Some women who are breastfeeding experience engorgement, which is a swelling of their breasts when the milk is not all emptied. Engorgement usually happens two to four days after baby’s birth, and the best solution is to let the baby nurse more often. This can sometimes be a challenge for both baby and mom, so here are some suggestions to help:
1. Watch for his feeding cues – such as hands to his mouth, making sucking movements with his mouth and stirring to a wakeful state after sleeping – and get him to latch on before he starts to cry. He will feed better when he isn’t upset.
2. Let him nurse as long as he wants and allow him to try to empty the first breast before changing him to the second side. This will help the baby receive enough breast milk to be satisfied and will allow one breast to be emptied well.
3. Try some gentle massage on the breast while he is nursing to improve the flow of breast milk. If he won’t stay latched while you are massaging, you can massage the breast just before getting him to latch.
4. Try feeding your baby from the breast right after getting out of the shower or covering your breasts with warm moist towels for a few minutes right before nursing your baby. The gentle massage and heat from the shower or the moist warmth from the towels will help get milk flowing.
5. Don’t skip feedings. If your baby looks like he might nurse, let him. If your baby doesn’t nurse long enough to help you feel less swollen, you can pump some of the milk to relieve the pressure.
Engorgement can be uncomfortable, but it won’t last forever. If you’re still experiencing engorgement after following these suggestions, contact your lactation consultant for help.