I also had unexpected engorgement 30 years ago after miscarrying at 20 weeks gestation. 
Although a LLL Leader for 6 years and a newly certified IBCLC (1985), I was totally unprepared and distraught. 
I pumped once with a big old Ameda Egnell SMB (which I was renting for my LLL group) and cried with every drop. 
Laura Monin

Sent from my iPhone

> On Oct 21, 2016, at 1:23 PM, Kathy Leeper <[log in to unmask]> wrote:
> 
> Your plan sounds great.
> 
> 
> If she takes the Sudafed and sage her engorgement should not last long.
> 
> 
> Ice would be preferable over heat.
> 
> 
> I experienced this personally at 21 weeks gestation, 25 years ago.  Noone warned me it might happen.  It is SO very sad to have milk and no baby, which makes it worse, I think. I hope she has a lot of loved ones to pamper her.
> 
> 
> 
> 
> Kathy Leeper, MD, FAAP, IBCLC, FABM
> Breastfeeding Medicine Specialist - Leawood, KS
> 
> MilkWorks breastfeeding center - www.milkworks.org<http://www.milkworks.org> - Lincoln, NE
> Milk Mob Board Member/Trainer - www.milkmob.org<http://www.milkmob.org>
> Board Member/Chair of Education Committee - Academy of Breastfeeding Medicine - www.bfmed.org<http://www.bfmed.org>
> 
> Creating a healthier community by helping mothers breastfeed their babies....
> 
> Email Confidentiality Notice: The information contained in this transmission is confidential, proprietary or privileged and may be subject to protection under the law, including the Health Insurance Portability and Accountability Act (HIPAA). The message is intended for the sole use of the individual or entity to whom it is addressed. If you are not the intended recipient, you are notified that any use, distribution or copying of the message is strictly prohibited and may subject you to criminal or civil penalties. If you received this transmission in error, please contact the sender
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