She could try an Ameda pump. They have a short push (positive pressure) at the end of each cycle that might allow her nipples to re-perfuse. I have no financial interest in any pump manufacturer, just enjoy knowing about the nuances of how the tools we use function, so we can best inform our practices. Catherine Watson Genna BS, IBCLC NYC cwgenna.com *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome