Lisa: You didn't mention and nursings at night. I would encourage at least 1 feeding after a 4 hr. stretch of sleep. Maybe even 2. Maybe 8 feedings/pumpings per day isn't enough, and she really needs to nurse a lot in the evening, skin to skin, maybe in bed, ...all other tasks are forgotten for a week or two as she concentrates on building her supply. Is the PNS working well for her? or would a brief trial with another pump be worth it? Just some thoughts -- Anne Andrianos, MS,RN,IBCLC Breastfeeding Resources 4340 Young Road, Syracuse, NY 13215 (315)492-6437 or 492-9131 [log in to unmask]