Pamela: this is a problem supposedly affecting at most 5% and more likely
less than 1% of the female population.  However, I would guess 10% of the
moms I see are in this category.  Standard procedure is to harness them to
excellent, fully-automatic, double pump q3h for 10 mins.  Supplement baby as
needed.  Re-evaluate mom's supply after 72 hours of diligent pumping.
 Discuss Reglan with her if minimal or no improvement but she is motivated to
continue.  Herbal approach of course if mom is comfortable with idea.

Look carefully into medical history.  Anecdotally I see too many women with
history of thyroid disease (current levels ok) and failed lactogenesis for
this to be totally coincidental.  One physician suggested that thryoid
disease during adolescence could interrupt proper mammary development.

Regardless of suspicions, course of action always the same --  pump the heck
out of the breasts, ensure good environment for mom (picture daisy the cow
placidly munching favorite clover in meadow) and ensure baby receiving
adequate nutrition in the meantime.  If milk fails to respond to all attempts
mom may need to be helped to replace breastfeeding with other mothering
techniques: kangarooing, co-bathing, wearing baby in sling and so on.  I see
so many tears over this issue.

Good luck.
Joanna Koch, IBCLC