There is lots of back archives about relactation. I would like to 
address the statement that mom got 1/2 ounce out of the Avent manual 
pump. Is this her first time to pump since weaning? If yes, this means 
what she removed is the left over milk and she most likely will not get 
that much the next time she pumps. But if she keeps it up, she should 
start seeing an increase in 2-3 days.

We do lots of pumping like this for our WIC moms and they often get a 
fair amount on the first pumping but almost nothing the second, third, 
fourth, etc. pumpings until about 48 hours later. I tell women not to 
get discouraged when the next pumpings produce little but to keep at it 
for at least 3-4 days. Almost all see a surge in production after 48 
hours of pumping 8-10 times in 24 hours. And every single mom has told 
me she was very discouraged in the first 48 hours but then slowly she 
started making more milk. Some women never do make milk again but the 
fact that she nursed for 3 weeks will help her rebuild her supply.

And  from previous Lactnet posts, it seems the most important thing is 
to get baby back on the breast. If mom waits until she has a better milk 
supply, baby will be less likely to want to latch on. It also seems that 
a supplementer device at the breast is the most helpful thing in trying 
to relactate. And if mom could pump after nursing on a rental quality 
pump 8 times in 24 hours for the first two to three days and then maybe 
trying to pump after nursing 4 times in 24 hours in the next week or 
two. If mom can get baby to nurse with a supplementer 8-10 times in 24 
hours that is more important than the pumping.

Kathy Eng, BSW, IBCLC


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