Re-Establishment of Milk Secretion After Complete Cessation in a Relactation Program and the Differences in Mother-Infant Attachment and Maternal Roles

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dc.contributor.authorGuclu Cihan, Emel
dc.contributor.authorAksoy Derya, Yesim
dc.date.accessioned2026-04-04T13:33:14Z
dc.date.available2026-04-04T13:33:14Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground: Relactation is the process of re-establishing a breast milk supply that has diminished or ceased. Aim: This study aimed to determine the effects of a relactation support program on milk secretion among mothers who had ceased any milk production, mother-infant attachment, and maternal roles. Methods: This single-group quasi-experimental study was conducted with 34 mothers who had 1-4-month-old infants, and who had stopped breastfeeding for at least 15 days and, at most, 3 months with complete cessation of milk secretion. The relactation support program consisted of eight home visits and seven telephone support sessions over 15 days. Mothers were taught relactation techniques, including nipple stimulation, skin-to-skin contact, and the finger feeding method. Data were assessed using the Mother-Infant Monitoring Form, Maternal Attachment Inventory (MAI), and the Barkin Index of Maternal Functioning (BIMF). Results: Milk secretion returned in 64.7% (n = 22) of the participants, with first milk secretion occurring on Day 6 (mean first secretion: 8.95, SD = 2.17 days). Overall, study activities including daily nipple stimulation (chi(2) = 42.087, p < 0.001) and frequency of putting the baby to the breast (chi(2) = 134.93, p < 0.001) increased, as did milk secretion (chi(2) = 303.604, p < 0.001). A shorter weaning period increased the chance of re-lactation (U = 24.00, z = -4.011, p < 0.001). Both maternal function (BIMF; z = -5.088, p < 0.001) and maternal attachment (MAI; z = -5.013, p < 0.001) scores increased significantly over the study period. Participants who were able to relactate had better maternal functions (U = 44.50, z = -3.160, p = 0.002) and higher maternal attachment levels than those who did not (U = 73.50, z = -2.110, p = 0.034). Conclusion: This study demonstrates that relactation can be achieved and has maternal benefits beyond simply the return of milk secretion.
dc.identifier.doi10.1177/08903344251375067
dc.identifier.endpage505
dc.identifier.issn0890-3344
dc.identifier.issn1552-5732
dc.identifier.issue4
dc.identifier.orcid0000-0002-5016-5917
dc.identifier.pmid41122940
dc.identifier.scopus2-s2.0-105019561380
dc.identifier.scopusqualityQ2
dc.identifier.startpage494
dc.identifier.urihttps://doi.org/10.1177/08903344251375067
dc.identifier.urihttps://hdl.handle.net/11616/109019
dc.identifier.volume41
dc.identifier.wosWOS:001598745400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofJournal of Human Lactation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
dc.subjectbreastfeeding
dc.subjectmaternal roles
dc.subjectmidwifery
dc.subjectmilk secretion
dc.subjectmother-infant attachment
dc.subjectrelactation
dc.titleRe-Establishment of Milk Secretion After Complete Cessation in a Relactation Program and the Differences in Mother-Infant Attachment and Maternal Roles
dc.typeArticle

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