Breast Engorgement occurs when your breasts become swollen and full in response to milk production, typically a few days after childbirth. This is a normal part of the transition from colostrum (the early milk) to full milk production. The swelling happens because both your milk glands and breast tissue expand as they adjust to the increased milk supply. While it’s common, it can be uncomfortable and even painful.
What Does Engorgement Feel Like?
- Swollen breasts that may feel firm or even hard.
- Painful breasts, either at rest or when touched.
- Swelling extending into the armpit, which is a common symptom.
- Flu-like symptoms such as sweating, fever, and chills might occur alongside the breast discomfort.
How to Manage Breast Engorgement
- Gentle Massage: Use gentle upward massage from the areola (the dark part around the nipple) towards the armpit to help move the milk and reduce swelling. This can promote better milk flow and relieve some of the pressure.
- Breast Gymnastics: This technique involves gently massaging and manipulating the breast to soften the tissue and reduce engorgement. This can be especially helpful if your breast is feeling very hard or tense.
- Ice: After nursing or pumping, applying ice to the breast for 10-15 minutes can help reduce swelling and discomfort. Be sure to wrap the ice in a cloth to avoid direct contact with your skin.
- Reverse Pressure Softening: If your baby is having difficulty latching due to swelling around the areola, this technique helps reduce swelling in that area. By gently pressing around the areola to shift the swelling outward, it can soften the breast and make it easier for your baby to latch properly.
**The use of heat is NOT recommended to manage engorgement. Heat applied to the breast can increase swelling and breast discomfort**
When Should You Call Your Provider?
You should reach out to a healthcare provider if:
- Your symptoms persist or worsen despite trying the recommended strategies.
- You notice a change in only one breast (which could indicate an infection or other issue).
- You develop a warm, reddened, swollen, and painful area on the breast, as this could indicate mastitis.
- You experience persistent fever, chills, fatigue, or flu-like symptoms, which could also be signs of an infection.
Can a Lactation Consultant Help?
If you’re experiencing difficulty managing engorgement or if it’s interfering with breastfeeding, a lactation consultant, like the ones at The Confident Latch can provide valuable support and guidance to help ensure both you and your baby are comfortable during this transition.
