Denise From what you describe it sounds like the stress is not being addressed adequately. I also think that there is too much emphasis on equipment, pumping, measuring etc. All of these interventions often increase stress level. Have you tried the 72 hour bedrest treatment? - No other activity but nursing - mom bare from waist up- baby in only a diaper - tucked into bed together. If the mom has someone who can take care of her and the house this often works wonders. It is important to emphasize that this is a short-term treatment. I would also be tempted to eliminate pumping and syringes etc. for these few days while continuing to monitor urine and stool output carefully for 1 week. Sarah Friend Barnett, LLLL, IBCLC Bronx (New York City), New York [log in to unmask]