I have talked to a father whose wife is having problems with her production of milk. I haven't made contact with her yet and hope she will being willing to see me. She has hit the six week wall pumping for her premature twins. One is on minimal stimulation with a colostomy who is not able to come out of the warmer, but the other although being tube-fed is active and sucking on OGT. She could at least nuzzle at the breast but the last time mom came in she declined to hold her skin-to-skin saying she was dirty from being at work. She only pumps 3-4 times a day. Is rarely pumping at work because of the difficulty of doing so and then only getting 5cc. She gets more when she pumps at home. Obviously is stressed at her job with the Humane society where she sometimes works 10 hr/day. The dad is supportive but has reported that mom is getting to point where she doesn't want anyone else to tell her what to do. She obviously has been motivated since she has gone this far but since going back to work last week it may be getting to be too much. I would appreciate any suggestions should she be willing to see me so that I have them available. I want to be supportive without incurring guilt. Other than kangarroo-ing and putting to breast the bigger twin, more frequent pumping as possible with pictures & other baby stimulation, relaxation techniques, pumping at the hospital to give fresh milk so mom can have an increased sense of accomplishment and soft-selling the advantages of breastfeeding is there anything else I can offer? TIA Sharon Coe LVN IBCLC