Pat, Agree that inlaws visiting is a common etiology for engorgement. Know one mom who would not put her baby to breast until her mother in law left- after the baby's bris! Needless to say, the 8 day old boy who had just been circed was not about to learn breastfeeding, and that was it. Mom felt they did not have the money for an LC, even when referred to a hospital lactation clinic which would take their insurance. Baby of course wound up on meat based formula, wonder how they find the money for that? Catherine Watson Genna, IBCLC