I have a mom I'm working with now, very nice woman, who's baby is 8 days old today. She had gestational diabetes which was well controlled. She was induced and had an epidural. She also hemorraged after birth (hemoglobin went from 13.6 to 8). Her baby was 9lb 11oz at birth, but both she and her husband are big people and OB felt his size was appropriate. She has a lot of edema in her feet and legs which OB told her was related to her blood loss. Is that correct? Mom has not felt any engorgement. She has very large breasts (DD) but they have not been full at any time since the birth. Could the edema in her legs affect her milk? Baby has been very sleepy up until the last day or two and we are still having trouble getting him to latch. I have her pumping frequently around the clock - such a committed mom! She usually gets 7 or 8 cc each time she pumps, though she got a little more yesterday. We have been trying the SNS at the breast as well as finger feeding. He has had no pacifiers or bottles. I was starting to get concerned about weight loss so we've started supplementing him with formula. We can only get him to nurse at the breast with an SNS once or twice a day. She tries him at the breast for a few minutes and if she can't get him to latch she pumps and finger-feeds him. He has a good suck once he gets going. I told her that blood loss, diabetes and the epidural can all affect her milk coming in. I hope that she will get a good supply eventually. How long have you all heard of a mom going before her milk is in? I suggested fenugreek and read about it to her from Tom Hales's 1997 edition, but she does not want to try it because he writes that fenugreek "is reported to increase asthmatic symptoms in some individuals" and she has asthma and allergies. Would oxytocin help her? I thought it was just to encourage MER and would not affect supply, but perhaps I'm mistaken. The latching/sleepiness problem has been difficult also because of her large breasts. It's hard to find a position that works. He also prefers one breast over the other, so we've been pretty limited. I'm getting concerned about the finger-feeding going on this long without getting him on the breast. Any ideas greatly appreciated!! TIA Cynthia D. Payne I'm also working with a high palate and a FTT at the same time. Why do we get the tough ones all at once?