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How do you prevent engorgement while breastfeeding?

Understanding Breast Engorgement
Breast engorgement is a common concern for new mothers, characterized by the painful swelling of the breasts due to an excess buildup of milk. This condition can lead to discomfort, warmth, tenderness, and even fever, making breastfeeding a challenging experience for both mother and baby. However, there are effective strategies to prevent engorgement and ensure a smoother breastfeeding journey.
Frequent Feeding is Key
One of the most effective ways to prevent engorgement is to breastfeed frequently. Newborns typically need to feed 8 to 12 times in a 24-hour period, especially in the first few weeks after birth when milk supply is still being established. By responding promptly to your baby’s hunger cues and allowing them to nurse often, you can help regulate milk production and prevent the breasts from becoming overly full.
Proper Latching Techniques
A proper latch is crucial not only for effective feeding but also for preventing engorgement. If a baby struggles to latch correctly, it can lead to inadequate milk removal, resulting in engorgement. Mothers should seek guidance on positioning and latching techniques, which can significantly improve the breastfeeding experience. If difficulties arise, gently expressing some milk by hand or using a pump can relieve pressure and make it easier for the baby to latch on.
Gentle Massage and Compression
During breastfeeding sessions, gentle breast compressions and massage can help alleviate engorgement. This technique involves softly squeezing the breast to encourage milk flow, which can make it easier for the baby to latch and feed effectively. If the breast feels overly full, mothers can try nursing for a few minutes to soften the breast before attempting to re-latch the baby.
Monitoring Milk Supply
In the early days of breastfeeding, it’s normal for mothers to produce more milk than the baby needs. This surplus can lead to engorgement if not managed properly. Keeping track of feeding times and ensuring that the baby is nursing effectively can help mothers gauge their milk supply and adjust feeding frequency as needed. If engorgement does occur, expressing a small amount of milk can provide relief without significantly impacting overall supply.
Staying Hydrated and Comfortable
Mothers should also focus on their own comfort and hydration. Staying well-hydrated and wearing a supportive nursing bra can help manage breast fullness. Additionally, applying warm compresses before feeding can promote milk flow, while cold packs afterward can reduce swelling and discomfort.
Conclusion
Preventing breast engorgement is largely about establishing a consistent breastfeeding routine and ensuring effective feeding techniques. By breastfeeding frequently, ensuring a proper latch, and employing gentle massage techniques, mothers can significantly reduce the risk of engorgement. With these strategies in place, the breastfeeding experience can become more enjoyable and less painful, fostering a positive bond between mother and baby.

Is heat or cold better for engorged breasts?

You may put warm compresses on your breasts for 10 minutes before nursing and cold packs for 10 to 15 minutes after nursing. A warm compress can help widen the ducts and help the milk come into the ducts in the breast. Cold packs after can reduce swelling.

Does engorgement cause mastitis?

“Clogged” or “plugged” ducts are areas of inflammation or engorgement surrounding the ducts that compress the milk ducts, making it harder for the milk to come out or flow. When the inflammation isn’t treated properly, it can lead to mastitis.

Does engorgement mean oversupply?

Hyperlactation, also called oversupply, is when your body makes more milk than your baby or babies need. Engorgement can be a symptom of hyperlactation, but engorgement doesn’t always mean there’s an oversupply.

How long does engorgement last before milk dries up?

Engorgement is less common, too, if you don’t do supplemental feedings. But even if you do everything perfectly, some women will still become engorged. It’s not a guarantee. If you do and don’t do anything, the engorgement will likely last for 7 to 10 days.

How to keep breasts big after breastfeeding naturally?

How to maintain breast size after pregnancy

  1. Healthy Weight Management: If you are looking for that fuller breast, try not to lose weight too quickly after pregnancy.
  2. Breastfeeding.
  3. Regular Exercise.
  4. Proper Bra Support.
  5. Hydration & moisturisation:
  6. Self-Care.

How do I stop my breasts from engorgement while breastfeeding?

How to ease breast engorgement

  1. wear a well-fitting breastfeeding bra that does not restrict your breasts.
  2. apply a cloth soaked in warm water to the breast (or a warm shower or bath) just before hand expressing to encourage the flow – do not apply a lot of heat as this may increase inflammation.

Should you pump to reduce engorgement?

You might have to do this for 2 to 4 days before your breasts feel better. If you use a breast pump when you are engorged, pump for short periods of time, 5 to 10 minutes at a time. If you pump for too long, you may make the engorgement worse or last longer than usual.

How do you reverse engorgement?

If you have very swollen breasts (engorgement), doing reverse pressure softening lying on your back will give more relief. Soften the areola right before each feeding (or expressing) until the swelling goes away. This may take 2 to 4 days or more. When expressing, pause often to re-soften the areola.

What causes breasts to become engorged?

Breast engorgement is caused by congestion of fluid and blood in the breast. Fullness in the breast from early milk production can prevent drainage of fluids and cause painful swelling. Some women do not ever experience breast engorgement.

Can breastfeeding hurt even with a good latch?

It may look like your baby is well latched from the outside but your nipple may still be getting pinched. If you have tried to improve the positioning and latch but you still feel intense pain, seek help. Some discomfort when latching in the early days is common as you and your baby are learning.

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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