I am referring to the video of that title, which Esther Grunis thanked me
for just now on Lactnet.
I was hired to do the English translation which I am terribly proud of, but
the video is the result of creative work of others, notably Dr. Gro
Nylander, an obstetrician who has done volumes to promote and protect BF
here in Norway.  I have no financial interest in BiB, get no royalties and
have no stock in the company that markets it.
I know about the bag of frozen peas, but I know very few women here who have
tried it.  I have even had complaints from women using cabbage that it is
too cold.  Cultural difference.

Back to Esther's post on engorgement: one thing that always puzzled me was
why we send women in the shower to get milk flowing, before we show them
good manual expression techniques  or even just fingertip expression or Jean
Cotterman's reverse pressure softening (and here you will need to go to the
archives, but it is worth it).
If you have a container with a limited volume and it is overfilled, a GREAT
way to reduce the pressure is to remove some of the contents.  Warmth works
well on N. European women, it seems, as a prelude to mechanical removal,
preferably starting by hand until milk is at least dripping if not spraying
out, and then the judicious use of a pump if there is nothing else
available, like a hungry baby, to receive the milk.
If your target population likes cold, then use cold.  But don't forget that
milk transfer will be key to successful resolution of the engorgement.
Manual expression takes less time and energy than showering and you don't
have to queue up for it either, as most mothers have as many hands as they
have breasts, but most maternity wards have way too few showers!
Rachel Myr
lazy in Norway
PS BiB has a truly beautiful sequence of a 30-weeker at the breast for the
first time.  No full-scale suckling, but no way is that baby going to take
another month to get there.

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