
Breast engorgement
It's normal during the first week after a baby is born for a mother's breast to become heavy, and tender, and full as the milk is coming in. And even before that as the blood flow is expanding and the lymph flow is expanding to allow the milk to come in. But sometimes that progresses to something we call engorgement. I'm Dr. Alan Greene and I want to talk briefly about engorgement. What causes it, how you can prevent it, and what to do if engorgement does happen. We call it engorgement if the pain becomes really severe because the milk is so full in the breasts that it squeezes shut some of the blood and lymph vessels. So causes swelling in the tissues. It's not just too much milk. It's real swelling of the breasts. And it can be quite painful and make nursing kind of difficult. Probably the best way to prevent engorgement is frequent, early feeding. If you feed as often as the baby wants to, and at least every 2 to 3 hours when the baby is awake during the day, and no longer than 4 or 5 hours one stretch at night during that first week will often prevent engorgement. Engorgement is less common, too, if you don't do supplemental feedings. But even if you do everything perfectly, some women will still become engorged. It's not a guarantee. If you do and don't do anything, the engorgement will likely last for 7 to 10 days. But if you take steps to treat the engorgement, usually it will be gone within maybe 24 to 48 hours, at least the worst part of it. So what does treating engorgement mean? It's a couple of very simple steps. The first one is really to try to empty the breasts completely. Again, going back to frequent feeding and to encourage the baby to nurse to finish the first breast first. Don't try to switch breasts in between, but start and let them empty as much as they can. And then only after they come off it their timing, try the other breast. Then start with the opposite one next time. Then you can do a lot with cool and warm compresses. Doing a cool compress in between nursing can help reduce the swelling and reduce the tenderness. And then a warm compress you want to switch to in the 10 to 15 minutes before nursing to help encourage let down and help the breast drain more fully. You can actually get compresses that are made for this purpose that you can warm or you can cool. And they can fit inside a nursing bra. Another thing that can be very helpful are cabbage leaves. There have been a few studies suggesting this and a lot of personal experience people have had just taking a cabbage leaf out of the refrigerator and wearing it as a compress. There seems to something in there that does help. Whatever you do, you may also want some pain relief, something like acetaminophen. And if that's necessary don't hesitate if that's something that's going to keep you nursing because breast milk is the very best thing for kids.
Breast engorgement
Review Date: 5/20/2019
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Animations
Browse All
- Allergies
- Alzheimer disease
- Ankle ligament injury
- Arrhythmias
- Atherosclerosis
- Athetosis resulting from basal...
- Balloon angioplasty - short se...
- Bladder function - neurologica...
- Blinking
- Blood clotting
- Blood flow
- Blood pressure
- Bone fracture repair
- Brain components
- Breast lift
- Breathing
- Bunion
- Cancer of the throat or larynx...
- Cardiac conduction system
- Cardiomyopathy
- Cardiovascular system
- Cataract
- Cell division
- Cerebral aneurysm
- Cesarean section
- Components of skin
- Conception - general
- Conception - pregnancy
- Conception of identical twins...
- Concussion
- Corneal injury
- Coronary artery bypass graft (...
- Coronary artery disease
- Cosmetic surgery of the face
- Coughing
- Diabetes - retinal conditions...
- Digestion
- Directional coronary atherecto...
- Early labor
- Egg cell production
- Egg production
- Endocrine glands
- Enlarged prostate gland
- Epinephrine and exercise
- Exercise
- Feeling pain
- Fetal ear development
- Formation of twins
- Gas exchange
- Glaucoma
- Gout
- Hearing
- Hearing and the cochlea
- Heart bypass surgery
- Heart formation
- Heartbeat
- Heartburn
- Herniated nucleus pulposus (sl...
- Homeostasis
- Human face formation
- Hypertension - overview
- Immune response
- Intracytoplasmic sperm injecti...
- Kidney stones
- Kids - How big is the baby?
- Kids - How does the baby come ...
- Kids - Is it a girl or boy?
- Kids - Umbilical cord
- Kids - Where do babies come fr...
- Liposuction
- Lymph nodes
- Lymphatics and the breast
- Macular degeneration
- Muscle types
- Nerve conduction
- Nervous system formation
- Nutrient exchange
- Osteoarthritis
- Osteoporosis
- Ovulation
- Parkinson disease
- Percutaneous transluminal coro...
- Peristalsis
- Phagocytosis
- Pituitary gland
- Placenta delivery
- Placenta formation
- Preeclampsia
- Pregnancy
- Red blood cell production
- Reflex response
- Retina
- Retinal detachment
- Rupturing membranes
- Seeing
- Sexual differentiation
- Shoulder joint dislocation
- Skeletal formation
- Skeletal muscle
- Skeletal system components
- Skin conditions
- Smelling
- Smoking
- Snoring
- Sperm production
- Sperm release pathway
- Stomach ulcer
- Stomach ulcer
- Stroke
- Stroke - secondary to cardioge...
- Sun's effect on skin
- Swallowing
- Sweating
- Tachycardia
- Tasting
- The role of amniotic fluid
- Tobacco use - effects on arter...
- Twin-to-twin transfusion syndr...
- Ultrasound
- Urination
- Vaccines
- Vaginal delivery
- Vasectomy
Videos
Browse All
- Diabetes
- Abdominal aortic aneurysm
- Abdominal pain
- ACL injury
- Acne
- Adenoid removal
- Adolescent depression
- After your child's ear tube su...
- After your child's inguinal he...
- After your child's tonsil or a...
- After your child's umbilical h...
- Alcoholic liver disease
- Allergic rhinitis
- Allergies
- Allergy testing
- Allergy to mold - animal dande...
- Alzheimer disease
- Anemia
- Ankylosing spondylitis
- Anterior shoulder stretch
- Anti-reflux surgery
- Appendectomy
- Appendicitis
- Arm reach
- Arthritis
- Asperger syndrome
- Asthma
- Asthma - children
- Atopic dermatitis
- Atrial fibrillation
- Attention deficit hyperactivit...
- Autism spectrum disorders
- Basal cell carcinoma
- Before a child's tonsil or ade...
- Bipolar disorder
- Breast cancer
- Breast engorgement
- Breast self-exam
- Breastfeeding
- Bronchitis
- Bronchoscopy
- Cardiac catheterization
- Carpal tunnel syndrome
- Cataracts
- Cerebral palsy
- Cervical cancer
- Chest pain
- Childhood obesity
- Cholesterol and triglyceride t...
- Chronic obstructive pulmonary ...
- Cluster headache
- Cold treatments for kids
- Colon cancer
- Colon cancer screening
- Colorectal polyps
- Common cold
- Concussion
- Crohn disease
- C-section
- Cystic fibrosis
- Cystic fibrosis - nutritional ...
- Depression
- Dialysis
- Diarrhea
- Ear infection - acute
- Ear infection - chronic
- Ear tube insertion
- Earache
- Electrocardiogram
- Endometriosis
- Enlarged adenoids
- Enlarged prostate
- Epilepsy
- Erection problems
- Essential hypertension
- External rotation with band
- Fibromyalgia
- Flu
- Food poisoning
- Foot pain
- Gallstones
- Gastroesophageal reflux diseas...
- Gastroesophageal reflux diseas...
- Gastroesophageal reflux in inf...
- Getting rid of lice in the hom...
- Glaucoma
- Hardening of arteries
- HbA1c
- Head injury
- Head lice
- Healthy Guide to Fast Food
- Hearing loss
- Heart attack
- Heart failure
- Heel pain
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Hernia
- Herniated disk
- Hip joint replacement
- Hodgkin lymphoma
- How do ear tubes come out?
- How to remove a splinter
- How to stop bedwetting
- How to treat a nosebleed
- How to treat a sunburn
- How to use a peak flow meter
- How to use a pill cutter
- How to use eye drops
- How to use nasal sprays
- Hypertension
- Hyperthyroidism
- Hypothyroidism
- Hysterectomy
- Infant formulas
- Inguinal hernia repair
- Inhaler with no spacer - adult...
- Inhaler with no spacer - child...
- Inhaler with spacer - adults
- Inhaler with spacer - child
- Insomnia
- Internal rotation with band
- Iron deficiency anemia
- Irritable bowel syndrome
- Isometric
- Kidney stones
- Knee joint replacement
- Let's talk about pink eye
- Lung cancer
- Lyme disease
- Melanoma
- Menopause
- Migraine
- Multiple sclerosis
- Nasal congestion
- Neck pain
- Newborn jaundice
- NICU consultants and support s...
- Nuclear stress test
- Obstructive sleep apnea
- Osteoarthritis
- Osteoporosis
- Pap smear
- Pendulum exercise
- Peptic ulcer
- Pharyngitis
- Physical exam frequency
- Plantar fasciitis
- Pneumonia
- Pregnancy care
- Prepare for your child's ear t...
- Prepare for your child's herni...
- Prostate cancer
- Psoriasis
- Rheumatoid arthritis
- Rotator cuff problems
- Sciatica
- Scoliosis
- Seizures
- Shingles
- Shoulder blade retraction
- Shoulder blade retraction with...
- Shoulder pain
- Sinusitis
- Sleep disorders
- Smoking tips to quit
- Spinal stenosis
- Stent
- Storing breast milk
- Strep throat
- Stretching back of your should...
- Stroke
- Systemic lupus erythematosus
- Tension headache
- The difference between a cold ...
- Tips on buying cold and flu me...
- Tips on removing ear wax
- Tonsillectomy
- Tonsillitis
- Tracking your blood pressure a...
- Treating congestion in babies...
- Treating eyelid bumps
- Type 1 diabetes
- Type II diabetes
- Ulcerative colitis
- Understanding cholesterol resu...
- Up the back stretch
- Urinary incontinence
- Urinary tract infection - adul...
- Uterine fibroids
- Vacation health care
- Varicose veins
- Venous insufficiency
- Wall push-up
- Wall stretch
- Warts
- What are hives?
- What are night terrors?
- What causes wheezing?
- What in the world is a neti po...
- What is tennis elbow?
- What makes your heart beat?
- What to do when kids put thing...
- What to do when kids put thing...
- What to do when something gets...
In-Depth Animations
Browse All
- Aneurysm description
- Angina causes and symptoms
- Angina pectoris treatment
- Asthma - description
- Asthma symptoms, triggers, and...
- Atherosclerosis causes
- Atrial fibrillation overview
- Benign prostatic hyperplasia (...
- Cardiac and vascular disorders...
- Cardiac arrhythmia - conductio...
- Cardiac arrhythmia symptoms
- Cardiac arrhythmia tests: ECG ...
- Cardiac arrhythmia: Additional...
- Cardiac arrhythmia: Heart palp...
- Cardiac arrhythmia: Physical e...
- Cardiac arrhythmia: Taking a m...
- Cardiac catheterization - angi...
- Cardiac catheterization - indi...
- Cardiac catheterization - uses...
- Cardiac conduction system diso...
- Cardiac conduction system diso...
- Cardiac CT scan overview
- Cardiac hypertension hypertrop...
- Cardiomyopathy overview
- Cardiovascular disease - desc...
- Causes and side effects of acu...
- Central sleep apnea
- Common causes of low back pain...
- Congenital heart defects (CHD)...
- Congenital heart defects (CHD)...
- Congestive heart failure (CHF)...
- Contraception statistics
- Coronary artery disease (CAD) ...
- Diabetes and risk of serious f...
- Echocardiography (ECG) - exerc...
- Echocardiography overview
- Effects of thyroid disease
- Electrocardiogram - ECG - reco...
- Electrocardiogram - ECG - what...
- Electrocardiogram (ECG) test o...
- Factors that can cause and wor...
- Health risks of hyperlipidemia...
- Heart attack (myocardial infar...
- Heart disease - modifiable ri...
- Heart disease modifiable risk ...
- Heart disease modifiable risk ...
- Heart disease modifiable risk ...
- Heart disease modifiable risk ...
- Heart disease modifiable risk ...
- Heart transplant - overview
- Heart valve replacement - over...
- How cancer spreads through the...
- Hypertension overview
- Hypertension treatments
- Nociceptive pain
- Nuclear heart scan overview
- Overview of asthma
- Overview of chronic obstructiv...
- Overview of chronic obstructiv...
- Peripheral artery disease (PA...
- Peripheral artery disease (PAD...
- Stroke - Description, causes, ...
- Taking the first steps to mana...
- The differences between acute ...
- The effects of thyroid disease...
- The goals of proper type 2 dia...
- The inflammatory response: Sym...
- Types of echocardiography
- Types of hyperlipidemia
- Using a multi-dimensional appr...
- Valvular heart disease (VHD) ...
- Valvular heart disease (VHD) ...
- Valvular heart disease (VHD) ...
- Valvular heart disease (VHD) -...
- Varicose veins overview
- Ventricular fibrillation and t...
- What happens when a person has...
- What is neuropathic pain?
- What is neuropathic pain?
- Your lungs: The inflammatory r...