It might work to do reverse pressure softening (RPS) - check our archives for details - and hand expression instead of pumping until the milk begins to flow. I would use cold cabbage leaves continuously until the milk began to flow. I would continue to use the ibuprofen around the clock. Feed the baby by alternate method. If baby can latch once the breasts soften a little, and if mom can tolerate the pain, I would use a supply line to give expressed milk (or donor milk or formula if needed) so that baby can suckle at the breast. Pain meds if needed and antibiotics if mastitis s/s not resolving with above measures. I have heard rescue remedy homeopathic helps w/ stress, relaxing, and letdown. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** 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