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The pressure should be firm but not painful. Once the areola is soft, you can more easily let out express milk. Before each feeding, use your hands to let out a small amount of milk from both breasts. Express enough to soften the nipple and areola so that your baby can better grasp the area around the nipple.
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Gently massage your breasts before and during the feeding to help empty and soften your breasts. Put cool washcloths on your breasts between feedings to help relieve discomfort and reduce swelling. Ask your healthcare provider about medicine or supplements that might help with the discomfort of engorgement. Be sure to talk to your provider before you start taking any medicine or supplement. If your breasts are so full that your baby cannot latch on or if your baby is not nursing well after your milk has come in abundantly, you may need to use a breast pump or get help with breast-feeding. If your baby is not nursing well, hand expressing or pumping your breasts will let you relieve uncomfortable fullness and keep making a lot of milk.
Express your milk at regular feeding times. If your breasts are still uncomfortably full after feeding your baby, pump or express milk for a few minutes until your breasts are softer and you have less discomfort. Soon your baby will empty your breasts well at each feeding and you will no longer need to pump. If it is not necessary, the milk you express can be frozen for future use. Many women are afraid to pump or hand express milk while they are engorged because they think it will cause them to make even more milk.
However, engorgement is really a problem of poor milk flow, rather than too much milk. If you are feeding your baby with formula instead of breast milk, uncomfortable engorgement will usually get better after 3 to 4 days of not nursing your baby. During this time, wear a bra that gives good support. Cold compresses and ice packs put on the breasts for short periods of time will give relief. You may also take ibuprofen to relieve the pain.
Nonsteroidal anti-inflammatory medicines, or NSAIDs, such as ibuprofen, can cause stomach bleeding, od problems, and other problems. You may notice other breast engorgement symptoms, including the skin of your breasts looking shiny and feeling stretched, and your nipples becoming hard and flat. Engorgement may even cause your body temperature to rise to around Your baby might struggle to latch if your nipples are flatter and your breast tissue is harder, which can cause sore nipples. This means that, if left untreated, engorgement can lead to blocked ducts, mastitis and reduced milk production.
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What causes breast engorgement? Engorgement usually occurs because a baby is not feeding frequently enough at least eight times every 24 hours. The hormonal changes that follow delivery of the baby and placenta, which cause an increase in milk production, occur whether you breastfeed or not. Engorgement can also happen if you suddenly cut breastfeeds, perhaps because your baby is sick, sleeping longer, starting solids, or going into childcare. How can I treat engorged breasts? You should try to empty your breasts as much and as often as possible to help keep milk flowing — so feed on demand, between eight and 12 times every 24 hours.
Let her take as much milk as she wants from one breast before offering the other. The tips below may also help relieve symptoms.