In a message dated 96-12-27 17:12:09 EST, you write: >Subject: Extremely low supply - non-Rx suggestions In addition to Kathleen's wonderful posts on the "pathways", I would like to offer up a sidebar.....I have had several cases where the mother was told she had little or no milk production based on the volume she was (or wasn't) able to obtain by PUMPING. My most recent mama was told by PP and NSY that she didn't have ANY colostrum( and even called her OB to report this amazing phenomenon....pardon my sarcasm) She was also told that she had inverted nipples and would likely not be able to nurse anyway. I saw her 2 days later, at home- breasts were soft but filling. Her breasts were large and pendulous and the nipples when unsupported were "stretched" out somewhat flat...when supported and stimulated would evert just as anyone elses!! Baby had had bottles for 1 day (this was a 48hr unmedicated labor) Baby had a normal palate and appropriate suck/tongue motion but was still refusing the breast. Mom had certainly had her confidence undermined and dad was pushy about bottlefeeding. She had used a hospital grade pump and was sent home with the kit and a rental pump. Her nipples were much too large and much to flat to fit into the shield! She wasn't getting milk because the flange was too steep and too narrow!!. We tried the Large Glass shield, worked on one side but the opposite side still bounced around out at the edge of the flange. She pressed on with the glass shield over night and when I returned the next day, I brought every flange and insert I had. We finally found a flange with a flexishield that "grabbed" her nipple and areola and Voila!! she pumped 3 ounces. Mama finally BELIEVED that she had milk. It took another day or two of coaxing, using a supplementer and using a sling/ or rolled up cloth to support the breast to get the baby exclusively back on the breast, still nursing well todate. IMHO, is there a medical problem here or could someone be suffering from perceptual set??!! Liz Flight, RN,CLE, IBCLC in warm, sunny Jacksonville FL