclear which parts of the regimen were most beneficial to producing milk.<\/p>\n<p id=\"story-continues-5\" class=\"story-body-text story-content\" data-para-count=\"192\" data-total-count=\"5993\">Future areas of study include \u201cthe optimal dosing of estradiol, progesterone and galactogogues in inducing lactation, as well as the optimal frequency and duration of pump use,\u201d they said.<\/p>\n<p data-para-count=\"192\" data-total-count=\"5993\">Copy :\u00a0www.nytimes.com<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Kathmandu (Pahichan) February 17 &#8211; When a transgender woman told doctors at a hospital in New York that she wanted to breast-feed her pregnant partner\u2019s baby, they put her on a regimen of drugs that included an anti-nausea medication licensed in Britain and Canada but banned in the United States.<br \/>\nWithin a month, according to the journal\u00a0Transgender Health, the woman, 30, who was born male, was producing droplets of milk. Within three months \u2014 two weeks before the baby\u2019s due date \u2014 she had increased her production to eight ounces of &#8230;<\/p>\n","protected":false},"author":44,"featured_media":9527,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10,621,490,11],"tags":[458],"class_list":["post-9526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-news","category-slider","category-world","tag-transgender"],"acf":[],"_links":{"self":[{"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/posts\/9526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/comments?post=9526"}],"version-history":[{"count":1,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/posts\/9526\/revisions"}],"predecessor-version":[{"id":9528,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/posts\/9526\/revisions\/9528"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/media\/9527"}],"wp:attachment":[{"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/media?parent=9526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/categories?post=9526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pahichan.com\/en\/wp-json\/wp\/v2\/tags?post=9526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}