Relactation is the process of re-establishing a milk supply after a period of cessation, which can range from days to months or even years. Achieving a quick timeline requires dedication, consistency, and a multi-faceted approach to stimulate the body’s hormonal response. Success depends on individual factors, including the length of time since breastfeeding stopped and the consistency of re-stimulation efforts. Always consult a healthcare provider or an International Board Certified Lactation Consultant (IBCLC) before beginning any relactation plan.
Intensive Physical Stimulation Techniques
The physical act of frequent and efficient milk removal is the most important factor in signaling the body to restart milk production. This is a supply-and-demand process, and the breast must be stimulated regularly, even if no milk is initially expressed. Experts recommend stimulating the breasts 8 to 12 times per 24 hours, mimicking the frequent feeding schedule of a newborn to elevate prolactin levels, the hormone responsible for milk synthesis.
A hospital-grade double electric breast pump is effective because it stimulates both breasts simultaneously, leading to higher prolactin release. Each session should last 15 to 20 minutes. Integrating hand expression and breast massage before and during pumping helps maximize milk removal and increase stimulation, which is beneficial when output is low.
“Power pumping” accelerates the hormonal signal by mimicking a baby’s cluster feeding pattern. A common schedule involves pumping for 20 minutes, resting for 10 minutes, pumping for 10 minutes, resting for 10 minutes, and finishing with a final 10 minutes of pumping, completing a full hour. This intense, pulsed stimulation should be done once a day for several days to weeks to prompt a rapid increase in milk synthesis.
Pharmacological and Herbal Galactagogues
Galactagogues are substances—whether prescription drugs or herbs—that may help increase milk supply by chemically or hormonally assisting the body. Prescription medications used off-label for this purpose often function as dopamine antagonists, such as metoclopramide or domperidone. Dopamine naturally inhibits prolactin secretion, so blocking dopamine’s action can lead to a rise in prolactin levels, thereby augmenting milk production.
Herbal galactagogues are frequently incorporated into relactation plans. Fenugreek and blessed thistle are two common herbs that may increase milk flow within 24 to 72 hours of starting use. The exact mechanism of action for many herbs is less understood than for pharmaceuticals.
Any substance used to boost supply, including herbal products, should be discussed with a healthcare provider or lactation consultant due to potential side effects and drug interactions. For instance, fenugreek can interact with medications like insulin and warfarin, and may cause side effects like diarrhea or an increase in asthma symptoms.
Reintroducing the Infant and Auxiliary Feeding Methods
Getting the infant back to the breast is crucial because a baby’s suckling provides the most effective stimulation for long-term milk production. Skin-to-skin contact, holding the baby in a diaper directly on the parent’s bare chest, promotes bonding and stimulates the release of oxytocin necessary for the milk ejection reflex. Using biological nurturing positions, where the parent reclines, can encourage the baby’s natural feeding instincts and a deeper latch.
Since the milk supply is initially low or absent, a Supplemental Nursing System (SNS) is an important tool to encourage the baby to remain at the breast. This device involves a thin tube taped near the nipple, which delivers formula or expressed milk while the baby is actively suckling. The SNS ensures the baby receives nutrition and associates the breast with a satisfying flow, reducing frustration and encouraging continued stimulation. Using an SNS or other non-bottle feeding methods, such as a cup or syringe, helps prevent the baby from developing a preference for the fast flow of a bottle.
Setting Realistic Expectations for Relactation Success
While the desire to relactate quickly is common, setting realistic expectations is necessary for emotional well-being and sustained effort. Milk production is a physiological process that takes time to rebuild, and it is rarely an overnight event. Initial drops of milk may appear within a few days to a week of intensive stimulation, but achieving a noticeable increase in volume often requires several weeks of consistent work.
The full process of relactation, where a significant supply is established, can take an average of four to six weeks or longer. Success does not always mean achieving a 100% exclusive milk supply. Many find success in partial breastfeeding, providing some breast milk while supplementing, which is a valid outcome. Consistency in the stimulation routine is far more important than speed in the early days.