Dear Jane, Have you hand expressed the mother? It is amazing how many
mothers in my care in the level 2 nursery at which I work just put on the
pump, turn it on and pump away with not much result for their efforts. I
fully explain physiology
 and anatomy of lactation and demonstrate by hand exactly where the milk
sinuses are situated. I also suggest they begin and end each pumping session
in this manner. In most cases the mothers are thrilled to see the milk
squirt. It is not a difficult thing to do either with not touching mother.
Sometimes that has been an enormous psychological boost for her.( Hand
expressing , I mean, not the "no touch")
        Ruth Leon, RN.RM. IBCLC, NMAA BFC. Sale, Victoria, Australia