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Can engorgement cause low milk supply?

Understanding Engorgement and Its Impact on Milk Supply
Breast engorgement is a common experience for new mothers, particularly in the early days following childbirth. It occurs when the breasts become overly full with milk, leading to discomfort and sometimes pain. While engorgement is a natural physiological response to the onset of milk production, it can have significant implications for breastfeeding, particularly concerning milk supply.
The Mechanism of Engorgement
Engorgement typically arises when there is an imbalance between milk production and milk removal. In the initial days postpartum, as the body adjusts to breastfeeding, mothers may experience engorgement due to the sudden increase in blood flow and milk accumulation in the breasts. This condition can make the breasts feel heavy, hard, and warm, often causing discomfort.
Engorgement’s Effect on Milk Supply
One of the critical concerns surrounding engorgement is its potential to lower milk supply. When the breasts are engorged, the pressure can inhibit the effective removal of milk. This situation sends mixed signals to the body regarding milk production. Essentially, if milk is not being adequately removed, the body may interpret this as a signal to produce less milk, leading to a decrease in overall supply.
Moreover, engorgement can complicate breastfeeding by making it difficult for the baby to latch properly. A tight, full breast can hinder the baby’s ability to suck effectively, which is crucial for stimulating milk production. If the baby struggles to latch and feed, this can further exacerbate the issue of low milk supply, creating a cycle that can be challenging to break.
Addressing Engorgement to Support Milk Supply
To mitigate the risks associated with engorgement, it is essential for mothers to manage this condition proactively. Techniques such as frequent breastfeeding or pumping can help ensure that milk is regularly removed from the breasts, signaling the body to maintain or increase milk production. Additionally, applying warm compresses before feeding can help soften the breast tissue, making it easier for the baby to latch.
In cases where engorgement leads to complications such as plugged ducts or mastitis, seeking support from lactation consultants or healthcare providers can be beneficial. They can provide tailored strategies to address both engorgement and low milk supply, ensuring that mothers receive the support they need during this critical time.
Conclusion
In summary, while engorgement is a normal part of the breastfeeding journey, it can indeed lead to low milk supply if not managed effectively. Understanding the relationship between engorgement and milk production is vital for new mothers, as it empowers them to take proactive steps to ensure successful breastfeeding. By addressing engorgement promptly and effectively, mothers can help maintain a healthy milk supply and foster a positive breastfeeding experience.

Do you produce less milk when engorged?

Mild engorgement is ok; it can help to decrease your milk. If you have given birth recently, you may not have to pump for more than a few days. Heat encourages milk flow; cold therapy can help stop or lessen making milk.

Should I keep pumping if no milk is coming out?

Increasing your milk supply will take time, so don’t give up. Even dry pumps (when you pump but nothing comes out) sends a signal to your body that more milk is needed on tap, so it’s getting the work done even if there’s no output to show for it right away. Stick with it and you’ll see the results after a few days.

Do soft breasts mean low milk supply?

You do not have low milk supply because your breasts feel softer than they used to. The excessive fullness we experience in the early days of breastfeeding is about vascular engorgement (blood and lymph) and it’s about the body inefficiently storing unnecessary amounts of milk between feeds.

How do you deal with engorgement without increasing supply?

Reduce swelling and keep milk flowing:

  1. Aim to breastfeed every 1½ to 2 hours during the day, and at night every 2–3 hours from the start of one feed to the start of the next.
  2. Avoid using bottles or dummies.
  3. Between feeds, apply ice for 15–20 minutes at a time between feeds to reduce swelling.

Will pumping to relieve engorgement increase supply?

If your breasts are uncomfortably full, pump or express breast milk by hand just until they are comfortable. Do not empty your breasts all the way. Releasing a lot of milk will cause your body to produce larger amounts of milk. This can make breast engorgement worse.

Why am I engorged but no milk?

Some mamas struggle with letdown due to stress, sleeplessness, anxiety or pain. The truth is, on some days, letdown is just hard. Without letdown, you won’t be able to pump very much milk at all, even though your breasts feel full.

When is it too late to increase milk supply?

A breastfeeding mom’s milk supply typically peaks between the first 4-6 weeks. After 6 weeks, it may become more difficult to increase your supply. While that doesn’t mean it’s too late to increase your milk supply, it might take a bit more time and patience to start seeing results.

How to tell if breast milk is drying up?

The following are signs your baby isn’t getting enough milk:

  1. Poor weight gain. It’s normal for newborns to lose 5% to 7% of their birth weight in the first few days – some lose up to 10%.
  2. Insufficient, wet or dirty nappies.
  3. Dehydration.

How can I increase my milk supply asap?

Offer both breasts at each feeding. Feed every 2 hours during the day and every 3 to 4 hours at night (at least 8 to 12 times in 24 hours). If your baby will not latch, use a good quality double electric breast pump to increase milk production. Pumping after breastfeeding signals your body to produce more milk.

How do I get my milk supply back after engorgement?

For most moms, engorgement usually goes away in a few days with these tips: Breastfeed first from the engorged breast. Before feedings, encourage your milk flow. Put a warm, moist washcloth on your breasts or take a warm shower for 10-20 minutes.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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