Hi. I am working with a mother, first baby, and baby is having trouble removing milk from her breasts. Actually, we can't get any milk to come out. Baby is 48 hours old and has a great latch and nutritive suck, but absolutely no swallowing. I have read previous posts about breast edema and how it may affect milk flow, but in this case there is no milk flow at all. Mom told me that she was leaking during pregnancy. She had her nipples peirced, but I didn't think that would cause this type of problem. She had a four day induction (off and on) then wound up with a c/s-so lots and lots of fluid and pitocin. Her ankles and legs are very swollen. Her breasts are fairly soft at this point. The only thing that produced a drop of milk was RPS. We tried RPS, warm cloth, pumping, massage, then baby and still no swallowing. I couldn't even produce a drop when I hand expressed for her. Can edema cause this? Could the nipple peircing play a factor? I didn't have her try ice, but encouraged her to do so at home as she was being discharged. Thanks for any thoughts. Christine Lichte, IBCLC, LLL Leader *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html