I, too, recommend and have had a lot of success with relieving
engorgement by expressing enough to be comfortable ... not expressing
out ... just for comfort. This can be repeated as frequently as the
mother needs to, to maintain comfort. It doesn't increase milk supply
because at this time the prolactin levels are sky-high anyway and
autocrine control isn't fine-tuned yet. And it does prevent the
possibility of engorgement causing involution.
I am only talking about lactogenesis II here. If the baby is
breastfeeding well then I wouldn't recommend expressing beyond the
initial day or two when the milk comes in ... and then only for the
mothers who become uncomfortably full.
Denise
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