I would suggest more than a little pumping in this case.  Do you hear any
swallowing at breast, and how is the baby positioned? Have thyroid levels
been checked?

What is the shape of her breasts.?

The article for the Journal Club will discuss this very subject, soon.  You
might want to check it out now. "Markers of Lactation Insufficiency: A study
of 34 mothers." Huggins et al. Current Issues in Clinical Lactation 2000.

Kathleen

Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
Williston, Vermont
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http://together.net/~kbruce/kbbspin.html
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