Disclosed are lactation assistive devices. The lactation assistive device may include a stimulation component and a controller. The stimulation component may include electrical components or mechanical components to stimulate a breast. The stimulation component may be sized to fit within a garment worn about the breast and may define an opening to be located proximate a nipple of the breast when the garment is worn. The controller may be configured to control stimulation of the breast by the stimulation component.