Janice,
 
It may be this mom is experiencing an oxytocin response as part of breasts  
refilling, thus the cramping.  From experience, I've found that there are  
individual differences in how moms experience inner breast changes, like ductal  
refilling, letdown.  She might try taking magnesium, a form like "Natural  
Calm" has suggested doses on the container.  I'd also suggest she apply  heat at 
first sign of cramping and definitely to work on reducing her  supply.  Is 
there a specific reason she's pumping so frequently?  She  could start with 
reducing the amount of time she pumps, and experiment with what  feels comfortable 
in terms of yield.  Homeopathic remedies, if you have  resources and mom is 
interested can be helpful. Also, how comfortable is  pumping with flanges she's 
using?  or too high suction? 
 
This reminds me of a mom I worked with once who did one sided nursing at  
night so her am yield with pumping was 12 oz, one breast.  Needless to say  we 
worked together on lowering her supply and she chose to donate milk.
 
Barbara Latterner, BSN, RN, IBCLC
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