Hi Kathy,

My experience has been that if she pumps out her breasts one time until they
are really "empty" and then nurses on cue after that, severe engorgement
does not recur. There are always the exceptions to the rule, but in most
cases that and cold compresses have done the trick.

Sharon

On Thu, Jul 31, 2008 at 6:40 PM, Dr. Leeper <[log in to unmask]> wrote:

> We are having a debate at work:
>
> If a mom gets uncomfortable engorged, should she be told to pump as needed
> to soften?  or pump to "drain" less often?
>
> The arguments for pumping to drain:
> -mom can go longer between pumpings
> -baby can latch more easily
>
> The argument for only pumping to soften:
> -avoid oversupply
>
> Any research?  Or just opinions?
>
> Thanks-
>
> Kathy Leeper, MD, IBCLC
> Lincoln, NE
>
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