In a message Willow wrote: <<...... mom has relatively large, soft, *very* elastic breasts, and it was immediately evident that her ductile tissue tends to just slip away from your fingers -- or baby's gums -- or the pump flange........so please feel free to give me your suggestions>> Yes, I too see this problem when mom's arm and baby are not well supported (ie: on pillows). As mom relaxes during the feeding, if her arm and baby are well supported, the baby stays in good position and deeply latched. In the case of pumping: mom's arms well supported and a pillow under the bottles to give support. May help flow during pumping to hold bottle with one hand and massage breast with other hand. Relaxation techniques for feedings, or pumping: comfortable and well supported positioning, soothing music, warm decaf tea to sip, lightly stroke mom's shoulders and give a verbal suggestion to "just let that tension go", "feel that tension flowing down your arms and out your fingertips", effleurage stroking of breast towards nipples, in a very soothing, soft tone of voice say to mom "close your eyes and take a nice relaxing cleansing breath", (you take a deep breath along with her), then say to mom "now imagine rivers of milk, flowing towards your nipples". She'll smile and open her eyes looking as if in a dreamy state of mind. Tell her what you observed as indications that she was relaxing (positive reinforcement). This then may be a good lead in opportunity to offer suggestions to family/support persons of what they can do towards setting a relaxing environment/atmosphere. deb