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Breastfeeding Challenges

Breast Engorgement

During the first few days after delivery, your breasts may become full as the colostrum—the creamy-yellow substance found in breasts during pregnancy and for a few days after a baby's birth—changes into mature milk. This normal postpartum fullness usually diminishes within three to five days of breastfeeding. If, however, your baby does not adequately remove the milk from your breasts, they may become engorged and, as a result, feel hard, painful and hot. Engorgement can usually be avoided by breastfeeding regularly and/or expressing your milk manually or using a pump. (A lactation consultant or health care professional can provide instructions on how to manually express milk or use a pump.) The following tips may help prevent or manage breast engorgement:

Prevention of Breast Engorgement

Breastfeed frequently, approximately eight to 12 times in 24 hours during the first few weeks after giving birth.
Avoid giving your baby supplements for the first four weeks (unless medically indicated). Supplements may cause your baby to breastfeed less frequently which, in turn, may cause engorgement.
Express your milk if you miss any feedings.
If your baby takes only one breast, remember to start breastfeeding from the other breast at the next feeding.
If your nipples are flat, wear multiple-holed breast shells for 30 minutes before breastfeeding. This will help draw out your nipple, making it easier for the baby to latch on and, in turn, adequately remove milk. Discontinue usage if discomfort occurs.
Unless recommended by your doctor, avoid bottles, pacifiers and nipple shields the first few weeks; these may cause your baby to become confused and subsequently deter him or her from breastfeeding.
Gently massage your breasts before and during breastfeeding to help stimulate milk flow.
Wean your baby gradually.

Treatment for Breast Engorgement

Apply icy cold compresses to your breasts after nursing to relieve the discomfort and decrease swelling.
Breastfeed frequently to remove milk.
Contact your doctor if discomfort persists.

This publication is for general informational purposes only and it is not intended to provide any reader with specific authority, advice or recommendations. Where you deem necessary, we suggest that you seek advice regarding your particular situation from the appropriate professional.