Engorgement can happen at any point in your breastfeeding journey, but it is especially common early postpartum.
What is it?
Engorgement is temporary swelling and enlargement of your breasts, and it can feel uncomfortable and tender. It usually subsides as you establish regular milk flow and your baby gets the hang of nursing.
Is it a bad thing?
Early postpartum engorgement is common and not an immediate cause for concern. However, improper interventions that create an oversupply can worsen engorgement, leading to a domino effect of other problems.
Common causes of engorgement:
Not feeding frequently enough
Latch issues
Abrupt changes to feeding patterns
Plugged ducts
Pumping or expressing too much
New guidelines for treatment of engorgement and mastitis were published in 2022 by the Academy of Breastfeeding Medicine replacing outdated advice.
How to relieve engorgement:
Feed on demand:Nurse your baby frequently.
Get a good latch:Optimal positioning can help your baby effectively empty your breasts.
Hand expression:This can release some milk without the full-blown force of a pump, which can signal an increase in production. This also allows for a targeted approach isolating a specific spot versus using a manual or electric breast pump.
Comfortable bra and clothing:Opt for a well-fitting, supportive bra that doesn't constrict your breasts.
Cold compresses or ice packs:Applying a cold compress or ice pack to your breasts for about 5 minutes can help reduce swelling. Heat is no longer indicated for treatment of engorgement and mastitis.
NSAIDs/pain medication management:Along with ice, non steroidal anti-inflammatory drugs can reduce swelling and inflammation and provide symptomatic relief.
If you experience severe pain fever or if engorgement persists despite trying these strategies, consult a healthcare provider for further evaluation and guidance.