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


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