Bottle feed, or other options?

In terms of feeding a surrogate baby (both immediately after birth, and after bringing the baby home), there are many options.  Not all options are always available, and what is best will vary from baby to baby and intended parent to intended parent.  Nevertheless, the main options include:

  1. Bottle feed.  This is the easiest.  Note that formula doesn't digest as easily as breast milk, so formula babies tend to have more gas pain, resulting in more crying.
  2. Induced Lactation / Adoptive Breastfeeding.  Similar to an adoptive mother, a surrogate mother can induce lactation in order to feed the baby.  A google search on "adoptive breastfeeding" can provide much more information.  Inducing lactation takes time, effort, and often does not generate enough milk to feed the baby.  
  3. Use a wet nurse.  These are not widely available.  They are not available at Hirinandani hospital in Mumbai.   
  4. Ask the gestational carrier to nurse the child.  Rotunda generally does not have/allow babies to breastfeed, however Dr. Patel in Anand does allow (and support) this. 
  5. Ask the gestational carrier to express milk for the child.  If you want to pursue this, it's best to confirm with the gestational carrier before you select her.  If so, you may be able to get several days of colostrum and/or milk while the surrogate is still in the hospital recovering from the pregnancy.
  6. Use milk from a milk bank.  As of this writing Hiranandani does not have a milk bank available.
  7. Find a friend/acquiantance who expresses, freezes excess milk, but is expressing more milk than her child can consume.  Typically, this milk will be thrown out.  Note that many women do not produce extra milk, but some produce more than enough to have extra. 

Adoptive breastfeeding is the most likely alternative.  Two good sources for information on adoptive breastfeeding are http://www.fourfriends.com/abrw/ and http://breast-feeding.adoption.com/.

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