Libby -

None of the following are quick solutions but a couple of things that I have
found helpful when nothing else works are:


Decreasing the vacuum setting of the pump.

Using sage tincture - tea works but you need so much and it tastes so
nasty...

Monitoring the quantity of milk pumped and, rather than decreasing the time
pumped, stop about 5 - 10-cc less than previously pumped.

While decreasing pumping wear shells to allow the breasts to leak so that
plugs are less likely.  I have found the soft shells that Medela sells the
most effective for this.  I choose either the sore nipple or inverted nipple
ones based on which allows milk to flow easiest.  (I have no financial
interest in Medela other than being a rental depot and there may be a more
effective product - this is just my experience.)

Some moms have found peppermint Altiods somewhat helpful as well.

Good luck and please post what worked for this particular mom.

Linda Pohl, IBCLC
Phoenix AZ

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