How To Get Breast Milk Back? Relactation and Induced Lactation Explained
Relactation or induced lactation is possible through a combination of hormonal stimulation, frequent breast stimulation (pumping or nursing), and sometimes, medication. The process requires dedication and consistent effort to re-establish or establish a milk supply.
Understanding Relactation and Induced Lactation
Relactation refers to re-establishing a milk supply after it has previously stopped, while induced lactation means starting lactation in someone who has never been pregnant or given birth. Both processes rely on the same principles: stimulating the breasts to produce prolactin, the hormone responsible for milk production. Understanding the underlying physiology is crucial for success.
The Benefits of Relactation and Induced Lactation
Choosing to relactate or induce lactation offers numerous benefits for both the parent and the child:
- Nutritional benefits: Breast milk provides the ideal nutrition for babies, with antibodies and other components that protect against infection.
- Emotional bonding: Nursing fosters a strong bond between parent and child.
- Convenience and cost-effectiveness: Breastfeeding eliminates the need to purchase and prepare formula.
- Health benefits for the parent: Breastfeeding can reduce the risk of certain cancers and other health problems.
The Relactation and Induced Lactation Process: A Step-by-Step Guide
Success depends on consistent and dedicated application of the following strategies:
- Breast Stimulation: Frequent and thorough breast stimulation is the cornerstone. Use a hospital-grade electric breast pump, aiming for 8-12 pumping sessions in a 24-hour period. Each session should last 15-20 minutes, even if no milk is initially expressed.
- Nipple Stimulation: If possible, allow the baby to nurse at the breast, even if initially they are not getting much milk. This provides natural stimulation. If the baby is not willing to nurse, use a supplemental nursing system (SNS).
- Medications (If Necessary): Galactagogues, such as domperidone or metoclopramide, can help increase prolactin levels. These medications should only be used under the supervision of a healthcare provider.
- Herbal Supplements (Optional): Some herbal supplements, like fenugreek and blessed thistle, are believed to support milk production. However, their effectiveness is not scientifically proven, and they should be used cautiously, after discussing it with a lactation consultant.
- Hydration and Nutrition: Maintain a healthy diet and stay well-hydrated to support milk production.
- Stress Management: Stress can interfere with milk production. Practice relaxation techniques such as deep breathing or meditation.
- Lactation Consultant Support: Seek guidance from a certified lactation consultant (IBCLC) for personalized support and guidance.
Factors Influencing Success
Several factors can influence the success of relactation and induced lactation:
- Time since last lactation (for relactation): The shorter the time since the last lactation, the easier it is to re-establish a milk supply.
- Consistency of stimulation: Frequent and consistent breast stimulation is crucial.
- Underlying health conditions: Certain medical conditions can affect milk production.
- Medications: Some medications can interfere with milk production.
- Support system: Having a supportive partner, family, and friends can make a significant difference.
- Individual variation: Every person is different, and some may find it easier to relactate or induce lactation than others.
Common Mistakes to Avoid
Avoiding common mistakes can significantly improve your chances of success:
- Insufficient breast stimulation: Not stimulating the breasts frequently enough.
- Improper pumping technique: Using the wrong flange size or incorrect suction settings.
- Dehydration and poor nutrition: Not staying hydrated and eating a healthy diet.
- Ignoring stress: Failing to manage stress levels.
- Not seeking professional help: Not consulting with a lactation consultant.
- Lack of patience: Expecting immediate results. Relactation and induced lactation can take weeks or months.
Using a Supplemental Nursing System (SNS)
An SNS allows the baby to receive supplemental milk (formula or expressed breast milk) while nursing at the breast, encouraging the baby to nurse and stimulating milk production.
- How it works: A thin tube is taped to the breast and positioned alongside the nipple. The other end of the tube is connected to a container of supplemental milk.
- Benefits: It encourages the baby to nurse, provides stimulation to the breasts, and ensures the baby receives adequate nutrition.
- Instructions: Follow the manufacturer’s instructions carefully when using an SNS.
Comparing Relactation and Induced Lactation
| Feature | Relactation | Induced Lactation |
|---|---|---|
| Previous Lactation | Yes | No |
| Typical Timeline | Weeks to months (potentially faster) | Months |
| Challenges | May encounter challenges from previous issues | Establishing milk supply from scratch |
| Common Medication | Galactagogues, herbal remedies | Often galactagogues and potentially hormonal treatment |
Relactation and Induced Lactation Medication Options
Galactagogues are medications that help increase prolactin levels and, consequently, milk production. Some common options include:
- Domperidone: A dopamine antagonist that increases prolactin levels. Requires a prescription.
- Metoclopramide: Another dopamine antagonist with similar effects. Also requires a prescription.
- Herbal remedies: Fenugreek, blessed thistle, and others may help increase milk production, but scientific evidence is limited.
It is crucial to consult with a healthcare professional before starting any medication or herbal supplement.
Frequently Asked Questions (FAQs)
How long does it typically take to relactate?
The time it takes to relactate varies depending on several factors, including the time since you last lactated, your consistency with breast stimulation, and your overall health. It can take anywhere from a few weeks to several months to establish a full milk supply. Consistency is key, and patience is essential.
Is it possible to relactate or induce lactation with a baby who is already several months old?
Yes, it is possible. However, it may be more challenging, as the baby may be accustomed to bottle-feeding and less willing to nurse. Using an SNS and working closely with a lactation consultant can increase your chances of success. It’s all about gradual introduction and positive association with the breast.
Can I relactate if I’ve had a breast reduction or augmentation?
Relactation may be possible, but it can be more challenging, as these surgeries can damage milk ducts and nerves. It’s important to consult with your surgeon and a lactation consultant to assess your chances of success and develop a personalized plan. Surgical outcomes can vary significantly.
What are the risks of using galactagogues?
Galactagogues can have side effects, such as headache, nausea, and diarrhea. Domperidone has been associated with rare but serious heart rhythm abnormalities. It is essential to discuss the risks and benefits of galactagogues with your healthcare provider before starting treatment.
How can I tell if my baby is getting enough milk during relactation or induced lactation?
Monitor your baby’s weight gain, diaper output (at least 6-8 wet diapers per day), and overall satisfaction after feeding. Consult with a pediatrician or lactation consultant if you have any concerns. Weight gain is the most reliable indicator.
What if my baby refuses to nurse at the breast?
Try different nursing positions, use an SNS, and offer the breast when the baby is sleepy or relaxed. Don’t force the baby to nurse, as this can create a negative association with the breast. Patience and positive reinforcement are crucial.
Is it possible to establish a full milk supply through relactation or induced lactation, or will I always need to supplement with formula?
It is possible to establish a full milk supply, but it requires dedication and consistent effort. Some individuals may need to supplement with formula, especially in the early stages. Set realistic goals and celebrate small successes.
What can my partner do to support me during relactation or induced lactation?
Partners can provide emotional support, help with household chores, prepare healthy meals, and assist with breast stimulation and baby care. Their support can significantly reduce stress and improve your chances of success. Shared responsibility eases the burden.
Are there any specific foods I should eat to increase milk production?
While there is no magic food that will instantly increase milk production, eating a healthy, balanced diet with plenty of fluids can support your overall health and well-being. Some foods, such as oats, flaxseeds, and brewer’s yeast, are often recommended for their potential milk-boosting properties. Focus on a balanced diet for optimal health.
What if I experience nipple pain or discomfort during relactation or induced lactation?
Ensure that your baby has a proper latch, use a breast pump with the correct flange size, and apply lanolin or other nipple cream after nursing or pumping. If pain persists, consult with a lactation consultant. Correct latch is paramount to comfort.
Can I relactate after having a baby via surrogacy?
Yes, it is absolutely possible to induce lactation after having a baby via surrogacy. The principles of breast stimulation and hormonal support are the same. It may take time and dedication, but many women have successfully induced lactation in this situation. It’s about commitment, not birthing the baby.
Where can I find a certified lactation consultant (IBCLC)?
You can find a certified lactation consultant through the International Lactation Consultant Association (ILCA) website or by asking your healthcare provider for a referral. Professional guidance makes a world of difference.