I HAVE BEEN WORKING WITH A MOTHER WHO DELIVERED HER INFANT ON 12/18. SHE GAVE ME PERMISSION TO POST. SHE DELIVERED HER FULL TERM INFANT AFTER A 6 HOUR UNMEDICATED LABOR.  THE MOTHER HAD FLAT NIPPLES AND HAD SZ 40J BREAST.   SHE NURSED HER INFANT USING A NIPPLE SHIELD FOR 2 DAYS WHILE IN THE HOSPITAL WITH OCCASSIONAL PC PUMPING.  WHEN SHE WENT HOME SHE DECIDED TO PUMP ONLY AND BECAME ENGORGED.  SHE WOULD APPLY WARM COMPRESSES PRIOR TO PUMPING AND CABBAGE LEAVES AFTER R/T SEVERE ENGORGEMENT.  WE HAD HER USE A HOSPITAL GRADE PUMP AND USED BREAST MASSAGE WITH 10 ML MILK OBTAINED.  MOTHER STATES THE ENGORGEMENT HAS SUBSIDED BUT SHE IS NOW ONLY OBTAINING A FEW DROPS OF BREASTMILK.  I ENCOURAGED HER TO NURSE INFANT AGAIN AS OFTEN AS POSSIBLE SINCE SHE IS NO LONGER ENGORGED.     SHE HAS GONE BACK TO NURSING AGAIN BUT STATES HER BREASTS ARE NOW DEFLATED.  PLEASE HELP!

KAREN       

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