Relactation, the process of re-establishing milk production after a pause, is a journey many parents successfully undertake, even after two months without breastfeeding. The commitment to this goal is significant, yet the human body retains the ability to restart the hormonal and physical mechanisms required for milk synthesis. This process involves a combination of consistent physical stimulation, hormonal signaling, and supportive techniques to encourage the baby’s return to the breast. This guidance provides an actionable framework for parents committed to bringing back their milk supply.
The Physiological Basis for Restarting Milk Supply
Milk production operates on a straightforward principle of supply and demand, relying entirely on removing milk from the breast. When the nipple and areola are stimulated, nerve signals travel to the pituitary gland, triggering the release of two primary hormones. Prolactin signals the mammary glands to produce milk, while oxytocin causes the muscle cells surrounding the alveoli to contract, resulting in letdown. This action pushes the milk out of the breast, completing the demand signal. To restart lactation, the body must mimic a newborn’s feeding pattern by maintaining high and constant demand, which suppresses the Feedback Inhibitor of Lactation (FIL).
Implementing a Stimulation and Pumping Schedule
The most effective way to re-establish milk supply is through frequent, mechanical breast emptying and stimulation. Parents should aim for a minimum of eight to twelve stimulation sessions within every 24-hour period to create a persistent demand signal. Each session should last approximately 15 to 20 minutes, even if no milk is flowing initially, as the act of stimulation alone drives hormone production. The schedule must include at least one overnight session between 1:00 a.m. and 5:00 a.m., as prolactin levels naturally peak during these hours. Using a hospital-grade double electric breast pump is highly recommended, as its robust motor and adjustable settings better mimic a baby’s rapid suckling and maximize efficiency by signaling both breasts simultaneously.
The Role of Galactagogues
Some individuals explore the use of galactagogues, substances intended to support milk production, including herbal options like fenugreek or blessed thistle, though evidence supporting their effectiveness is inconsistent. Pharmaceutical galactagogues, such as Domperidone, work by blocking dopamine receptors, which can lead to increased prolactin secretion. These medications are not approved for this purpose in all countries and carry potential side effects, including cardiac risks. Any decision to use a galactagogue must be discussed with a healthcare provider knowledgeable about relactation and your personal health history. Galactagogues function best when combined with an intensive pumping schedule, not as a replacement for physical stimulation.
Encouraging the Baby to Latch and Suck
After two months, a baby may have developed a preference for the fast flow of a bottle, leading to resistance at the breast. Reintroducing the breast requires patience and behavioral techniques that associate the breast with comfort and flow. Skin-to-skin contact is a powerful tool, triggering oxytocin release and promoting the baby’s natural feeding instincts. Offering the breast when the baby is drowsy, such as right after waking or before falling asleep, can bypass conscious resistance. A Supplemental Nursing System (SNS) delivers a supplement through a thin tube taped near the nipple, encouraging the baby to latch and suckle by associating the action with an immediate reward of milk flow while ensuring the breast is stimulated.
Setting Realistic Volume and Time Expectations
Relactation is a gradual process, requiring parents to manage expectations regarding the timeline and ultimate milk volume. Initial drops of milk may appear within a few days to two weeks of consistent stimulation, with a noticeable increase in volume typically taking four to six weeks of dedicated effort. Achieving a full milk supply is possible but not guaranteed; many parents achieve a partial supply, which still provides significant health advantages to the baby. Monitoring the baby’s weight and output is paramount to ensure adequate nutrition while the supply builds. Formula or previously expressed milk must be continued until the supply is consistently adequate for the baby’s growth, and seeking support from a certified lactation consultant (IBCLC) is highly recommended.