Anne wrote:

Unless I'm  missing something here it sounds like lactogenesis was delayed 
and that  now she is engorged. You mentioned that her areolas were puffy. I 
wonder  if her ankles and fingers were swollen, as well.  While moms are  
edematous the milk is often delayed.  I also wonder if she has been  spending 
a lot of time on the pump when nothing was coming.  That can  cause more 
edema.  I'd get her on her back with ice packs all  over  her  breasts as 
often as she needs them for comfort and to  help reduce edema so she can get 
milk  flowing. 


~~
I was thinking the edema might be an issue too and it's easy to look at  
mom's ankles and ask how they are normally. A few handfuls of  fresh parsely a day 
can really help naturally. I like the lying  on back idea to move the fluid, 
but I remember that for me personally, the  engorgement was so bad I couldnt't 
breathe like that, so another possibilty is  to her her sidelying with a 
rolled up towel to support the top, really heavy  breast. Without the towel I had 
back pain from the top breast pulling down so  much and could neither rest nor 
sleep. 
Ah, such fond memories of my bad  postpartum experience, but I guess they 
come in handy sometimes...:)
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL, Brooklyn, NY, USA


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