How Do I Get My Breast Milk Back? Reputable Guide for Relactation and Induced Lactation
Relactation – restarting breastfeeding after a period of no nursing – and induced lactation – establishing breastfeeding without having been pregnant – are possible through diligent stimulation and hormonal support. This article provides a comprehensive guide to safely and effectively re-establish or initiate your milk supply.
Understanding Relactation and Induced Lactation
Lactation, the process of producing breast milk, is governed by a complex interplay of hormones, primarily prolactin and oxytocin. When breastfeeding ceases, prolactin levels decline, leading to a reduction and eventually a cessation of milk production. Relactation aims to reverse this process by stimulating the breasts to produce milk again. Induced lactation uses similar techniques for women who haven’t been pregnant.
Benefits of Breastfeeding (Even After a Break)
Even a small amount of breast milk provides significant benefits for your baby:
- Immune Boosting: Breast milk contains antibodies that protect infants from infections.
- Nutritional Value: Breast milk is perfectly tailored to meet your baby’s nutritional needs.
- Digestive Health: Breast milk is easily digestible, reducing the risk of digestive issues.
- Bonding: Breastfeeding promotes a strong bond between mother and child.
Re-establishing breastfeeding, even partially, can provide these benefits, supplementing formula feeding or offering a soothing and familiar experience for your baby.
The Relactation/Induced Lactation Process
The process of relactation or induced lactation requires commitment and patience. It typically involves a combination of breast stimulation and, in some cases, medication.
Stimulation: This is the most crucial component. Stimulation signals the body to produce prolactin.
- Frequent Pumping/Nursing: Aim for at least 8-12 stimulation sessions in 24 hours. Each session should last 15-20 minutes per breast.
- Hands-on Pumping: Combining hand expression with pumping can be more effective.
- Supplemental Nursing System (SNS): This device allows you to deliver expressed milk or formula to your baby while they are nursing at the breast, encouraging them to suckle and stimulate milk production.
Medication (Optional): Certain medications can help increase prolactin levels.
- Domperidone: A common medication used off-label to increase prolactin. Consult with your doctor before taking any medication.
- Metoclopramide: Another medication that can increase prolactin, but it has more potential side effects than domperidone. Discuss the risks and benefits with your doctor.
Herbal Supplements (Optional): Some herbs are believed to promote milk production (galactagogues).
- Fenugreek: A popular herbal supplement, but its effectiveness varies.
- Blessed Thistle: Often combined with fenugreek.
- Brewer’s Yeast: A source of B vitamins and may help with milk supply. Consult with a healthcare professional before using herbal supplements.
Support and Guidance: Working with a lactation consultant can significantly improve your chances of success.
- Personalized Plan: A consultant can help you develop a tailored plan based on your individual circumstances.
- Troubleshooting: They can provide support and guidance to overcome challenges.
- Monitoring: They can monitor your progress and make adjustments to your plan as needed.
Creating a Supportive Environment
Success in relactation or induced lactation is influenced by the mother’s physical and emotional well-being. Here’s how to create a supportive environment:
- Minimize Stress: Stress can inhibit milk production. Practice relaxation techniques such as deep breathing and meditation.
- Stay Hydrated: Drink plenty of water throughout the day.
- Eat a Balanced Diet: Nourish your body with nutrient-rich foods.
- Get Enough Rest: Aim for 7-8 hours of sleep per night.
- Seek Emotional Support: Connect with other mothers who have relactated or induced lactation.
Potential Challenges and How to Overcome Them
- Low Milk Supply: Persistence is key. Continue stimulating your breasts regularly, even if you are not seeing immediate results.
- Baby’s Resistance: Some babies may resist breastfeeding if they have become accustomed to bottle feeding. Be patient and try different techniques, such as skin-to-skin contact.
- Nipple Soreness: Ensure a proper latch. A lactation consultant can help you with positioning and latch techniques.
- Frustration and Discouragement: Relactation and induced lactation can be challenging. Seek support from your partner, family, and healthcare providers.
Comparison of Methods
| Method | Description | Advantages | Disadvantages |
|---|---|---|---|
| Frequent Stimulation | Pumping or nursing 8-12 times per day. | Natural, no medication required. | Time-consuming, requires discipline. |
| Domperidone | Prescription medication to increase prolactin. | Often effective, can quickly increase milk supply. | Requires a prescription, potential side effects. |
| Supplemental Nursing System (SNS) | Delivers milk to the baby during nursing. | Encourages nursing, provides supplemental nutrition, stimulates milk production. | Can be cumbersome, requires preparation. |
| Herbal Galactagogues | Fenugreek, blessed thistle, etc. | Natural, relatively inexpensive. | Effectiveness varies, potential side effects. |
Common Mistakes to Avoid
- Not Stimulating Enough: Inconsistent or infrequent stimulation will hinder milk production.
- Giving Up Too Soon: Relactation and induced lactation can take time. Don’t get discouraged if you don’t see results immediately.
- Ignoring Nipple Pain: Pain can indicate a poor latch. Seek help from a lactation consultant.
- Neglecting Self-Care: Prioritize your physical and emotional well-being.
Monitoring Your Progress
Keep track of your milk production by:
- Pumping Output: Record how much milk you are pumping each session.
- Baby’s Weight Gain: Monitor your baby’s weight gain to ensure they are getting enough milk.
- Diaper Output: Count the number of wet and dirty diapers your baby produces each day.
- Baby’s Satisfaction: Observe your baby’s cues to determine if they are satisfied after feeding.
Frequently Asked Questions (FAQs)
Is it possible to relactate after several months or years of not breastfeeding?
Yes, it is possible, although it may take more time and effort. The longer the period of no breastfeeding, the more challenging it may be to re-establish a full milk supply. Consistency and frequent stimulation are key.
How long does it typically take to relactate or induce lactation?
The timeline varies significantly depending on individual factors. Some women may see results within a few weeks, while others may take several months. Patience is crucial.
Can I successfully relactate if I have had breast reduction or augmentation surgery?
It depends on the type of surgery and the extent of tissue damage. Some women are able to breastfeed successfully after breast surgery, while others may have a reduced milk supply or be unable to breastfeed. Consult with your surgeon and a lactation consultant for personalized advice.
Are there any contraindications to relactation or induced lactation?
Certain medical conditions may make relactation or induced lactation unsafe. Discuss your medical history with your doctor before starting the process.
What if my baby refuses to breastfeed?
Try different positions, offer the breast when your baby is sleepy, and use a supplemental nursing system. Skin-to-skin contact can also help.
Can I relactate even if I’m on birth control?
Some hormonal birth control methods can reduce milk supply. Discuss your birth control options with your doctor.
Is it safe to use medications like domperidone or metoclopramide?
These medications can have side effects. Discuss the risks and benefits with your doctor before taking any medication.
What are some signs that my milk supply is increasing?
Signs include increased pumping output, softer breasts after feeding, and your baby appearing more satisfied after nursing.
Do I need to stop supplementing with formula?
Gradually reduce the amount of formula you are supplementing as your milk supply increases. Consult with your pediatrician.
What if I can’t produce a full milk supply?
Even a small amount of breast milk provides benefits. Continue to supplement with formula as needed, and celebrate your accomplishments.
How can I find a qualified lactation consultant?
Search online for lactation consultants in your area, or ask your doctor or midwife for a referral. International Board Certified Lactation Consultants (IBCLC) are highly qualified.
Is it okay to relactate or induce lactation just to breastfeed for comfort, even if I don’t produce a lot of milk?
Absolutely. The comfort and bonding aspects of breastfeeding are valuable in themselves, even with a limited milk supply. The physical closeness is beneficial to both mother and baby.