I do appreciate all the suggestions.  As mentioned, staying home really
isn't an option for this family right now, as the mom is the main wage
earner and carries her family's medical insurance. 
There are limited daycare options in our small town.  This is the only
center, and there are just 2 licensed daycare homes - one of which has my
own 3 children who are still young enough to need care!  The parents are
strongly considering switching providers, but it would be hard, and the 2
older siblings (19 mos and 3 year old girls) are pretty happy at this
center.  Interestingly, a similar problem arose with the second child (very
large volumes of milk being given during the day, which led to difficulty
keeping up  for the pump, which led to some supplementing, and eventual drop
in mom's supply.  Her fertility then returned earlier than she'd counted on
and the little guy in question showed up just 16 mos after his sister.)  The
only difference is that baby #2 was/is quite a high needs little person, and
the parents had to be very creative in soothing her at home also, so they
felt the daycare folks were doing the best they could.  This baby is so
content at home - and was before being started in daycare also, that the
parents are mystified with what the daycare folks describe.
This mom is a very dedicated lady.  She is a school psychologist for a large
district, and often pumps in her car hands free while traveling between
schools.  (This was a trick I myself managed when I was still pumping for my
last baby and working out of 2 offices.  She and I have been able to swap
some nice stories over the last few years.)
Trying to come up with ideas for her has made me really appreciate how lucky
I have been myself with my daycare situations over the years.  I have been
blessed with a number of women who treated my milk like liquid gold and did
everything they could to support my breastfeeding relationships.  I could
never have pumped 24 ounces a day!  
I really think the key is going to be either getting the current daycare
folks to learn some decent soothing techniques for this baby, or for the
parents to find other daycare.

Jennifer Tieman
Family Physician
Mom to 4, including my nursling Caroline Rose age 2 1/2 (who is still lying
in my arms latched on, having drifted off to sleep with her beloved nursies!)

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