I am working with a primipara, 50 years old. Perimenopausal. Of course <gnashes teeth> she had a three day induction followed by cesarean. She has been healthy; it's an in vitro pregnancy. (I did not order the induction, no comment....) Full term. Her breasts are "meaty" and the baby was having a hard time getting on - mom "all hands" at first on top of everything else. Her edema is mostly below her waist. Baby of course had a big first-24-hour weight loss but the pedis are aware of the research about that. (I must say this baby had the juiciest diaper I have EVER changed in a newborn....yesterday) Breasts are small-ish but normal. So overnight, mom got a nipple shield - mom is liking using it because her nipples are sore - some poor latching despite very good help (including laid back and nipple flipping and etc etc). Baby's oral anatomy is fine. Her breasts are nicely veined today. Should I start her pumping? I don't want to add layer upon layer of more craziness. But I want to maximize her supply. Could not find anything anywhere about this sort of situation. Where did I miss it? (One post by Lisa Marasco back in 2000 about advanced maternal age) Dawn Kersula second guessing myself in Vermont....and off to help a redhead with happy nipples nurse! *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome