Breastfeeding, 0-3 months
Engorgement is a natural part of the milk-making process that can sometimes leave your breasts feeling tender, swollen or uncomfortable. Think of it like a 2-4-day adjustment period; your breasts are getting used to the extra blood it takes to create milk, and the (very new) process of making just the right amount.
Most mums find their bodies naturally adjust within a few days, but in the meantime you can use these techniques to help your baby latch on, stimulate milk flow and soothe your breasts.
Feed frequently
One of the easiest ways you can help your body adjust is simply by feeding your baby at least every 1.5–2 hours, and letting them feed for as long as they want. If your milk flow is stimulated regularly, your body will have an easier time adjusting to the milk-making process.
Express a bit of milk
Many mums find that latching on becomes a challenge for their babies when their breasts are engorged. If you're finding this tricky, try expressing just a little bit of milk before you feed to soften your areola.
You can do this by hand or with an electric pump on the lowest setting, but remember, it's not a volume competition! Express just enough so that the areola softens to prevent your breasts becoming overstimulated. The same advice also holds if you express between feeds to relieve discomfort.
Apply warmth
Another way to soothe your breasts and help your baby latch is to stimulate milk flow by applying warmth just before you feed. You might like to have a warm shower and gently massage your breasts, or apply a warm compress such as a warm towel or thermo gel pad. Some mums also find comfort in alternating between warm and cold water in the shower.
Cool down
This might sound counter-intuitive considering we just recommended you apply warmth, but hear us out. Warmth will help stimulate milk flow and soothe your breasts, but it's not the only way to soothe them. Applying something cold for 15-20 minutes between feeds will also give you some relief. A couple of favourite remedies among mums are raw green cabbage leaves and ice, but you can also use more modern-day techniques like thermo gel pads.
Other ways to find relief
Warming and cooling aside, you might also find some relief by wearing a comfy and supportive bra (avoid underwire), changing feeding positions to encourage your breasts to drain or gently massaging your breasts during a feed if it's comfortable.
Continued discomfort
Sometimes, the discomfort can continue or you may feel like what you're experiencing is more than engorgement. It's best to check in with your doctor if you have a raised temperature, or if you have chills, body aches, localised pain or flu-like symptoms as this can be a sign of mastitis. As always, trust your instincts. You know your body best.