Don't forget the "oldie but goodie" remedy of leaning forward and
soaking for about 4 minutes in a basin of warm, salted water, then
lifting up and very lightly stroking from body to nipple followed by
gentle hand expression or pumping.  Sometimes gentle stretching of the
nipple helps to elicit MER but can only be done if comfortable for the
mother (skin not stretched too tight).

This has worked many times when the mother could not get anything out
with ANY other method.  Not sure why it works so well for the mothers who
tried this  but could be the warmth, gravity, nerve stimulation, salt
(osmosis?)

Terriann Shell