I have a mother with a 2-week old whose milk supply was delayed for 5 days, then the milk came in to the point of moderate engorgement. Mom went and had lymphatic drainage massage, which helped to eliminate her plugged ducts and engorgement, but has never had any luck getting her milk to let down. Her breasts feel full, but alas no milk flow. Even the massage therapist was perpexed as to why she did not see any milk flow during or after the massage. We had the baby come in at 10 days of age, and she only takes 4ml at breast (with a test weight) - I see virtually no swallowing. Mom has been using a supplementer at breast for 2 weeks now. We also had our local compunding pharmacy create an oxytocin spray - mom says she thinks it helps a little bit, but she is still only able to express 8ml after using the spray. What is going on here? I think that possibly this mom's ducts are not structured normally, and that they are not reaching her nipple pores - is this possible? If anyone has ever seen this, I would sure be glad to hear from you. This mom has been the greatest rouper, but she started crying on the phone today, and I really don't know what else to do at this point. Thanks, Brenda Phipps, BS, 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html