I was thinking a shield might help. It sounded to me like overactive letdown. That is the first thing I thought of. If this is the likely scenario, I recommend almost continous skin to skin like kangaroo mother care. The mother can try offering the breast after expressing some, giving baby the hindmilk. If baby won't latch or stay latched, a shield could be tried if baby is taking a bottle. Mom will need to be very patient and calm. Of course keeping her supply going. Positions to minimize the overactive letdown effects on the baby could be tried. Co-bathing could also help. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Express yourself with the new version of MSN Messenger! Download today - it's FREE! http://messenger.msn.com/go/onm00200471ave/direct/01/ *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html