Re: Milk wont let down
That is very supportive of you to seek help for your sister!
How old is the baby, and how does your sister know that she is not having a letdown? Very often, especially at the beginning you can't feel the milk letdown although it's still happening. Also feeling engorged is typical at first, and in some women for several months.
The way to tell if the milk is letting down is by listening and watching the baby's swallowing patterns. If the baby starts to suck-swallow, or suck-suck-swallow then the milk is probably letting down.
How many wet diapers is the baby having? 6 wets a day is a good sign. If the baby is having less than 6 wets a day I would definately put in a call to the pedi. Are you in touch with a local LLL leader or IBCLC? They can certainly be helpful in difficult times.
I experienced difficulty in my milk letting down, and the best thing that I did was to de-stress, which is SO hard when you're worried your baby isn't getting enough mommy milk. Basically I removed all social obligations for 2 weeks and just relaxed in bed with the baby and nursed as much as possible. Sure enough, the letdowns came back!
Best of luck to your sister and keep us posted!