> The moms of these skinny little babies nearly always report a history of > unrelieved engorgement in the first few days after the milk first came in. > I'm convinced that the first week - 10 days after delivery are really > critical to establishing adequate lactation, and it's usually in this time > that the breasts have the potential to become overfull or engorged, with the > sequel of lactation failure if this is not addressed. Pam, I too think this is much more important to subsequent milk supply than many of us realize. MHO is that these are the moms who come wandering in with "not enough" milk at 6 weeks. I am pretty aggressive about addressing engorgement, frequent nursing and good drainage in the early days because of my belief that it can cause subtle and not so subtle sequelae. FYI, I used to be a rental station, but send them out now to get a pump from another local rental station. And I really prefer the big pumps for these early problems as opposed to using one of the little hand ones because their quality is so variable from type to type. A mom might only have to use it a few times or for a day or two, but it makes so much difference. Sincerely, Pat in SNJ *********************************************** 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