Relieving Breast Engorgement

Breast engorgement is normal in the first few days after baby is born as your body begins to produce milk. For some women, breast engorgement is a relatively pain-free process that lasts just a few days. For others, it may cause days or weeks of discomfort and/or pain as the breasts become swollen, hard and tender to the touch. Some may also experience swelling all the way to the armpits and/or develop a mild fever. If this is the case for you, here are some steps you can take to relieve the sensation of fullness and pain.

Feed baby from day 1

Many experts advise mothers to breastfeed baby from birth . This gives both mom and baby time to learn to feed before engorgement occurs. If possible, try breastfeeding baby as often as possible (at least eight to 12 times) in the first 24 hours to help minimise over-fullness.

Massaging the breasts

Massaging the breasts before and during nursing can help with the milk flow and provide some relief to the tightness and fullness in the breast. Before feeding, gently massage the breast with the palm of your hands, going in a circular motion towards the nipples – a technique similar to self-breast examinations. Do the same for the other side. This technique can help to stimulate the ‘let-down’ reflex, making it easier for baby to feed.

While baby is nursing, gently squeeze the breast to create positive pressure, and release only when baby pauses during the feed. This helps to increase the milk flow, resulting in a more effective and enjoyable feed for baby.

When in doubt, always refer to a lactation consultant who will be able to teach you the different massage techniques and methods to relieve breast engorgement.

Alternating baby’s position

Baby may develop a preference for one breast over the other. However, try to switch sides for every feed to keep engorgement at bay. Offer baby the less-preferred breast at every start of her feed, when she is hungriest. Be patient. It may take a while before baby is convinced to take the other breast.

However, if this is a sudden shift in baby’s behaviour, consult your paediatrician to see if baby is hurting on one side.

On the other hand, if baby is getting enough milk and you are not having any discomfort, there is no reason why baby should forego her preference. Just ensure you express milk when needed to relieve the sensation of fullness in the breast.