Marijke, having had FMS for my entire adult life, I thought I would share a few thoughts about nursing with FMS, which may give you some ideas for helping your client. I found that it was essential to have a comfortable place to sit, with pillows to support my arms, legs and head, so that I could totally relax while I nursed. I got a large recliner and kept pillows in at all times, including a cervical pillow to support my head. This made a tremendous difference in many ways. Deep breathing and meditation was helpful too. Another thing that was important to me was to try to keep from having other things to worry about while I was nursing. One thing that really helped was to keep my second youngest child in my recliner, while I was nursing the baby, whenever possible (we tandem nursed some, but the older child never nursed nearly as much as the baby). The toddler would sit and cuddle and often nap, but I also kept books and quiet toys close by, and a videotape in the VCR, to keep him entertained, if needs be. This way, I could really relax while nursing, without worrying about the whereabouts or activities of my toddler. I found that night nursings were a mixed blessing. With FMS, muscles which stay in the same position for very long tend to go into spasms. Getting out of bed and walking across the room a couple times a night was actually helpful, but only if I could go back to sleep soon after. Since difficulty sleeping is a common symptom of FMS, it is especially helpful if the mother can get the baby started nursing with as little effort as possible, and go back to sleep while nursing. What worked for me, personally, was putting a second recliner, equipped with pillows, in my bedroom, where I could get the baby started nursing and go back to sleep within just a few minutes. I also have alot of trouble with nipple vasospasms. Pumping, for me, was worse than nursing. I did find that using the larger pump horn adapters was of some help, despite the fact that I do not have large nipples. I also had alot of trouble with vasospasms in between nursings. The slightest touch, even of my clothing moving over my bra, would elicit hard spasms. It helped to cover my nipples very well, with several layers of a soft, fluffy cloth diaper, in between nursings. I hope you find this helpful! Aloha, Darillyn _________________________________________________________________ Help STOP SPAM with the new MSN 8 and get 2 months FREE* http://join.msn.com/?page=features/junkmail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [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