How much is she leaking before feeds?  Can she somehow try to feed after
a bit of "leaking" (as opposed to pumping off foremilk)?  The mom I was
working with did see progress after quite a long time.

Last spring I worked with a mom whose babe was not latching on and she
was pumping about 144 ounces per day with a M_____ hand pump.  Pumping
only for comfort.  We were reluctant to try something I thought about
early on - a nipple sheild.  In retrospect I think she would have been a
perfect candidate.  Lots of cabbage and continuing to gradually stretch
out pumping seemed to make the difference in her case.

Might it be worth introducing a nipple shield to reduce stimulation?  I
never would have brought this up a year ago.  Now I think it *may* be
worth considering.

What does everyone else think?

Kym (and Carlie nursing INdiscreetly)