Chez,

Your other sources are correct- some women have a harder time than others. For you, the slow approach will have to get slower. This means eliminating only one feeding a week. And emptying your breasts for the other feedings. Do you get any breaks at work? The US congress is working on a bill making it mandatory for employers to allow employees to take time to express milk for breastfeeding infants. So that even if you have go into a bathroom stall, you could hand express to comfort and discard the milk.

Find someone to teach you how to hand express, or get a book called The Womanly Art of Breastfeeding by La Leche League to teach yourself. You will have to express to comfort or you will get mastitis again. Call your local La Leche League or a Certified Lactation Consultant in your area for more specific details. For bad engorgement, try cabbage leaves. Yes, from just a green cabbage, placed in your bra on the most sore spot. Leave it in until it wilts. Then replace it with a new leaf. Of course, not at work or when you are out of the house, unless you are desperate. Good luck.

Debbie Rabin, OTR, CLC

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