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Newman-Goldfarb Protocols for Induced Lactation® — A Guide for Maximising Breastmilk Production
By Jack Newman, MD, FRCPC and Lenore Goldfarb, PhD, CCC, IBCLC, ALC

Based on the original Induced Lactation Protocol conceived and published by Jack Newman MD

The Newman-Goldfarb Protocols for Induced Lactation® were developed from information published in Dr. Newman’s book “Dr. Jack Newman’s Guide to Breastfeeding” (Harper-Collins, 2000). In the US the title is “The Ultimate Breastfeeding Book of Answers” by Dr. Jack Newman (Prima Publishing, 2000).

What to Do If the Mother Does Not Experience “Significant” Breast Changes

Significant breast changes include:

These symptoms are indications of adequate growth of the milk making apparatus of the breasts. If the mother does not experience significant breast changes within 15 days of beginning either of the protocols, she may want to consider increasing her progesterone intake.

There are two reliable ways to do this.

  1. Replace her current birth control pill with Microgestin. This medication has a third more progesterone than is in the "1/35" type birth control pills.
  2. Continue on the current "1/35" birth control pill and add at least 1 mg of progesterone another way such as by adding 1/2 a pill of Provera 2.5.

Adding progesterone usually solves the problem but option 1 works better than option 2 because of the nature of the progesterone contained in the Microgestin.

A word of caution about creams...they do not provide the needed level of progesterone in a reliable manner. An oral form of progesterone is consequently a better choice.

Each element of the protocol serves a specific function. Consequently, it is very important to follow the protocols as written. If any of the ingredients for success are left out, the mother is likely to produce less breastmilk.

Newman-Goldfarb Protocols for Induced Lactation® © 2002-2019
Jack Newman, MD, FRCPC and Lenore Goldfarb, PhD, CCC, IBCLC, ALC

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If you value this service, kindly consider a donation to the Canadian Breastfeeding Foundation (registered charity). Earmark the donation for the International Breastfeeding Centre (Newman Breastfeeding Clinic) and/or the Goldfarb Breastfeeding Program.

Donate online:

Donate by mail: Canadian Breastfeeding Foundation, 5890 Monkland Ave, Suite 16, Montreal, Quebec, Canada H4A 1G2.

© 2002-2019 Lenore Goldfarb, PhD, CCC, IBCLC, ALC and contributing authors to All rights reserved.

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