This is just my theory based on observation and some on the science of how our lymphatic system works. Women with smaller breast are more likely to exhibit more noticeable primary engorgement than women with very large breast. The smaller breast has less adipose tissue and the milk glands are closer to the surface, therefore there is less tissue space to expand with the filling from the lymphatic system. Women with large breast describe increase heaviness in their breast but I rarely find them with severe engorgement compared to women with the smaller breast. Now if a woman feeds the baby very frequently then the engorgement is less. Where I find this dilemma more challenging is in the areola. In the smaller breast the areola gets much firmer during engorgement than the larger breast and therefore babies refusing to latch on day 4 when they were doing fine in the hospital. I am curious to what Jean and Barbara think of this theory. Ann Perry RN IBCLC Boston, MA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html