Hi June,
In my experience, I do NOT find that pumping to relieve overfullness during
the early days when the milk "comes in" contributes to overproduction or
engorgement. If the mother kept on pumping extra for many days, then it
could lead to an overproduction more than what the baby needs. In my
experience, most mothers do not experience moderate to severe engorgement if
they are exclusively breastfeeding ad lib and are getting a good latch. It
is quite apparent to me that the main reason that mothers experience
uncomfortable engorgement is the routine use of supplemental formula in lieu
of exclusive unrestricted bf. Sometimes an infant will feed to satiety from
one breast only and the other breast feels quite full and uncomfortable,
esp. day 4-6, and the mother feels better if she expresses the unused side.
Most mothers I talk to by phone on or about day 4 state that their milk is
in but they are not having any trouble with engorgement. Hope this is
helpful to you.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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