Hi Jane >>drawing progesterone levels to determine if there is retained placenta< >>what's blocking her prolactin< I would dig a little deeper into her prenatal history, did she have changes in her breast, did she have difficulties getting pregnant? There could be a number of things that is inhibiting this mothers milk production and from the postpartum history of no excessive bleeding I would not pursue that line. What are the supports in her home, is she stressed at all? I would continue the Regland for 12 days and use an SNS. I had a case of a 42 y/o primip who had a history of infertility. She said she had slight changes in her breast but never brought in much of a supply postpartum. We used the SNS for 3 weeks and the most she produced was a couple ounces a day. Good luck and let me know how she does. P.S. I think we as LCs should also think of other approches such as acupuncture, acupressure and hypnosis to help our clients.