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Subject:
From:
Karen Gromada <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 16 Sep 2010 00:33:00 -0400
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Are talking physiological or pathological engorgement? I really think there
needs to be a distinction made between the fuller, heavier breasts of
"normal" physiological engorgement and the "hard as a board" or "rocks to
the collarbone" of pathological engorgement that too many of us are seeing
way, way too often these days.

With an effectively breastfed baby around, why pump for physiological
engorgement? But a pump may be helpful for a brief period if the engorgement
is beyond that - depends on the situation, especially if the effective
breastfeeding baby really can't get on completely tight distended breasts.

Jessica, you may have physiological engorgement in mind while the other user
may have been thinking of pathological engorgement. And if a baby isn't yet
effectively breastfeeding/removing milk, a pump (or other means of
expression) may be crucial. It's all in the operational definitions of terms
we can too easily take for granted! (BTW, I'm a total fan of RPS immediately
prior to BF/pumping no matter what the engorgement type!)

KKG




> Ok, Here is a sad but true story about me - I am a sucker for answering q=
> uestions on yahoo answers. My husband thinks that i am addicted to it.=20=
>
> Anyway, tonight i was answering a post regarding a mother who was experie=
> ncing some engorgement and she asked about pumping. My response was that =
> she could use reverse pressure softening to make it easier for the infant=
>  to latch and hand express milk if she needed to for latch or discomfort =
> issues. I said that pumping would increase milk supply. I also explained =
> that engorgement is not just due to milk but also extra fluid and blood.
> Another user responded and said that engorgement is caused when the breas=
> t is not emptied and to ignore any responce on not pumping (meaning that =
> the mother should pump).=20
>
> What is everyone else's views on this - do you encourage frequent pumping=
>  during engorgement or allow time for the body to adjust?
>
> Thank You
> Jessica RN, IBCLC
> NC, USA
>
>             ***********************************************
>
>
-- 
Karen Gromada
www.karengromada.com/

             ***********************************************

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