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How long does engorgement last while breastfeeding?

Understanding Breast Engorgement Duration During Breastfeeding
Breast engorgement is a common experience for new mothers, particularly in the early days following childbirth. This condition occurs when the breasts become overly full with milk, leading to discomfort and difficulty in breastfeeding. Understanding how long engorgement lasts and how to manage it can significantly ease the breastfeeding journey.
Duration of Engorgement
Typically, breast engorgement begins a few days after delivery, coinciding with the onset of milk production, which usually occurs between 2 to 6 days postpartum. For many women, this engorgement is most pronounced during the first week after giving birth. If left untreated, engorgement can last anywhere from 7 to 10 days. However, the experience can vary widely among mothers; some may find their breasts feeling uncomfortably full for a shorter period, while others may experience prolonged discomfort.
Factors Influencing Duration
The duration of engorgement can be influenced by several factors, including breastfeeding frequency and technique. Mothers who breastfeed frequently—ideally 8 to 12 times in a 24-hour period—tend to experience less severe engorgement. Conversely, if breastfeeding sessions are infrequent or if the baby has difficulty latching, engorgement may persist longer.
Management and Relief
Fortunately, there are effective strategies to alleviate engorgement. If mothers take proactive steps, such as breastfeeding or pumping milk regularly, they can often reduce the duration of engorgement to as little as 24 to 48 hours. Techniques such as applying warm compresses before feeding and cold packs afterward can also provide relief. Additionally, ensuring proper latch and positioning during breastfeeding can help minimize discomfort and promote effective milk removal.
In summary, while breast engorgement is a temporary condition that typically lasts about a week, proactive management can significantly shorten this period. New mothers are encouraged to seek support and guidance to navigate this common challenge, ensuring a more comfortable breastfeeding experience.

How do I get my engorged breast to let down?

Before feedings, encourage your milk flow. Put a warm, moist washcloth on your breasts or take a warm shower for 10-20 minutes. Massage your breasts before and during feedings, moving from the chest wall to the nipple. If your breast is hard, hand express or pump a little milk before nursing.

Is it a clogged duct or engorgement?

One of the biggest signs of a blocked milk duct is a hard lump on your breast. It’ll be painful or sore when you touch it. It may be red or large enough to be visible if you look at your breast in a mirror. If you’ve ever dealt with engorgement, the lump from a clogged duct feels like that.

How long is engorgement expected to last?

It’s not a guarantee. If you do and don’t do anything, the engorgement will likely last for 7 to 10 days. But if you take steps to treat the engorgement, usually it will be gone within maybe 24 to 48 hours, at least the worst part of it.

When do breasts stop feeling full?

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.

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 lead to 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.

How long does it take for engorgement to go away?

Treatment for engorgement usually resolves extreme symptoms within 24-48, hours but if not treated promptly can take 7 – 14 days or longer. It is important that engorgement is treated in order to prevent both mastitis and a decreased milk supply.

What’s the difference between engorgement and mastitis?

Unlike engorgement, mastitis can also occur from nipple pain and damage, leaving an opening for bacteria to enter and progress into an mastitis infection, whereas engorgement is never an infection despite the potential for mild fever.

Should I pump to relieve engorgement?

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.

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.
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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