Breastfeeding Issues: Engorgement
- Virtual Breastfeeding Inc.
- Nov 20
- 2 min read
Breast engorgement is one of those challenges many breastfeeding parents face, especially in the first few days after birth when milk supply is ramping up. It can feel uncomfortable, frustrating, and even discouraging, but the good news is that it is usually temporary and manageable with the right care and support.
Why It Happens
Engorgement occurs when the breasts become overly full of milk, blood, and lymph fluid.
Causes of Engorgement:
When your milk first comes in after birth
If your baby is not nursing effectively or frequently enough
If you have suddenly missed or shortened feedings
Or when there is a sudden increase in milk production
Essentially, it is your body adjusting to your baby’s needs, and sometimes it just takes a little time to find the right rhythm.
Signs & Symptoms
You might notice:
Firm, swollen, or warm breasts
Tenderness or throbbing pain
Flattened nipples, making latching harder
Leaking or a feeling of heaviness
A low-grade fever in some cases
Why It Matters
Beyond discomfort, engorgement can make it difficult for your baby to latch properly, which can lead to sore nipples or a temporary dip in milk transfer. If left unmanaged, it may also contribute to plugged ducts or even mastitis.
What Can Help
Try these gentle, effective ways to relieve engorgement and keep milk flowing smoothly:
Frequent feeding: Offer the breast often, every 2–3 hours or on demand.
Warmth before feeding: Use a warm compress or shower to help milk flow.
Cold after feeding: Apply cold packs to reduce swelling and ease pain.
Gentle massage: Lightly massage toward the nipple while feeding or pumping.
Hand expression or pumping: If your baby cannot latch, express a small amount for comfort and to soften the areola.
Supportive bra: Choose a well-fitting, non-restrictive bra.
When to Seek Help
If you’re already under the care of your OB for mastitis and develop new or worsening symptoms, including a high fever, please contact your OB and/or proceed to the nearest emergency department. For prevention and ongoing management, reach out to a lactation consultant.
Need Support?
At Virtual Breastfeeding, we provide:
IBCLC lactation support within 24–48 hours: Same-week appointments available.
Virtual or in-home support: Get help wherever you feel most comfortable.
Insurance-friendly care: Most major plans are accepted to keep support affordable.
Judgment-free guidance: Support for any feeding goal, every type of family.
Flexible scheduling: Designed for working parents and busy families.
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