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The purpose of this study was to test the effectiveness of milk removal as a method of reducing the discomfort of postpartum breast engorgement in nonbreastfeeding women. The course of breast involution was followed in 13 women. Minimal engorgement was experienced by 46% of the subjects. A control group (N = 3) who experienced engorgement and followed standard management practice was compared to an experimental group (N = 4) who used a hand-operated pump to relieve engorgement symptoms. The subjects in the experimental group experienced a shorter, more comfortable course of breast involution. They took no analgesia and used no other treatment for breast discomfort. There was no evidence of rebound engorgement or lactation stimulation. Although statistical inference is not possible due to a small sample, the results suggest that mechanical removal of milk is an effective way to increase the comfort and decrease the symptoms of engorgement in women who do not breastfeed their infants.