For engorgement I like these interventions, maybe they will work for the client with gigantomastia: cold [some use cool cabbage], elevate the breasts [lie on your back], ibuprofen or other anti-inflammatory available at your location, reverse pressure softening [see archives on this by Cotterman] before expressing, measures to relieve edema if present like watermelon, fluids, even a diuretic. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html