How to get milk out of extremly engorged ?

It is normal to feel engorgement once your milk comes in. The baby nursing should do its job. The more milk you express the more it tells Your body that you need. Milk production works on supply and demand. The more that goes out the same amount that is reproduced. Just try to hand express a little bit of milk to make it easy for the baby to latch on. You can also take some motrin and apply ice for about 15 minutes after nursing.