It sounds like your milk has ‘come in’. Between 2-6 days after you have given birth it’s normal to find that your breasts become larger, feel heavy, warmer and uncomfortable.
At this time many new Mums’ breasts feel severely engorged and nipples become flattened and taut, making it difficult for babies to attach to the breast.
Engorgement is caused by a build-up of milk, blood and fluids in the breast tissue. This is normal.
When experiencing severe engorgement, it is important to ensure that baby is attaching well and feeding effectively, and that the length and frequency of feeds are being determined by the baby’s needs.
TIPS:
- To relieve engorgement -
- Take your bra off completely before beginning to breastfeed.
- Before breastfeeding gently massage your breast or use warmth for a few minutes to help trigger the let down reflex.
- To soften the breast tissue under the areola, express some milk either by hand or pump. This will help the nipple to become less taut and flat and easier for baby to grasp.
- Massage the breast gently while you are feeding.
- If necessary, express for comfort after feeds.
- Use cold packs or chilled, washed, cabbage leaves (only leave on until they become warm) after a feed to reduce inflammation.
Remember -
- To feed your baby often during these early days. Between 8-12 breastfeeds in 24 hours is normal.
- Wake baby for a feed if your breasts become full and uncomfortable, especially at night time.
- Ensure your baby is positioned and attached correctly, this helps to maximise the amount of milk baby is getting.
If you are still experiencing difficulty latching your baby, have sore or cracked nipples or find that your milk is not flowing easily and you are both becoming frustrated, please seek professional assistance from a Lactation Consultant (IBCLC) immediately.
Yours in health and happiness
Sandy B Simmons
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