Dr. Leeper,
Have you tried reverse pressure softening? Not just once, but many times a 
day, like every 2 hours. The reverse pressure has to be applied for several 
minutes at a time and then move the fingers. Also could you try prescribing 
a diuretic for the mom, maybe even a one time dose? How about a supplementer 
at the breast after RPS for each feeding and see what happens.

Laurie Wheeler, IBCLC, MN, RN
Tupelo Mississippi, s.e. USA

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