Switch to ice before pumping (for about 5 mins, to avoid rebound edema), reverse pressure softening to press edema away from the areola, apply pump, pump on minimum with breast massage from chest wall toward nipple. She may have to repeat this over and over again for 24-48 hours before she has relief, but it is vital she clear this engorgment before she involutes completely. Catherine Watson Genna, IBCLC NYC *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html