Relactation – How to start Breastfeeding Again After Stopping

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RELACTATION

Many mothers who stop breastfeeding earlier than usual, for whatever reasons, feel a sense of loss and may long to give themselves a second chance. Returning to breastfeeding is possible if you can produce the milk for your baby and get your baby to nurse to get the benefits. It is proved to work if you have nursed your baby before or even if you have not.

What is Relactation?

Relactation is the process of starting to breastfeed after stopping for any reason. Did you stop breastfeeding and wish you had not? If yes, then don’t fret because you could give yourself a second chance. Relactation is the process of resuming breastfeeding after a gap at any time by building up a milk supply for the baby to feed on at any time after pregnancy. A woman may not have breastfed for days, weeks, months or years, but can get back to it by relactation. Returning to breastfeeding is a two-part process – inducing or bringing back the milk supply of the mother (known as relactation) and getting the baby to feed on the milk produced again. Simply put, it is re-establishing the breastfeeding pattern or routine into the mother and child relationship after a break or a brief spell of little breastfeeding.

Who Should Do It?

As mentioned earlier, relactation can be stimulated by those who wish to get back to breastfeeding after having stopped it for any reason. There could be various reasons for having stopped breastfeeding- lack of substantial milk supply, the inability of the baby to suck, going back to work or even a baby falling ill. Whatever be the reason, you could still get back to breastfeeding without any worries and put aside all the apprehensions you have. Relactation is recommended for all those who come under any of the categories below:

  • You stopped breastfeeding earlier than you should have but now you want to give it another chance.
  • You baby is on formula after having been successfully weaned away. However, your baby has developed an intolerance to formula.
  • You have been separated away from you baby owing to some reason, or your baby has fallen ill. Breastmilk is probably the best medicine that your child could get to recover from illness as quickly as possible.
  • If you are a mother of an adopted baby, then there is good news. You could nurse your baby too. Nature has its own way of sending hormonal signals to tick the biological clock and switch on the milk production when needed. A woman who has never been pregnant or breastfed earlier can breastfeed an adopted baby- this is called “induced lactation”.

How is it Beneficial?

A common misconception that once a woman has stopped breastfeeding or has had her milk supply dried up cannot breastfeed has been busted with relactation techniques proving successful in 70%-80% cases. Breastmilk, as known to all, is rich in vitamins and nutrients that provide the baby with the required vital ingredients to develop a robust immunity. Breastmilk contains antibodies to fight off viruses, bacteria and prevent infections, respiratory illnesses and bouts of diarrhoea. Apart from all this, breastfeeding creates an emotional bond between the mother and child that warps them into a tight knot for the rest of their lives.

Is it Easy to Start Breastfeeding After Stopping it?

Breastfeeding is also one such instinct that works effectively when the hormones are ticked off in the right manner. Breast stimulation is an important technique that alone is enough to send the signals to stimulate the production of milk supply. Breastfeeding works on a demand and supply basis. Relactation is a two-part process- getting the baby to suck and produce milk to satisfy the baby. Both are interdependent- the more the baby sucks, the production of milk is stimulated and if more milk is generated, greater the urge for the baby to feed.

How Is Relactation Possible?

Bringing back a milk supply and getting the baby back to the breast are the two integral, interdependent parts of relactation. While it is important to work towards these two goals, it is also important that your baby manages to cooperate with you through the process. The primary aim should be to seek support. Set up consultations with a lactation consultant, a paediatrician who is an expert in breastfeeding or other trained breastfeeding advisors who would give a well charted out plan to follow to ensure success. Do not rule out conversations with other mothers, family and friends as you could have someone who would have gone through it as well.

TRAINED BREASTFEEDING ADVISORS

Factors that May influence your success in relactating

While it has already been stressed that relactation entirely depends on the effectiveness of the combination of the two-part procedure, the following factors also contribute to the success:

  • A baby who is younger as the sucking instincts are higher in newborn babies
  • A lesser lactation gap (gap between weaning and relactation)
  • The willingness of the baby to take to the breast to suck
  • Practical help from trained breastfeeding support people.

Although the above factors may bear a considerable influence, relactation could still be effective even without them. With no clear definition of the relationship between mother and child, relactation could prove to be effective under any circumstances.

How Long Does It Take to Relactate?

Although there is less research on relactation, available studies suggest that findings with regard to the success rate of relactation are encouraging. Proper support from experts, a well chalked out plan to implement the procedure and steps involved guarantee a good chance of success. Experts believe that a mother’s plan on relactation could take up to a month to be successful. In the meanwhile, it is important to not give up and seek proper advice when necessary.

How to Start Relactation? – Easy Tips

The first and foremost step to relactation is to induce your milk supply. You doctor could provide relactation supplements or prescribe medicines to help you relactate. This is likely if you have adopted a baby or never nursed before. A common herb, fenugreek for relactation, has proved to produce more milk. Here are a few proven tips to improve your milk supply:

1. Frequent emptying of breasts

If a baby is willing to nurse, frequent feeding is the most effective thing to do. At least 10-12 feedings should be aimed every 24 hours. Ensure that you get the baby to feed on both breasts and long enough to drain them well.

2. Using the pump

If the baby is refusing to take to the breast, relactation by pumping is a good way to stimulate milk supply. Try and use the pump every three hours (though you may want to take a break at night). Pumping on both sides at the same time is proven to be more effective. Try and pump after feeding as well to ensure that the breasts are drained completely and increase milk supply.

PUMP

3. Effective feedings

Make sure that your baby is taking the breast deeply into the mouth and sucking well enough. Most importantly, you should feel comfortable while nursing. A mild latch or pain could mean that the baby is not feeding properly. Seek help from a trained person to correct the situation immediately.

4. Compression of breasts

Compress your breasts to empty it completely while pumping or feeding and ensuring that your baby gets a good feeding especially if he/she falls asleep at the breast.

5. Supplemental Nursing System ( SNS)

Consider an SNS which allows the baby to received formula supplements at the breast whilst milk production is stimulated by nursing. Feeding methods such as cup, spoon, SNS other than bottles increase the success rate of relactation.

6. Take a Galactagogue

Herbal supplements and prescribed medications are helpful with the glandular and hormonal causes of low milk supply. A consultation with an expert would do some good to see if it would suit your needs.

How to help your baby for breastfeeding?

Getting your baby to latch on is another important aspect of relactation. A few useful tips given below could go a long way in helping your baby to breastfeed.

1. Increased Skin Contact

Try to hold your baby in a way where your skins touch each other. The warmth of the skin contact boosts milk production and feels amazing too!

2. Lead your Baby to Breastfeed

Research has proved that babies have an innate instinct to feed and retain this instinct for long. Take advantage of suitable positions, reflexes of babies to feed or even try taking a bath with your baby to re-establish the pattern of breastfeeding.

3. Using a Nipple Shield

Babies who have been on the bottle for long will benefit from a nipple shield as it gives the effect of feeding on a bottle. A breastfeeding expert could advise on how to use the shield and comfortably wean the baby away from it to ensure maximum gain from relactation.

 NIPPLE SHIELD

4. Strategize feeding times

Try to nurse your baby when milk supply is high- may be in the night or early mornings. Try offering the breast for comfort when the baby is asleep or full.

5. Pre-feed for Effective Latching

Some babies nurse better if they are fed with an ounce of formula to take that “edge” off their hunger. Babies then latch on to fill the rest of their empty tummies.

Which Substances will Help Relactate?

Frequent draining of milk from both breasts is proven to be vital in building up milk supply. However, galactagogues in the form of herbal supplements or prescribed medications by doctors have also known to help. Fenugreek is an age-old herb known to stimulate milk production in lactating mothers.

What is the Success Rate of Relactation?

Studies suggest that with proper support, mothers can partially or even fully relactate and make breastfeeding successful again. Success rate ranges from 75%- 98%, however, the rate of success depends from case to case. In most successful cases, mothers had taken proper guidance and support before embarking on the process.

Things to Consider

Some important points to consider when taking up relactation are:

  1. Explore the reason for why you stopped breastfeeding. Consider having a chat with a proper consultant to discuss the scenario before relactation and the causes leading to relactation.
  2. Breastfeeding brings hormonal changes, changes in menstrual patterns, physical changes in the shape of your breasts and areola. It also brings about some emotional changes to your body. Although these signs indicate enhanced milk production, you may want to seek a doctor’s advice to rule out any issues.
  3. A baby may latch on successfully, however, you may not be able to return a significant milk supply. There is no reason to worry as even a little bit of milk could give a lot of benefits. Ensure that your baby continues to thrive and it may eventually lead valuable results.

MILK SUPPLY COULD INITIALLY BE LESS

FAQ’s

1. What are the Signs of Milk Production?

Breasts will feel fuller, hotter and you may leak milk. As supply increases, your baby will wean away from supplements, gain weight and poop more often. You may notice changes in your emotional bearing and menstrual cycle too.

2. How Much Milk will I be Able to Make?

It is hard to predict the amount of milk generated. However, partial or full any amount of breast milk is beneficial to a large extent.

3. What is the Composition of the Relactation?

Breast milk remains the same, after birth or following relactation or induced lactation. However, mothers who have not been pregnant do not produce colostrum, and their milk is similar to transitional or mature breast milk.

Also Read: Lactation Suppresion

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