Karleen, you wrote about a mom whi is adopting and pumping, "I really think that a major issue here is that she's having difficulty with getting a MER in response to pumping (was not good at pumping with bio kids either). However, I discovered today that she's having a lot of pain when she starts pumping" A couple of thoughts, has she tried nipple stimulation ala Jean Cotterman prior to pumping? Nipple rolling, breast massage for a minute, then wait two minutes before pumping, which is what Jean recommends; 3 minutes until letdown occurs. Also, homeopathy, such as Rescue Remedy or this remedy which is a homeopathic pituitary which a mom I worked with used and swore by and which a mom who currently has to tease out more milk from time to time and is using it with good results. The site this latest mom is using to obtain the remedy is http://www.ahealth.com/store/regen.html ; scroll down to pituitary. The other homeopathic that might help can be found at http://www.kellymom.com/bf/supply/adoptivebf.html and is a tincture. The last possibility is friction pain for your mom and a dab of olive oil rubbed into the flange where the tunnel meets the flared part can aid in smoother pulling on the breast. Feel free to email me, Karleen, for further discussion. Hope something works for this mom. Barbara Latterner, BSN, RN, IBCLC *********************************************** 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