> I know there are exceptions to every rule - and yes I agree that some women
> (but a minority) will get engorged, and possibly quite severly so, despite
> the very best of management.  But I do suggest that these women are
> exceptions.
>
> What has others experiences been?

Denise,
My experience (from observations and client records) is that engorgement is more
common when breast emptying is not frequent in the first days OR if it is
frequent *with* frequent breast-switching.  I also have the impression that
''multilacties'' tend to develop engorgement more easy and more severe. I do not
know wether this is due to the glands be more ''experienced'' and thus make more
milk sooner or that it is because mom is slightly more unsecure in management.

Gonneke van Veldhuizen, IBCLC, Maaseik, Belgium
http://www.users.skynet.be/eurolac
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