Is she burping well? Wonder if she's feeding more often to help move gas along her system? With that much milk, its a possibility - you could try lying back a bit so gravity is on her side...
http://www.biologicalnurturing.com/video/bn3clip.htmlShe might also be tired - DS' tired cues were rooting as if hungry.
Either way, I'd persevere with the paci, try different shapes and see if she'll take one - spacing those feeds out will help to drain the breast better as will feeding from one side as you suggested.
Engorged breast - cabbage leaves, ibuprofen and nursing one sided as long as possible ? Not sure I remember everything
Yes, these. Watch you don't drop your supply too much though. You'll want the supply soon. Expressing can give your nipples a break if she'll take a bottle.
Some info from the Aussie breastfeeding association:
https://www.breastfeeding.asn.au/breastfeeding-whats-normal_mar17And La Leche League:
Numerous preventive strategies have been seen over the years including: restricting fluids, prenatal expression of colostrum, prenatal breast massage, postnatal breast massage, binding the breasts, or wearing a tight bra. Mothers experience less severe forms of engorgement with early frequent feedings,6 self-demand feedings,24 unlimited sucking times,25 and with babies who demonstrate correct suckling techniques.26 Short frequent feeds were shown to increase engorgement in one study,15 probably because abbreviated feeds (as short as two minutes) did not allow sufficient drainage of the breasts to prevent milk accumulation.
A technique called alternate breast massage has been shown to significantly reduce the incidence and severity of engorgement while simultaneously increasing milk intake, the fat content of the milk, and infant weight gain.27, 28, 29 Alternate massage involves massaging and compressing the breast when the baby pauses between sucking bursts. Massage alternates with the baby's sucking and is continued throughout the feeding on both breasts.
A plethora of treatment modalities for engorgement have been put forward, both anecdotally and in the literature, such as hot compresses, hot showers, soaking the breasts in a bowl of hot water, cold compresses after feedings, cold packs before feedings, ice packs, frozen bags of vegetables, both hot and cold therapy, oxytocin, proteolytic enzymes, stilbestrol, binding the breasts, manual expression, mechanical expression, no expression, lymphatic breast massage, ultrasound, frequent feedings, alternate massage, chilled cabbage leaves, room temperature cabbage leaves, and cabbage leaf extract.
Heat application in the form of hot compresses, hot showers, or hot soaks is poorly researched and has usually been more of a comfort measure to activate the milk ejection reflex, rather than a treatment for edema. Some mothers complain that heat exacerbates the engorgement, causes throbbing and an increased feeling of fullness.20
Cold therapy, including cold applications in the form of ice packs, gel packs, frozen bags of vegetables, frozen wet towels, etc. , has been studied under various conditions. Cold application triggers a cycle of vasoconstriction during the first 9 to 16 minutes where blood flow is reduced, local edema decreases, and lymphatic drainage is enhanced.30 This is followed by a deep tissue vasodilation phase lasting 4 to 6 minutes that prevents thermal injury.31 Robson20 discusses that application of cold for 20 minutes would have a minimal vasoconstriction effect in the deeper breast tissue and that venous and lymphatic drainage would be enhanced in the deeper tissues due to the accelerated circulation to and from the superficial tissues. Sandberg32 reports on the application of cold packs for 20 minutes before each feeding on a small sample of women. Mothers reported increased comfort compared to heat, decreased chest circumference, and no adverse affect on milk ejection or milk transfer.
Thermal (continuous) ultrasound treatment of engorged breasts has not been shown to improve pain or edema.21
Lymphatic breast drainage therapy is a gentle massage of the lymphatic drainage channels in the breast. Lymphatic drainage is thought to improve the movement of the stagnated fluid, reduce edema, and improve cellular function.33, 34 Wilson-Clay35 reports the relief of discomfort and better subsequent milk yields during pumping following manual lymphatic drainage therapy in three women with unrelieved severe engorgement.
Chilled cabbage leaves. Rosier36 anecdotally describes the use of chilled cabbage leaves applied to engorged breasts and changed every two hours in a small sample of women as having a rapid effect on reducing edema and increasing milk flow. Nikodem et al.37 showed a non-significant trend in reduced engorgement in mothers using cabbage leaves. Roberts38 compared chilled cabbage leaves and gelpaks and found similar significant reduction in pain with both methods, with two-thirds of the mothers preferring the cabbage due to a stronger, more immediate effect. Roberts et al.39 studied the use of cabbage extract cream applied to the breasts which had no more effect than the placebo cream.
Expressing milk. Refraining from expressing milk because the mother will "just make more milk "cannot be justified. Hand expressing or pumping to comfort reduces the buildup of FIL, decreases the mechanical stress on the alveoli preventing the cell death process, prevents blood circulation changes, alleviates the impedence to lymph and fluid drainage, decreases the risk of mastitis and compromised milk production, and gives relief to the mother. It is not known what degree of engorgement or duration of milk stasis presents a situation from which milk production may not recover. The milk production in the alveoli not experiencing engorgement continues normally. The breast is capable of compensating to a point. Future research would delineate this further.
http://www.lalecheleague.org/ba/nov00.html