DEFINITION
Breast engorgement refers to the painful swelling of the breasts caused by an increase in blood flow and milk supply after childbirth. This condition usually occurs when the breasts become overly full with milk, especially if breastfeeding is delayed or insufficient.
CAUSES
- Delayed Initiation of Breastfeeding
- If the baby does not breastfeed soon after birth, milk accumulates in the breasts, causing engorgement.
- Inadequate or Infrequent Feeding
- Long intervals between breastfeeding or poor milk drainage due to ineffective latching or suckling.
- Oversupply of Milk
- Sometimes the mother’s body produces more milk than the baby needs, leading to engorgement.
- Sudden Weaning
- Abrupt cessation of breastfeeding without gradually reducing milk production.
CLINICAL FEATURES
- Full, firm, and swollen breasts
- Pain or tenderness in the breasts
- Redness or warmth over the area
- Flattened nipples (due to swelling)
- Low-grade fever (in some cases)
MANAGEMENT
- Frequent Breastfeeding
- Encourage the baby to feed often to reduce milk build-up.
- Warm Compresses
- Applied before feeding to promote milk flow.
- Cold Compresses
- Applied after feeding to reduce swelling and pain.
- Manual Expression or Pumping
- Express milk to relieve pressure if the baby is not feeding effectively.
- Proper Positioning and Latching
- Ensure correct breastfeeding techniques to facilitate efficient milk removal.