Hi Denise,

My overall experience is the same as yours is: With proper breastfeeding
management engorgement seems to be less severe. Ofcourse there are always
exceptions.

Renate.

At 06:22 19-3-00 +1000, you wrote:
>This is in response to a posting from Barbara W-C regarding our knowledge
>of the causes of engorgement (or rather lack of knowledge...). I have
>discarded the original posting so please correct me Barbara if I am
>misunderstanding you.
>
>I had previously mentioned that we 'know' that good, regular removal of
>milk from the breasts in the first 48 hours or so will reduce the chances
>of developing engorgement when lactogenesis II occurs.  Barbara refuted this.
>Am I to understand you are saying that there is nothing we can do in our
>breastfeeding management that will have any impact on the 'severity' of
>engorgement?
>I don't have any research on me at the moment (I'll definitely be looking
>as soon as I can) but my experience leads me to disagree.  The women whose
>babies are sleepy and breastfeed 4 to 5 hourly in those first few days do
>experience significantly more engorgement than the ones whose babies are on
>and off the breast all day and all night.
>
>I know there are exceptions to every rule - and yes I agree that some women
>(but a minority) will get engorged, and possibly quite severly so, despite
>the very best of management.  But I do suggest that these women are
>exceptions.
>
>What has others experiences been?
>Denise
>
>****************************************************
>Denise Fisher, BN, RM, IBCLC
>BreastEd Online Lactation Studies Course
>http://www.breasted.com.au
>mailto:[log in to unmask]
>****************************************************
>
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--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail  : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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