>   I am working with a mother that has both classic oversupply and
>over-reactive let-down; however, this is by far the worst case or
>most aggressive let-down I have ever witnessed.  Baby is now three
>weeks old and although is coping well, mom is experiencing extreme
>pain while breastfeeding and fears initiating each feeding.

This does sound like an extreme case of oversupply/OAMER.  I wonder
if she might be hyperthyroid.  If she has any other signs/symptoms of
her thyroid being "off" then this might be worth checking out.

Barbara Wilson-Clay does a presentation on oversupply where she talks
about using Sudafed or estrogen-containing BCP for extreme cases that
are not resolved with the usual tactics (already suggested here --
block nursing, scissor hold, sage, other antigalactogogues).  She
cautions to not try to downregulate supply too soon as this may lead
to insufficient milk later on.

Margaret
LLLL
Longmont, CO

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