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Do breasts hurt when milk comes in?

Understanding Breast Pain When Milk Comes In
For many new mothers, the arrival of breast milk is a significant milestone in the breastfeeding journey. However, this transition can often be accompanied by discomfort or pain, leading to questions about what is normal and what might require attention.
The Process of Milk Coming In
When a mother gives birth, her body undergoes a remarkable transformation to prepare for breastfeeding. This process, known as lactation, involves the production and release of milk from the mammary glands. Typically, milk begins to come in around two to four days postpartum, coinciding with hormonal changes that stimulate milk production.
As the milk supply increases, many women experience breast engorgement, a condition where the breasts become overly full, hard, and tight. This engorgement can lead to significant discomfort and even pain. The sensation can be described as a dull ache or a feeling of fullness, which may be accompanied by tingling.
Why Do Breasts Hurt?
The pain associated with milk coming in can be attributed to several factors:
1. Engorgement: As mentioned, engorgement occurs when the breasts fill with milk, causing them to swell and become painful. This is particularly common in the early days of breastfeeding when the baby is still learning to latch and feed effectively.
2. Let-Down Reflex: The let-down reflex, which is the release of milk from the breasts, can also cause discomfort. Some women report a tingling sensation or a dull ache during this process, while others may not feel anything at all.
3. Nipple Pain: While the breasts themselves may be painful due to engorgement, many mothers also experience nipple pain, especially during breastfeeding. This can be exacerbated by improper latching, leading to cracked or sore nipples.
4. Mastitis: In some cases, if engorgement is not managed properly, it can lead to mastitis, an infection of the breast tissue that can cause severe pain, swelling, and redness.
Managing Discomfort
To alleviate the discomfort associated with milk coming in, mothers are encouraged to breastfeed frequently. This helps to relieve engorgement and ensures that the milk supply adjusts to the baby’s needs. If immediate breastfeeding isn’t possible, using warm compresses or pumping can provide relief.
It’s important to note that while some discomfort is normal, breastfeeding should not be painful. If a mother experiences significant pain during breastfeeding, it is advisable to consult a healthcare provider or a lactation consultant to address any underlying issues.
In summary, while breast pain can be a common experience when milk comes in, understanding the causes and taking proactive steps can help manage discomfort and support a successful breastfeeding journey.

Can breast milk coming in cause pain?

Breast engorgement is when, for whatever reason, your breasts become overly full. They may feel hard, tight and painful. In the early days, engorgement can be due to your milk coming in. Newborns need feeding little and often.

Does it hurt when you start producing milk?

Your breasts will start to make milk in the first couple of days after you give birth. This happens even if you don’t breastfeed. You may have some milk leak from your breasts, and your breasts may feel sore and swollen. This is called engorgement.

Why do my breasts hurt and feel heavy?

The most common hormonal breast soreness comes from an increase in the level of oestrogen before a period. This causes milk ducts and glands to swell, trapping fluid in the breasts. Many women have tenderness or pain in the lead-up to a period, and sometimes right through it.

How to tell if milk is coming in?

Signs Milk Is Coming In
Swelling of the breasts. Breast milk leakage, particularly overnight. Flattened nipples and/or skin tightening or firmness around the areolas.

Should I pump to relieve engorgement?

If your breast is hard, hand express or pump a little milk before nursing. That will soften your breast and make it easier for your baby to latch. Be sure to only express enough milk to soften your breasts or provide comfort. If you express too much milk, you may encourage milk production and keep getting engorged.

Does soft breasts mean low milk supply?

Your breasts feel softer
The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.

What are the stages of milk coming in?

Breast milk has three different and distinct stages: colostrum, transitional milk, and mature milk. Colostrum is the first stage of breast milk. It occurs during pregnancy and lasts for several days after the birth of the baby.

How long do breasts hurt when milk comes in?

Breast engorgement is swelling, tightness, and an increase in size of the breasts. It usually occurs in the early days of breastfeeding, between day 3 and 5, but may occur as late as day 9-10. Moderately severe breast engorgement results in hard, full, tense, warm and tender breasts with throbbing and aching pain.

Can breast milk coming in cause discomfort?

During the first 2–5 days after birth, it’s normal to have engorged (very full) breasts as your milk supply increases. But if your baby nurses (or you pump) every 2–3 hours, your breasts should not feel engorged. Engorgement can lead to sore, painful breasts or a breast infection. So it’s best to try to avoid it.

What do breasts feel like when milk comes in?

Some mothers feel a tingling or pins and needles sensation in the breast. Sometimes there is a sudden feeling of fullness in the breast. While feeding on one side your other breast may start to leak milk. You may become thirsty.

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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