Judy - Not looking up my notes, but going from memory I've worked with
several relactations that I felt were really successful.  (1) Single mum who
fostered out her three-week old baby in preparation for adoption, breastfed
3 weeks then stopped lactating at 5 weeks, changed her mind and reclaimed
her baby at 3 months and wanted to re-lactate.  Only two face-to-face
consults and numerous phone follow-ups, took about two months before she
abandoned all bottles.  (2) Eight month old baby who had been weaned from
the breast at 5 months, became horrendously constipated on formula and
doctor wished mother to re-lactate to resolve this.  Mother never able to
persuade baby to take the breast, but managed to pump 250 ml EBM per day
after about 6 weeks, fed by bottle and this did resolve the constipation,
(below this amount it didn't). She continued until the baby was 14 months.
Interesting twist to this was that mother was avid horsewoman and found that
if she went riding in the early mornings she could only pump half the amount
that she usually produced if she didn't go riding - taught me that rest is
very important when trying to increase breastmilk production.  This was a
LLL mum so numerous phone calls, but not a lot of time spent with the mother
face to face. (3) African mother suffered obstruction at 4 days post-partum
following a Caesar and transferred to main hospital from separate maternity
unit.  Total mother-baby separation (this was several years ago!)  Baby
cup-fed formula in prem nursery for 3 weeks, mother expressing once per day
in the bath at time of discharge.  Mother's employer thought milk would come
in by magic, but it didn't so baby almost completely formula-fed to start,
but healthy and strong, good suck.  Mother put baby to breast umpteen
times/day and cup-fed supplements as much as baby wanted to top up, baby
finally exclusively breastfed two weeks later, supplements abandoned very
quickly at the end, breastmilk came pouring in.  About 6 home visits (so
worried about the baby!) and twice-daily phone calls to employer to check
urine/stool counts, amount of supplements, that they were being given etc. -
fairly intense helper involvement on this one I'd say!  Maternal motivation
is the "magic" ingredient I find.  Hope these are not too vague.

Pamela, Zimbabwe