Engorgement
What is Engorgement?
Breast engorgement is when your breasts become so full that they are very hard, lumpy, and uncomfortable. It is also painful. This usually occurs when a mother makes more milk than her baby uses. Because your breasts are firm and swollen, engorgement can make it hard for your baby to breastfeed. Engorged breasts can be treated at home and with frequent feedings and interventions can be resolved in a day or two.
When does Engorgement happen?
When your milk first comes in, usually during the first few days after birth.
When you have a regular breastfeeding routine but can't nurse or pump as much as usual.
If you suddenly stop breastfeeding.
If your baby suddenly starts breastfeeding less than normal. This may happen when your baby is starting or increasing solid foods or when your baby is sick and has a decreased appetite
How to minimize Engorgement
New mothers vary in how engorged their breasts become in the weeks after birth; some experience little engorgement, others describe their breasts as feeling like watermelons!
Breastfeed your baby frequently from birth—at least 8–12 times in 24 hours. Keeping your baby close makes it easier to nurse every hour or two.
If your baby is sleepy you may need to wake him and encourage him to nurse.
Aim to be comfortable while breastfeeding, and learn how to get your baby latched on well.
You may need to use a breast pump or hand express to remove enough milk to make you comfortable. It is important not to completely empty your breasts and express enough for comfort to prevent your body from continuing to produce more than your baby needs.
If your newborn is unable to breastfeed, hand express frequently until your milk ‘comes in’, then combine with using a hospital-grade electric breast pump to help establish your milk production and relieve engorgement. Your milk can be given to your baby until he is able to nurse.
