Hi Kathy,
A couple years ago I attended a conference with Rebecca Glover as a  speaker. 
 She talked about management of engorgement with the use of  expressing.  Her 
theory and observation was that if the breast is not  relieved of the 
engorgement either by the baby or expressing, the mother could  loss some of her 
ability to produce enough milk.  Than there is just the  comfort factor.
She described that when the breast were engorged and the baby would not or  
could not reduce the breast, the mother was to express them down to being  
soft.  She stated this would only be needed for a few times a day over a  day or 
two.  After that the engorgement would be resolved and the mother  comfortably 
breastfeeding.  She stated this management would not lead to  over production.
I have used her advise on a few cases and it does help.  Some moms  like the 
idea of building up a supply but I discourage them to continue this and  just 
resume breastfeeding their babies.  None of these moms have ended up  with 
over supply issues.
I don't know if Rebecca is on LACTNET but maybe someone who knows her can  
comment on this.
Ann Perry, RN IBCLC
Boston, MA

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