While we often do not know why a mother has difficulties releasing milk, I  
have found that it is sometimes helpful for her to obtain a prescription for  
oxytocin nasal spray and try that for a couple of days. Sometimes just a few  
successful let downs seems to condition things to work better. It helps the  
mother relax and realize that her breasts will work. A compounding pharmacy can  
fill the prescription, although it may be expensive. 
 
Marsha Walker, RN, IBCLC
Weston, MA

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