Camille: From what you've described, I suspect that this mother may not be able to make enough milk for one baby, let alone 5. In discussing "insufficient mammary tissue", Chele Marmet advises to pay special attention to mothers who have had reduction or aumentation surgery on one side only. Such major lopsidednes of the breasts can be a red flag when it comes to milk supply problems. In addition, you have described a "cone shape", which Chele warns may be less elastic than usual. Between all of these, you have some major causes for concern. Of course, the proof is always in the pudding. I would certainly get mom pumping stat [would probably teach breast massage and compression to go with] after birth and just wait and see what happens. If supply is slow to come, you can consider herbal galactogogues, and/or prescriptive ones. However, it would be prudent to know that there may be a very low ceiling to this mother's ability to make milk, so try to set some reasonable expectations and goals. I'll be interested in hearing how this all turns out! BTW-- are these natural quints or the result of fertility meds? If the latter, was there any dx? Lisa Marasco, BA, IBCLC Santa Maria, CA