Given that pumping is an issue for this mom, how to >maintain the supply is an issue. Will ask about hand expression tomorrow, >but with two toddlers, even the sns is seeming overwhelming to her. Lori, I had a client whose baby wasn't gaining and who couldn't get milk with a pump unless she used breast compression at the same time. We concluded that her milk sinuses were located farther up on the breast than her baby or the pump flange could reach. So she single pumped and compressed her breast, or she compressed throughout the feeding and all was well. Pat Gima, IBCLC Milwaukee, Wisconsin Mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html