Jan, Re: Mom whose milk has *really* never come in after one week: What about her postpartum bleeding? Is she bleeding, or could there possibly be a retained placental fragment? If the answer is negative, what is her breast shapes? Any "udder", bowing shapes? I realize that this is quite unlikely and that you probably already screened for it through breast growth.. I have never used syntocinon, but I suppose it might also be a possibility to use in conjunction with other measures. My last thought, also pretty far out, is psychological, though I would still expect to see some kind of milk come in, if not let down. The mother of a hospitalized baby can really freeze up sometimes.... -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************