Well, Debbi, this is interesting. Spontaneously lactation possibly related to mother/baby work. I teach courses in breastfeeding to hospital nurses and WIC nutritionists. When I ask for a show of hands of women who have felt phantom let-downs, I always get a good response. It seems that women's bodies who have breastfed will remember the process of giving milk. Women who have never had babies often get a very strong "baby craving" in class. This is the first time I've heard of spontaneous lactogenesis without prior childbearing. It's good to rule out pituitary tumor or other pathology. Getting a prolactin level would be interesting, but I'm not sure how useful that would be. Maybe the prolactin levels increased as a result of her midwifery work, but maybe she chose midwifery work because she has an unusually high prolactin level. Interesting thought. Jeanne Fisher Austin, TX