Be sure her pump flange size is appropriate. As a post said earlier this week, sometimes even moms with smaller nipples have a physiology that lends itself to much more effective pumping with a larger flange than with the standard size flanges. Also sometimes warm compresses help, as recommended in the Breastfeeding Answer Book, although other texts I noticed say it's ineffective...it's worth a try, IMO. HTH, Debbie Gillespie, also new IBCLC *********************************************** 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