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Subject:
From:
Rachel Myr <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 3 Aug 2008 16:03:40 -0400
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Lactnetter Gonneke van Veldhuizen had an article on this published in the
International Breastfeeding Journal, edited by Lisa Amir.  She has found
that complete drainage of both breasts with a pump followed by breastfeeding
several hours on one side only, before switching sides and giving the first
breast a break from stimulation, is quite effective in reducing post partum
engorgement.
Her article contains four case reports and a description of the method she
uses. It's freely available on line at
http://www.internationalbreastfeedingjournal.com/content/2/1/11

I've recommended this to a number of women plagued by engorgement and
oversupply that really made them miserable in the first couple of weeks, and
all of them found it more effective than continuing to express just enough
to relieve the acute pain.  One of them expressed about 500 ml of milk and
then immediately afterwards breastfed her 5 kg baby to satiety.  After 24
hours of block feeding her engorgement, which had lasted for 9 days with no
relief, was gone.  Anecdotal, I know - and I would not recommend it except
in cases of real, painful engorgement, not as a routine measure for all
mothers.  

Rachel Myr
Kristiansand, Norway

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