Engorgement

Engorgement refers to an over fullness in the breasts after the birth of the baby. Changes in the breasts usually begin 24 hours after birth.

Around three to five days after your baby is born, your breasts will begin to make milk, and will become larger and heavier.

This is due to the milk “coming in” and being produced, as well as an increase in lymph and blood supply to the breasts.

First time mothers tend to experience more engorgement, but there are some things you can do to minimize the engorgement.

Breastfeed your newborn often, at least eight feedings in 24 hours. Ten to 12 is normal. You may need to wake baby for feedings.
Don’t use a pacifier.
Avoid supplements of water or formula for the first three to four weeks unless medically recommended.

If your breasts are engorged, some of the following suggestions may help:

Hand express some breastmilk to soften the areola. This makes it easier for baby to grasp the breast.
After the baby is latched on, gently massage your breast to help release the breastmilk.
Use slow, easy breathing and other relaxation techniques before and during feedings.
After breastfeeding, apply ice cold compresses for 15-20 minutes to help relieve discomfort and decrease any swelling.

Remember, engorgement in a breastfeeding mother usually lasts 24-48 hours. Call your healthcare provider or lactation consultant if you have any questions or concerns.

For mothers who are not breastfeeding, it is important to minimize the breastmilk from coming in. It helps to wear a supportive bra or binder that snugly and comfortably keeps your breasts from moving during the day and night.

Do not stimulate the breasts or nipples by using a breast pump or hand expressing milk. Breast stimulation encourages the milk to come in. Ice packs to your breast and Ibuprofen may be used to ease the pain.

Engorgement in non-nursing mothers usually begins to lessen after 48 hours.