This is an area in which I have no personal experience and hope someone can
give me some ideas.
I have been approached by a mother with an 8 month old. She breastfed for 4
months and then on her health visitor's advice, introduced solids and
formula so her baby took less and less breast until she stopped . About a
month ago she came to the support group because she was still leaking and
wanted to know how to dry up. Someone suggested that she could start
breastfeeding again and she was absolutely thrilled.
She hadn't wanted to stop when she did, there was a lot of pressure and at
the time she felt quite isolated and anxious about her baby's health. Baby
is well but the HV had got her all worried about growth, She is growing
fine, just fallen off her centile line at 4 months as most bf babies do
First I just suggested she could let her daughter go to the breast for
comfort but she decided that wasn't enough and wanted to fully relactate. So
I lent her a pump and told her about domperidone, which she took for a week
with no appreciable change. Also gave her some tubing to mock up a
supplemental system. For the last 2 weeks she has been pumping at least 6x
daily four 10 mins/side and breastfeeding whenever she can using the tubing
with EBM or formula. She is taking fennel tea. She still  gets only about
20-30mls from pumping. She feels really disappointed and wonders if she will
ever be able to produce a better supply. I have tried to be positive and
point out that bfing isn't just about getting food etc.
Any thoughts would be very welcome.
Hilary Myers
 RM IBCLC
Somerset, England

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