Techniques to tackle Engorgement :

Engorgement, if ignored, can cause a lot of problems. Therefore, it is important to address it as soon as it starts.

  • Mild to moderate engorgement


Mild to moderate engorgement can be addressed by using simple techniques at home repeatedly. It is time-consuming to use these techniques but they are most effective and helpful. The following table summarises these techniques.


  • Severe Engorgement​


It can be very painful as breast tissue becomes extremely sensitive during severe engorgement.


If hand expression is too painful and the breast tissue has swollen up a lot, do the following before using the techniques mentioned in the table above  -

  • Firstly, use a cold compress in order to lessen the inflammation.
  • Secondly, follow the cold compress with a gentle massage.
  • Lastly, attempt hand expression in a warm/hot shower. That will make it less painful.


For a pumping mother, it helps to keep the following things in mind:

It's important to always empty the breast. Sometimes pumps can't drain the breast completely, it's recommended to hand express to drain the breast completely.

  1. Pump in dangle position. This helps use gravity to dislodge the clog.
  2. Pump every 2-3 hours. Use the letdown mode/massage mode of your pump for 12-15 mins while you massage your breasts. 
  3. Use a few drops of coconut oil to massage. Also apply some on the flange if necessary.
  4. When breasts are making more milk than needed, and you are feeling engorged, pumping to empty may sound like it's the problem. However, know that when you are going through this, it's important to first find relief. And relief comes only when you fully and efficiently empty the breast. Over time, slowly, you can teach your body to make less milk. It takes time, and patience.


What happens if engorgement is ignored?

Mastitis usually happens when the mother ignores all the signs for a long time, and has fever and shivers along with pain. In a few cases, mastitis can happen without fever as well. But the redness is very very evident. Usually accompanied with redness of the breast tissue. In case you have done all the above and the fever doesn’t subside, or the size of lump doesn't change, and other symptoms of engorgement don't decrease, please consult a doctor or your gynaecologist. Don't ignore this. Try the above remedies but be vigilant as well.

References :

https://kellymom.com/bf/concerns/mother/engorgement/
https://www.llli.org/breastfeeding-info/engorgement/
Easy Breastfeeding by Camilla Conti

One of the common challenges faced by many breastfeeding mothers is engorgement. Engorgement essentially contains the following symptoms.


  • Your breasts seem tight, full, and uncomfortable.
  • There can be mild to excruciating pain when you touch your breasts.
  • The fullness and pain don't go away upon nursing.
  • Breasts are hard and shiny.


Common causes of Engorgement :

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