I have a Mom that I first started helping 41/2 months ago when she had her 37 week twins weighing 41/2 and 5 pounds. Our first problem was dealing with Mom's 38J breasts but we managed to work thru that and the girls are doing great. Both weigh in at over twelve pounds. Mom called Friday asking first about decreased milk supply and then went on to tell me that at least once a day but sometimes more often she experiences palpitations, hot flashes, and uterine cramping when she letsdown. She was pre-eclamptic before delivery but her BP is fine now. MD couldn't give her an explanation for her current symptoms although he did order an EKG which was normal. Mom is a very dedicated breastfeeder and doesn't want to wean. Any suggestions or insight into her complaint would be greatly appreciated. Mary Roney IBCLC in Indianapolis