I am working with a mother that is about 12 days postpartum and still struggling with engorgemebt.  She has given me permission to post.
Her baby is drinking approximately 1.5 ounces when she breastfeeds with a nipple shield.  Mom has stopped pumping because it seemed to make it much worse.  She has tried using moist heat before feeding, massage during, and frozen peas after feeds.  She is taking her Motrin.  
She pumped to completely empty twice.  Each time yielding 7-8 ounces total after the baby nursed.  She has tried drinking a few cups of sage tea.  
Any suggestions would be appreciated.  The engorgemebt is improving.  It was very severe when I first met her.
Thanks in advance!
Warmly,
Jesica Miller RN, IBCLC

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