I have had a few Moms over the last 19 years with the same problem. I keep a few of the glass flanges on hand for this reason and yes I teach them hand expression. One Mom said that neither her mother or sister could BF because of the same problem. When one of these women had her second baby she called asking to use the flange, rented a Classic, used hand expression a few times a day (I find that about 5 minutes 3 to 4 xperday really helps the supply) and was finally fully BF at 4 weeks. Ann G. Cagigas, RN, MA GSA Health Unit, Room 1010 1800 F St., NW Washington, DC 20405 202-219-1228 202-501-0028 (Fax) *********************************************** 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