Kathleen,
I have 3 nice case hsitories re:relactation for you.

Mom #1, second baby, first bf till toddlerhood.  Mom ill postpartum, in ICU 1
week, then hospitalized and on meds for 3 more weeks.  Started at 1 month pp
from square one.  Rented Ameda egnell lact-e and dual hygeinikit; used ebm and
abm in SNS.  Baby latched readily with stimulation of rooting reflex.  Mom
pumped p.c.  It took only one week for her to wean from pumping and the sns,
at which time she never used abm again.  Was still nursing this child after
one year of age, last time we talked.
        Mom #2, 7 week old baby, had bf 3 weeks and then weaned, regretted
weaning and baby was having difficulty tolerating abm.  Did not feel she could
pump.  Used sns, took some encouragement to keep baby at breast, mom hated the
sns.  First 24 hours:  baby took breast with sns twice.  Second 24 hours:  on
third feeding with sns, baby left 2.5 of 4 oz in sns at completion of feeding.
 Mom used sns sporadically for 4 more days, using bottles of abm for
complements when she nursed at breast alone.  One week after initial consult
mom "threw sns away" and went to bottles p.c., reducing amount in bottles 1/2
oz per feed per day.

Mom #3
Mom has multiple medical problems, nursed 2-3 times immediately postpartum,
then needed to take ciprofloxacin.  Began relactation efforts at 3 weeks
postpartum.  Baby steadfastly refused the breast, with or without sns,
eyedropper, syringe, etc.  Mom fingerfed 24 hours, tried breast again,
continued refusal.  Mom switched to bottles, pumped breasts, occasional
fingerfeedings, skin to skin contact, offered breast gently a few times a day.
 Baby took one breast for 10 mins during one night's attempt.  Latched on for
a few minutes here and there over the next few days, then began totally
refusing again.  Tried nipple shield.  Baby latched for a few feeds over a few
days, then steadfastly refused to do it again.  Mom decided on final ditch
effort.  Taught her cup feeding, decided to feed baby only by cup and continue
offering breast.  Baby screamed when put near breast.  Spent one very long,
exhausting day in my office, cup feeding and putting baby to breast,
comforting baby, and putting her back to breast.  Finally had mom lay supine,
put baby on her chest, baby self attached, complained, but rooted, lifted her
head and self attached.  We continued to work with her, letting her rest, cup
feeding her ebm, and encouraging her to self attach.  Mom went home for a
weekend of torture, cup feeding, comforting her crying baby, and putting her
to breast.  On the last day that mom was going to try, baby took the breast,
nursed well, and latched willingly forever after.  Once she was breastfeeding,
baby's personality changed totally, from tense (even before relactation
efforts started) to mellow and relaxed.  Mom developed sore nipples because
baby was still not attaching deeply enough.  Talked her through it for a week
with improved positioning and lansinoh, due to my reluctance to do work on the
suck until baby was well established at the breast.  When we did do the suck
work the next week, baby responded well.  Nipples were totally comfortable
within 2 weeks.  predictably, mom also  had a bout with mastitis, but that was
resolved with antibiotics, bed rest, and freq nursing with additional pumping.
 Baby's weight gain has been more than adequate, she is thriving in her
social/emotional as well as physical development.  Mom is thrilled that she
toughed it out, and is enjoying all the intangible benefits of breastfeeding
and wondering that she almost missed them all.
        Good luck with your presentation.
Catherine Watson GEnna, IBCLC  NYC  [log in to unmask]