I've come to the conclusion that my OALD isn't typical (the moderators are probably rolling their eyes at me right now ). So after 2 weeks of this, this is what I've come up with.
My OALD only affects one breast (right) and only affects me at night and the early morning. During the day and evening, there's no problem at all. In fact, because LO feeds more often in the evening (every 1 - 2 hours) we tend to struggle a bit to keep up. If I start with the left, I typically have to top up with the right so that she gets enough. LO's night sleeping is now going 4 - 5 hours, never shorter than 3.
Last night was very upsetting because LO just couldn't deal with the OALD. We woke DH up with LO's crying and fussing. Then DH wanted to talk about it and have me explain what was going on. At 5:40am I was NOT in a chatty mood.
So this morning I was engorged again on the right side. LO woke at 8am. I changed her and brought her downstairs. I then pumped for 4 minutes to take the edge off. I got 55ml (2oz) out of the right breast! That's WAY more then I normally get in that amount of time. I then nursed her quite comfortably (for us both) and she's been sleeping for the last 1 1/2 hours.
So while I know that pumping will stimulate more production, I also realize that my problem is only overnight and not during the day. This doesn't seem to be reflected in the KellyMom article regarding OALD that it can be time based or only on one side. Since the left side is typically an under producer, I was at a real loss. I think that if I just pump off just the over supply in the morning so that I don't overwhelm LO, we'll be okay.
LO will be 12 weeks old on Thursday so I understand that there's a hormone change coming in me that might help. I figure if I can just hold out until the natural changes come, we'll work through this.