I would treat this as an oversupply/ hyperactive letdown case. For some reason...this baby is really stimulating (overstimulating?) this mom! Some ideas are...feed only one side at a time to decrease the oversupply. Try a shield to decrease the amount of nipple stim. Avoid any other kind of nipple stim. (ie. pumps). The literature seems to indicate that painful letdown resolves within six weeks...so she may just need to hang in there. My personal experience tells me this is not always the case and, sometimes this kind of oversupply has to be dealt with more aggressively. Another idea is to get her started on some sage...to depress supply. This painful letdown is often associated with contraction of the alveoli when the ducts are already full. Decreasing the oversupply resolves the painful letdown. Good luck, Susan Keith-Hergert *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html