Discomfort due to engorgement may also be relieved by feeding your baby in more than one position. Try alternating sitting up, lying down, and using the football hold. Gently massage your breasts from under the arm and down toward the nipple to help reduce soreness and promote milk flow.
You may put warm compresses on your breasts for 10 minutes before nursing and cold packs for 10 to 15 minutes after nursing. A warm compress can help widen the ducts and help the milk come into the ducts in the breast. Cold packs after can reduce swelling.
Reclining. During early days of breastfeeding, engorgement can make your breasts feel sensitive and tender. Sleeping with elevated pillows on a slight recline can assist with this discomfort.
Massaging your breasts while nursing or pumping. Hand expressing or pumping a small amount of milk between feedings to relieve pressure. Applying a cold compress or ice pack to your breasts between feedings to help with swelling. Taking ibuprofen or acetaminophen for pain.
If you use a breast pump when you are engorged, pump for short periods of time, 5 to 10 minutes at a time. If you pump for too long, you may make the engorgement worse or last longer than usual.
Releasing a lot of milk will cause your body to produce larger amounts of milk. This can make breast engorgement worse. Gently massage your breasts to help milk flow during breastfeeding or pumping.
After that time of engorgement, or if you're more comfortable without a bra, there is no reason why you can't take it off whenever you want to for sleeping, or during the day. It's totally up to you and your comfort. If you usually go braless, you do not need to wear one during breastfeeding.
Alternate which breast you offer first. Breastfeed often, every 1-2 hours, to avoid severe breast engorgement. Draining the breasts regularly is the best prevention. Poor drainage and unresolved pressure within the breast can damage milk producing cells and reduce your ability to make milk for your baby.
If your breasts become engorged as the baby sleeps, pump or hand express milk to get relief and take notice of the time. The next night, try to stretch the time 15 minutes longer and think of the night time milk as an added bonus.
But even if you do everything perfectly, some women will still become engorged. It's not a guarantee. If you do and don't do anything, the engorgement will likely last for 7 to 10 days. But if you take steps to treat the engorgement, usually it will be gone within maybe 24 to 48 hours, at least the worst part of it.
Breast massage can be beneficial for mothers experiencing breast engorgement, plugged ducts, mastitis and even chronic breast pain.
Use cold compresses
Cold compresses help to reduce breast inflammation, blood flow and milk production. Start with 10 minutes on each breast and work up to 30 if needed. Always take at least an hour break between compresses. This should help ease the pain of full or engorged breasts.
Severe engorgement can lead to blocked milk ducts which can lead to a breast infection, called mastitis. Mastitis may need to be treated with antibiotics.
On the whole, breast engorgement is a great reassurance for mothers and lovely feedback to tell her breasts are responding to their newborn's demands, but equally, engorgement is uncomfortable and, if not resolved or if in the presence of feeding issues, can lead to blocked milk ducts or mastitis.
You can help your partner relieve engorgement (breast fullness) by hand expressing some milk or placing a warm, moist face cloth on her breast for a few minutes before feeding. You can also help during feeding by gently compressing (massaging) her breast.
Ibuprofen is used to treat the pain and discomfort associated with uterine contractions (afterpains), an episiotomy, or a c-section. Additionally, it can help to relieve the pain of engorged breasts, plugged milk ducts, mastitis, and sore nipples. Ibuprofen is also used to treat infants and children.
Engorged breasts will normally feel tight or hard, while mastitis is more often characterized by redness and inflammation (engorgement does not normally cause redness). Though both can cause pain and tenderness in the breasts, mastitis pain can worsen when your baby feeds, and can feel like burning.
Seek medical advice if you develop a fever5 of around 38 °C (101°F) or above, or if your baby is unable to breastfeed because of the engorgement. Finally, try to be patient. Your body is still getting used to making milk and feeding your baby. The engorgement should soon subside as you both get used to breastfeeding.
Nurse or express your milk at least every 2 hours, and at least twice during the night. The more milk that collects in your breasts, the stuffier they get and the harder it is for fluids to move. By taking milk out often, you make it easier for all the fluids in your breast – not just the milk – to move around.
As your milk supply increases, your breasts should feel heavier and full. This normal fullness should not prevent your baby from being able to latch on easily. Your breasts should also be pain-free. Engorged breasts are very hard, and the nipples can flatten due to swelling inside the breasts.
Pump At Night When Needed — But Do Not Drain
If you wake up in the middle of the night feeling engorged and are not planning to feed your baby within the next 2 hours, pump until you feel comfortable again.
Mastitis usually only affects 1 breast, and symptoms often come on quickly. They include: a swollen area on your breast that may feel hot and painful to touch – the area may become red but this can be harder to see if you have black or brown skin. a wedge-shaped breast lump or a hard area on your breast.
Signs and symptoms of mastitis often develop quickly and can include: sore breasts that feel swollen, hot, painful to touch. You may also have red patches, but redness can be harder to see on brown and black skin. a lump or hard area on your breast.