A person breastfeeding a newborn baby indoors.

ENGORGEMENT

Engorgement occurs when there's an excessive buildup of milk in the breast. While it's normal for breasts to feel warm, heavy, and tender initially, if they become hot, painful, hard, and tight, it's abnormal and requires attention to prevent issues like mastitis and reduced milk supply. Engorgement is common in the first week after birth and can happen anytime if milk isn't effectively removed.

Watch out for the symptoms of Mastitis

PREVENTING ENGORGEMENT

  1. Ensure effective positioning and attachment, seeking help if needed.

  2. Feed frequently to prevent milk buildup.

  3. Avoid infant formula as it replaces breastfeeds.

  4. Avoid dummies, which may reduce breastfeeding frequency.

TREATING ENRGORGEMENT

It's crucial to manage engorgement promptly to prevent complications. Gently hand express some milk before feeds to soften the breast tissue, aiding effective attachment. If breasts remain full after feeds, further expression helps avoid milk stasis, reducing future milk production. Applying warmth before feeding or expressing can facilitate smoother milk flow.

SELF-HELP MEASURES

REVERSE PRESSURE SOFTENING

Reverse pressure softening (RPS) is a breastfeeding intervention that has proven very helpful in the first 14 days postpartum. It involves applying gentle, manual pressure around the areola, pushing back towards the chest wall before a feed. This helps to reduce swelling and soften the areola, making it easier for the baby to latch effectively. By pushing fluid away from the nipple, RPS facilitates improved breastfeeding and can be particularly useful in cases of engorgement or when the breasts are too firm for proper latch.

Kelly Mom Reverse Pressure Softening Technique

Reverse Pressure Softening Video


Citations:

Breastfeeding Network. (2022). BfN Mastitis Leaflet. Retrieved from https://www.breastfeedingnetwork.org.uk/wp-content/uploads/2022/12/BfN-Mastitis-Leaflet-December-22.pdf