Breast Engorgement 101

Are you a new mum struggling with painful breasts after having your child? Here is everything you need to know about breast engorgement and what to do about it.

Is breast engorgement normal after delivery? 

  • Yes, it typically happens on day 3 or 4 

  • When the breasts transition from colostrum to more mature milk 

What symptoms indicate engorgement? 

  • Breasts that are firm and warm to the touch.  

  • Swelling and pain 

  • Flat or hard nipples 

  • A mild fever, usually less than 100.4F 

How long does it last? 

  • Engorgement resolves in 2-3 days if you’re breastfeeding 

  • It may take longer if you aren’t breastfeeding 

How can you get some relief? 

  • Use a warm compress before breastfeeding. 

  • Use cold application (bag of frozen veggies, for example) after breastfeeding for about 20 mins on and 20 minutes off. 

  • Nurse often, at least every two to three hours.  

  • Apply green cabbage leaves on the breasts 

  • Express a little milk- by hand or pump.

  • Reverse pressure softening before nursing 

  • Massage your breasts gently while nursing  

  • Make sure baby is latching well 

  • Use different positions while breastfeeding like cradle hold, football hols 

  • Make sure your bra is snug and supportive but not too tight.  

When should you see a lactation professional or your doctor? 

  • You’re developing Mastitis- inflammation of the breast tissue. Symptoms are flu-like: weakness or exhaustion, fever greater than 101 degrees F, and chills. 

  • The engorgement lasts more than a week 

  • Breastfeeding is painful 

Can breasts get engorged if your child is no longer a newborn? 

Yes, when there is a sudden change to your breastfeeding routine 

 

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