5 tips to reduce breast engorgement

Mom breastfeeding her child

TLDR : Breastfeeding is a personal and important choice for every mother. For those who decide to breastfeed, this natural act offers numerous benefits for both the baby’s health and the mother’s well-being. However, this choice can also come with challenges, such as breast engorgement. This common discomfort occurs when the breasts become painfully swollen, often due to milk production exceeding the baby’s needs. Engorgement can lead to pain, tension, and make breastfeeding more difficult. Fortunately, there are solutions to quickly alleviate this discomfort. In this article, we present five effective tips to reduce engorgement and return to a more peaceful breastfeeding experience.

 Why are my breasts swelling and becoming painful?

  • According to Ameli.fr, in 2021, 64.8% of women chose exclusive breastfeeding and 8.5% opted for mixed feeding. However, many experience the pain of breast engorgement. This phenomenon occurs when breast milk accumulates in the breasts, making them hard, swollen, and sometimes warm to the touch. This issue often appears in the first few days after birth, as milk production adjusts to the baby’s demand. But it can also happen at other times, particularly if feeding frequency suddenly decreases, or if the baby changes their breastfeeding routine. The milk buildup then blocks the ducts, causing inflammation.

    The symptoms of engorgement include:

    • Heavy and tight breasts.
    • A feeling of warmth.
    • Sometimes localized redness.
    • Pain ranging from mild discomfort to sharp pain.

    It is therefore essential to act quickly to avoid complications such as mastitis.

 

5 tips to reduce and/or relieve breast engorgement

1. Breastfeed frequently and correctly

One of the best solutions to prevent and reduce engorgement is to breastfeed regularly. The more your baby nurses, the more milk is drained, thus avoiding accumulation. Ideally, don’t wait until your breasts are completely full to feed your baby, as this could increase discomfort. It is perfectly normal to nurse at least eight times in 24 hours. During a growth spurt, your baby may want to nurse more often!

For maximum effectiveness, the Naître et Grandir website advises you to:

  • Ensure your baby latches on properly, with a good position and a good grip on the nipple.
  • Alternate breasts at each feeding to balance the emptying of both breasts.
  • If your baby is unable to completely empty one breast, use a breast pump to extract the remaining milk and avoid congestion.

2. Apply warm compresses before breastfeeding

Applying heat can encourage the milk ejection reflex and make breastfeeding more comfortable. Before nursing your baby, use a warm compress or a cloth soaked in warm water to stimulate milk flow. Gently massage your breasts for a few minutes to help unblock the milk ducts.

Practical tip: A warm shower can also be very beneficial for relieving engorgement. Take advantage of the shower to massage your breasts under the warm water, as this will help trigger the milk ejection reflex and make breastfeeding easier.

3. Use cold compresses after breastfeeding

To relieve inflammation and reduce swelling, apply cold compresses to your breasts after nursing. This will help reduce pain and constrict the blood vessels, limiting inflammation. There are solutions like gel packs specifically designed for breastfeeding. According to a study, refrigerated cabbage leaves can also help soothe sore breasts. However, be careful not to leave cold compresses on for too long, as this could negatively impact milk production.

4. Gently massage engorged breasts

Massaging the breasts can help unclog the milk ducts and stimulate milk flow. Before or during breastfeeding, gently massage your breasts in small circular motions, starting from the base toward the nipple. This will help release trapped milk and reduce the pressure caused by engorgement.

It’s important to be gentle while massaging to avoid additional pain. Combine this massage with heat application to maximize the effects. You can also use a breastfeeding-safe oil for extra comfort during the massage.

5. Use a breast pump to relieve engorged breasts

If despite frequent breastfeeding and the other tips mentioned, your breasts remain engorged, use a breast pump. This method can be particularly helpful if your baby is struggling to latch due to engorgement or if you feel intense discomfort.

It’s essential to choose a breast pump that suits your needs, whether manual or electric, depending on your lifestyle. Try to express just enough milk to relieve the pressure without completely emptying your breasts to avoid overstimulating milk production.

Mistakes to avoid

Certain actions can worsen engorgement instead of relieving it. Here are some common mistakes to avoid:

  • Spacing out feedings: If you try to limit feedings to regulate milk production, this may actually worsen engorgement.
  • Wearing clothes that are too tight: A bra that is too tight or snug clothing can compress the breasts and block the milk ducts.

To help you choose comfortable, breastfeeding-friendly clothes, brands like Tajine Banane offer clothing specifically designed for nursing mothers. Their garments allow easy access to the breasts while being loose enough to avoid compression.

  • Not asking for help: If the engorgement persists or worsens, don’t hesitate to consult a healthcare professional, such as a lactation consultant. They can provide personalized advice to help you better manage the situation.

When to consult a professional

If the engorgement lasts several days despite applying the tips above, or if you develop a fever or intense pain, it is important to see a doctor or lactation consultant. These symptoms may indicate mastitis, an infection that requires medical treatment.

The importance of emotional support during breastfeeding

Breastfeeding is a deeply personal and sometimes challenging experience, especially when dealing with issues like breast engorgement. In addition to physical solutions to relieve discomfort, it’s crucial not to overlook emotional support. Don’t underestimate its importance. Whether by talking to those around you or joining support groups, these resources can make a significant difference in your breastfeeding experience, offering both practical support and emotional comfort.

Sources : 

* Application of cabbage leaves compared to gel packs for mothers with breast engorgement : randomised controlled trial. Wong BB et al. Int J Nurs Stud 2017 ; 76 : 92-9.

In summary

Breast engorgement is a temporary condition that can be uncomfortable, but with prompt care, it is possible to relieve the pain and avoid complications. Frequent breastfeeding, using warm and cold compresses, massaging the breasts, and using a breast pump are effective solutions to reduce engorgement.

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