Lola’s journey: lactogenesis management after a perinatal loss, the development of Proyecto Lola

Lola’s journey: lactogenesis management after a perinatal loss, the development of Proyecto Lola

Julia Vázquez-Dodero Fontes (1), Anina Rivas Molina (1), Fátima Vera Constán (1,2)

(1) Asociación de Psicología Perinatal Murcia, (2) Universidad de Murcia

Introduction:
Women who had a perinatal loss also need to manage their lactogenesis II (milk secretion). The Asociación Psicología Perinatal de Murcia has lead the creation of Project LOLA: breast milk donation after a perinatal loss. The main aim of the project is to support women to be able to make their own decisions, not just to follow hospital’s guidelines without any questioning.

Description:
This project starts with a personal experience of one mother. After she decided not to follow the recommended treatment for lactation suppression (i.e. cabergoline), together with the “Asociación de Psicología Perinatal Murcia” she look into how to donate her breast milk. Thanks to the Hospital Santa Lucía in Cartagena, that cooperates with the Hospital Virgen de las Nieves in Granada, she was finally able to donate her breastmilk and Project LOLA was born. The main goal of Project LOLA is to boost knowledge about the variety of options that a woman can choose in lactation management. Target population it is not just women in general but also health professionals. Lactation management options include the medical treatment for lactation suppression, donation to milk banks, and any other ritual to overcome their own personal grief. Project LOLA is still growing. To spread the information about it, we have created resources such as a Facebook page to share experiences, information brochures, seminar talks, and a documentary about the experience (trailer already available in YouTube). Furthermore, we also work to crate more awareness amongst milk banks about the needs of donor mothers.

Summary:
Having good information to make personal decisions about lactation after a perinatal loss has psychological and physiological benefits for women. Lactation suppression following their own decisions may help the grief progression in a more natural and personal way: farewell of the lost baby, adaptation to the idea of “mother of a deceased baby”, physiological recuperation, altruism.

Ethics statement:
No ethics approval required


International Stillbirth Alliance, Annual Conference on Perinatal Mortality and Bereavement Care, Madrid, Spain. October 5-6th, 2019.

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