The two things that concerned me a little in talking to the mother was the weight of the baby at the one week check up at peds. She said that doctor was happy with it. The other concern was that she supplemented with bottles on Wed and Thur and pumped every 4-5 hours and maybe more. When I made suggestions to the mother of two week old baby for what she can do for her oversupply I stated taht she can use warm and cold compresses between feedings. Take a warm bath or shower. Let the water run over breasts. "You can use ice too between feedings." Do breast massages with the palm of your hand. Do breast massages while nursing the baby. I also suggested to her that she pump after the feedings and can express some milk from her breasts before a feeding. I made no comment about cabbage leaves because she stated a couple of times that she didn't think that she was engorged only "almost". I told her that when pumping is needed like when you are away from your baby, your supplementing or working La Leche League suggests that mothers pump about every 3 hours. I thought it was important to tell her that since she went a long time in pumping on Wed and Thur, 4-5 hours. She asked me, "Well how long would I pump for?" I said, "until the breasts are empty. You want to keep your supply up." Supply and demand. Another suggestion I made becasue I wasn't sure if she was bfing enough was to watch the feeding cues and that when she saw her baby's eyes flicker and body movements while asleep she should wake her up. "You won't be disturbing the baby's sleep because these sleeping cues are a sign that baby is in a light sleep and not a deep sleep. It's a good time to wake baby up. Baby will be waking soon." I tried not to overwelm this woman with too much because she stated taht with her first child she pumped all the time and it was tiring and exhausting. She wanted to breastfeed this baby and didn't want to do the pumping around the clock thing again. I also tried to be suggestive and guiding so not to scare her at all. I never said well I'm concerned about xyz or well you should.... Mother claimed that her breasts were not hard. She was not in pain at all and there was no fever. Baby was feeding well, she said. Breasts were just sensitive to touch. Based on this information that she gave I didn't think she was engorged. I have a feeling I will see her on Tuesday morning at the La Leche meeting because she stated a couple of times that she was going to go and that she looked forward to going and seeing me there. I get the feeling that this mother is very dedicated to breastfeeding and will do what is necassary. You know when you know from just talking to one without seeing them? Should I encourage her to see an LC and have her baby weighed again when possible? Thank you to all. Any other advise? Claudine *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html