We no longer instruct mothers who choose to bottlefeed or mothers who are weaning to bind their breast. This generally does not stop the swelling and discomfort associated with engorgement. Also, I have associated binding with plugged ducts and mastitis due to increased pressure in the breast and milk stasis. In out hospital and practice , we recomend the use of a good, well fitting bra for support, and use of Cool Cabbage Leaf Compresses for decrease of swelling and discomfort. We still keep some of the old 6 in. ace wraps on our supply cart because a portion of our clients are of lower income and sometimes do not have a bra to wear, these ladies are provided a wrap to "support well", not bind tight , the breast. The Cabbage does wonders !! And our MD's tell their moms about it, and then recomend they call us for assist. PS - The docs do sometime tease us about our "herbal" treatments, but they cont. to recomend it. Paula Ray RNC, IBCLC Longview, Texas