One thing that I forgot to mention - This mom has not been pumping at all 
for the last 10 days, only breastfeeding, so I don't think it is a case of 
too much pumping increasing supply.  She pumped with an Avent ISIS on days 
4-6 just to soften the right breast so that baby could latch and she pumped 
the left (unengorged side) because she was afraid production was declining 
on that breast.

> Date:    Tue, 4 Oct 2005 22:34:14 -0500
> From:    Mellanie <[log in to unmask]>
> Subject: 2 issues - 1 breast still engorged 3wks pp and low milk supply 
> 6mos pp
>
> Dear Lactnetters,
>
> I would appreciate some input on two cases I have been working with.
>
> The first is a mom who is 3wks pp with her 2nd baby.  Baby is gaining very
> well - 6lbs9oz at birth, 6lbs 13oz day 14, 7lbs4oz day 18.  Breastfed 
> first
> baby 8mos with no problems, only mild engorgement when milk came in.
> Current baby showed definite preference for right breast in hospital, 
> little
> nursing on left for first 3 days.  Baby did finally begin to accept left
> breast on day 4 and latches well on left.  Mom began experiencing
> engorgement day 3 pp.  Engorgement subsided on left breast within 4 days 
> but
> continued on right for 2 more days.  Mom reports some relief of 
> engorgement
> on right from days 6-8 but then engorgement returned day 9.  I saw her day
> 18 and the right breast is significantly larger than the left and is full
> and firm (not rock hard, but very firm).  No lumps, knots or redness.  Mom
> reports constant throbbing pain in left breast that worsens throughout the
> day.  Baby latches well but clamps down at letdown with milk running out
> corners of mouth.  We massaged the breast during nursing and mom reported
> feeling relief after nursing, but breast full and painful again within 1
> hour. 

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