As I discovered when nursing while pregnant, visualization can really help with letdown. The mom may be able to picture something (a flowing river, whatever works for her) that will help. Was there no milk flow from the beginning, even with hand expression? If you think the issue came before the nipple damage, rather than in reaction to latch/suck problems, perhaps this mom has a history of sexual abuse or something that has raised barriers between her mind and her body, perhaps especially the 'sexual' parts? Ingrid *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome