Jan,
 
I wonder if this mom is subconsciously mourning the weaning process?   Is 
baby nursing before solids?  Exploring her feelings about her baby  getting 
older and not requiring sole sustenance from mom could play into delayed  
letdown.  How about lots of baby wearing and skin-to-skin,  co-bathing?  
Biofeedback for MER, such as music, running water while using  RPS could be a 
start, have heard this discussed as a way to associate letdown  with some other 
outside stimulus and gradually mom is able to just think of  turning on the 
faucet, for example, and she lets down.  Could something  baby is doing with 
suck at this point, too, subtle change since eating solids  and not using 
tongue correctly, just musing here.
 
Homeopathy, like Rescue Remedy, before putting baby to breast or pump or  
RPS, then using during this might help.  Acupuncture, bodywork for mom,  
might help kick start oxytocin release and then reduce her stress of worrying  
that her letdown is delayed.
 
Barbara Latterner, BSN, RN, IBCLC
 

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