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 *********************************************** 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