Engorgement While Breastfeeding: Prevention & Relief

As a nursing parent, you may find that your breasts ache at times when they become uncomfortably full or engorged. This feeling of fullness is not uncommon as your body readjusts to a baby’s changing demands for breast milk. A little fullness during the first few days after birth is normal. But excessive breast engorgement, which can occur from missed feedings or a change in how often your baby nurses, can be quite painful. It can also decrease your milk supply. Feeding on demand helps prevent engorgement. If your baby is nursing as often as they want and is gaining weight, though, you may have to take extra measures to relieve the pressure on your breasts. You can soak a cloth in warm water and put it on your breasts, for example. Or, take a warm shower before feeding your baby. It may also help to express a small amount of milk before breastfeeding, either manually or with a breast pump. For severe engorgement, use a cool compress, gel pack, or ice pack between feedings to relieve discomfort and reduce swelling. Taking a recommended dose of acetaminophen or ibuprofen to relieve your discomfort also may be useful.