Hello all, I have a question related to case #1 of Dr. Denhez where the lady has none or very little milk: I had a mom who needed a much better position and latch of the baby during 1st 24 hrs after c-section birth, which we accomplished. Baby stayed at breast, nursed long, and relaxed during and was content after feeds. However, I did not hear swallowing. (BTW how and when do you use a stethoscope to evaluate swallows, if you would do it?). Before the feed, mom could express no milk at all and neither could I. She wanted a pump and she got nothing from right breast and about 3 little glistening drops on left breast with double medela classic electric setup. At this point she wanted to supplement and wait a few days for her milk to come in. Of course we discussed why this was not recommended. I encouraged her to continue with the good positioning and deep latch for now. Anyway, my questions are: Would you worry if no swallowing, milk expression, pumped milk at this early date? Which one of these? I always feel the pump does not get much out at this time. Would you do any other interventions at this time? Test weighing? Blood sugars? Could this be MER problem, which would not be well established at this time anyway, right? When would you start to worry? This mom had no risk factors in history (e.g. breast surgery, injury, infertility, she did have breast growth, and nipples appear normal and erect.). Please share your collective wisdom. Laurie Wheeler, RNC, MN, IBCLC Violet LA USA