Hi June, In my experience, I do NOT find that pumping to relieve overfullness during the early days when the milk "comes in" contributes to overproduction or engorgement. If the mother kept on pumping extra for many days, then it could lead to an overproduction more than what the baby needs. In my experience, most mothers do not experience moderate to severe engorgement if they are exclusively breastfeeding ad lib and are getting a good latch. It is quite apparent to me that the main reason that mothers experience uncomfortable engorgement is the routine use of supplemental formula in lieu of exclusive unrestricted bf. Sometimes an infant will feed to satiety from one breast only and the other breast feels quite full and uncomfortable, esp. day 4-6, and the mother feels better if she expresses the unused side. Most mothers I talk to by phone on or about day 4 state that their milk is in but they are not having any trouble with engorgement. Hope this is helpful to you. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Instant message with integrated webcam using MSN Messenger 6.0. Try it now FREE! http://msnmessenger-download.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html