I am working with a woman, and because she was told I could "make a man 
nurse," i feel a little bit pressured:) 
Baby was born with no complications, mom reports no medical history, no 
problems getting pregnant.  the first day i met them, the baby sat there with 
the nipple at his lips and would not latch; just sat there, didn't fight it but 
would not be tempted.  So, She finger fed for a week.  Now, he latches pretty 
well, but only with a shield. Ok.  There are worse things.  But she is not 
making milk, and i can't figure out why.  

Normal puberty growth, normal development in pregnancy, early and frequent 
breastfeeding after birth.  She is taking goat's rue and fenugreek, and she 
noticed a little improvement, but not much.  A great pumping, which i know 
isn't always indicative, only produces about an ounce.  She is small breasted, 
but they are symmetrical and round, and I have seen women who appear "flat" 
(and i remember one baby who was choking and sputtering and tummy hard as 
a rock after about five minutes eating because his mom had soooo much milk, 
and she really didn't look like she had any storage capacity) but produce 
plenty of milk. She has some skin discoloration, like some pigment is missing, 
her areolas are lighter than her breasts but she reports no health problems.

One thing she mentioned last night, though her two sisters nurse with no 
problem, her mother tried with the first two, but reportedly never had enough 
and didn't try with the rest.  

Am I missing something?

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