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Why is it so painful when my milk comes in?

Understanding the Pain of Milk Coming In
For many new mothers, the experience of milk coming in can be both a relief and a source of discomfort. This phenomenon typically occurs around two to four days after childbirth, marking a significant transition in the body as it begins to produce milk for the newborn. However, the process can be accompanied by a range of sensations, including pain.
The Physical Changes
When a mother’s milk comes in, her breasts undergo rapid changes. The mammary glands, which have been preparing for lactation during pregnancy, suddenly swell as they fill with milk. This engorgement can lead to a feeling of fullness and pressure that some women describe as painful. The discomfort is often exacerbated by the fact that the breasts may become hard and tender, making it difficult for the baby to latch properly during breastfeeding.
Hormonal Influences
The pain associated with milk coming in is also influenced by hormonal changes. After delivery, levels of hormones such as prolactin and oxytocin surge to facilitate milk production and ejection. While these hormones are essential for breastfeeding, they can also contribute to feelings of discomfort as the body adjusts to its new role. The sudden influx of milk can lead to inflammation and sensitivity in the breast tissue, which can be quite painful.
Individual Variability
It’s important to note that the experience of pain during this time can vary significantly from one woman to another. Some may feel only mild discomfort or a tingling sensation, while others may experience intense pain. Factors such as previous breastfeeding experiences, individual pain thresholds, and even the baby’s latch technique can all play a role in how painful this transition is.
Managing Discomfort
For those who find the pain overwhelming, there are several strategies to alleviate discomfort. Frequent breastfeeding or pumping can help relieve engorgement and reduce pain. Applying warm compresses before feeding can encourage milk flow, while cold packs afterward can help reduce swelling and soothe soreness. Additionally, ensuring a proper latch can minimize nipple pain, which is often a significant concern for new mothers.
In conclusion, while the arrival of milk is a natural and essential part of motherhood, it can also bring about significant discomfort. Understanding the physiological changes and employing strategies to manage pain can help new mothers navigate this challenging yet rewarding phase of their breastfeeding journey.

How long does engorgement last when milk comes in?

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.

Why is my milk let down so painful?

A number of breastfeeding problems may contribute to painful letdown and general breastfeeding pain. Possible causes may include: Overproduction of milk, which can lead to painful letdown and sore nipples. Plugged milk ducts, which may cause pain during letdown and a painful lump to form in the breast.

When your milk comes in, does it hurt?

Breastfeeding shouldn’t hurt. If it does, it’s a sign that something’s wrong. Most often it’s because your baby isn’t latching well. Other issues that cause discomfort can pop up, like clogged milk ducts, engorgement, postpartum cramping or sensitive nipples. Soreness while breastfeeding is normal,

How to relieve pain when milk comes in?

What are available breast engorgement treatments?

  1. Don’t over-pump.
  2. Take ibuprofen and acetaminophen.
  3. Apply cold packs to your breast after breastfeeding.
  4. Undergo manual lymphatic drainage.
  5. Try reverse pressure softening.
  6. Try breastfeeding in the side-lying position.
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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