Hello Lactnuts! This is my first time posting. I've been lurking on the list for about a 2 months. I am a tandem lactating (2 1/2 years and 5 months old), newly accredited LLLLeader. I got my first call yesterday. The baby is almost two weeks old and prefers the left breast over the right. This has resulted in the right breast being twice the size of the left.. The mother has two questions. The first was what to do about this extremely engorged breast. Of course I mentioned pumping or hand expressing to get the size down, using heat compresses and cabbage leaves, etc. Seems the baby has had trouble latching on and never has taken the right breast. The second question: is the baby latching on incorrectly if he is leaving an indentation on the areola, or a "ridge" as the mother described it? The mother also said that when he nurses she feels pain deep inside the nipple, just as she did with her last baby, whom she nursed for over 2 years. This doesn't sound normal to me. The baby prefers the left nipple and breast because the left areola and nipple are larger and more "pliable" as the mother put it. On a deeper level, I know this mother quite personally since she is my sister-in-law. With her last baby she hardly got any block of sleep longer than 2 hours because he was such a frequent night waker. This continued far into his second year of nursing. I always wondered if this was because he was not latched on correctly and had to nurse twice as much to get the milk he needed. Now with this baby I'm wondering if this cycle is repeating. The mother did not get "any sleep in seven days" after this new baby was born because the pain was so intense she could not lie down and nurse and fall asleep with baby. Has anyone heard of incorrect latch-on associated with frequent night waking? I would appreciate any comments, Thanks, Celestia Shumway, BS, LLLL Provo, UT _____________________________________________________________________ You don't need to buy Internet access to use free Internet e-mail. Get completely free e-mail from Juno at http://www.juno.com Or call Juno at (800) 654-JUNO [654-5866]