I just received a phone call from the stepmother of a 33 yr old woman who just gave birth 4 days ago, via c-section. The mother in question had surgery at age 13 to "fix" inverted nipples, and at the time was told that she may or may not be able to breastfeed. Mom has never been able to express anything from her breast, nor could MD; her milk came in, she is severely engorged, and neither pump nor anything else gets so much as a drop of milk; apparently the sinuses were completely disconnected. Here's the further rub: baby was started on regular ABM and became very fussy and gassy. Mom's family has a history of lactose intolerance, so they tried switching to soy, but baby was still up all night, passing gas, and also became constipated, having passed rubbery balls of stool. The mother is extremely distraught that she cannot provide milk for her baby; she knows the difference it would make. They want to know if anything can be done for this, is there any kind of procedure by which they could access the milk before involution occurs..... (not that I know of!) I have given info on cabbage and ibuprofen to help with the immediate maternal pain, and suggested the next level up of ABM, the non-milk/soy based stuff. I've also addressed all the little stuff like water for constipation, walking baby, mom getting more sleep, etc.. Is there anything else that anyone can add to this? Grandma is worried about mom's depression, and wants to know that they have exhausted every avenue. TIA, Lisa ************************************************* Lisa Marasco, BA, LLLL, IBCLC [log in to unmask] / [log in to unmask] *************************************************