One of the lactation specialist for WIC in Mississippi has been working
with a client all day trying to relieve severe engorgment.  Her baby was
born Friday and she didn't attempt breastfeeding until yesterday.  (Hadn't
planned on breastfeeding until her milk came in and she was in alot of pain
and decided to let the baby nurse.)  The LS has tried, cabbage, ice, warm
compresses, massage, and the use of an electric breastpump .... nothing ...
just some clear looking thick fluid on the end of the nipple and still very
tight breasts.  The mom has gotten in a warm shower,  had the LS massage
her back and place warm compresses between her shoulders while warm
compresses, massage and using an electric pump .... still nothing.  Baby
attempts to latch, but pulls away in frustration.  What else is there to
do?  The mom is home so there is no opportunity for a pitocin injection.
Thanks for you help.  camille foretich, IBCLC