Hi Larissa, You describe my thoughts and worries exactly. I also prefer to reduce swelling and get the milk flowing to the baby without a pump in cases like this. Laura Goodwin-Wright In a message dated 11/18/2011 6:08:27 P.M. Central Standard Time, [log in to unmask] writes: Date: Fri, 18 Nov 2011 19:46:17 +0000 From: Larisa Walk <[log in to unmask]> Subject: Pump usage in engorgement Hello, ladies and gents. I'm wondering if I'm the only one reluctant to recommend an electric pump if a mother is engorged, especially if it is severe. I feel that using an electric pump in this case might make things worse because the engorged tissue is more fragile and if she has 3d spacing, the edema might worsen through the use of an electric pump. I tend to prefer cold compresses, hand-expression, reverse pressure softening and improving the latch. What do you usually do? Thanks. Larisa Walk, RD, IBCLC who thinks that our WIC participants are entirely too reliant on electric breast pumps - they seem to believe it'll miraculously solve all their breastfeeding problems. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome