Sore boobs? 😯

Engorgement is a postpartum complication that occurs when breast tissue overfills with milk, blood or other fluids. This pain may surface anytime between the first and second week of birth as the body begins to produce more milk for your baby’s nutrition.

After the first few days of birth, the postpartum body speeds up the production of regular fluid, moving on from the production of an initial diet of colostrum. If the body is producing more than the newborn can eat, the build-up of fluid will cause the breasts to be large, tightened, lumpy and tender. Engorgement can affect either one or both breasts at the same time.

In severe cases, proper latching becomes difficult while nursing because the nipples may crack, flatten or become sore. Ironically, while this may tempt you to breastfeed less, it only makes the engorgement worse. Veins in the breast become more prominent with swelling spreading as far as the armpit. Acute cases of engorgement can lead to mastitis which is characterized by blocked milk ducts and breast infection. Mastitis, a condition requires urgent treatment, needs to be treated with antibiotics.

Ideally, your breasts should feel full, warm, and heavy with milk after birth. However, this heaviness is expected to dissipate without trouble. When it doesn’t, the extra blood and fluids in your breasts which your body produces will cause the pain known as engorgement.

CAUSES OR RISK FACTORS:

Breast engorgement may happen when there is:

1. Congestion or increased blood flow to the breasts.
2. Delayed initiation of breastfeeding
3. Infrequent feeding
4. Sudden change in breastfeeding routine
5. Inadequate disposal of milk supply (this could be caused by a sub-optimal appetite in the newborn)

SYMPTOMS:

Symptoms of engorged breasts include:

1. Swollen, firm, lumpy and painful breasts
2. Flattened nipples
3. Milk Fever (or run-down feeling, usually around 38°C)
4. Swollen and tender lymph nodes in the underarms
5. Hardness of the breast area (including areola)

TREATMENT:

Here’s how you can relieve engorgement symptoms:

1. Soften your breasts before nursing sessions for some minutes with a warm compress. Otherwise, express a small amount of milk from both breasts before the feeding proper. Be careful not to express too much otherwise, your body will continue to make more.
2. Breastfeed or express frequently, at least within a 1 to 3-hour interval all day long. Since your body is producing more, the simple way to manage the build-up is to expel as much as you produce. Also, ensure that your baby is latching on and feeding well.
3. Recommended pain medication can help to reduce pain and swelling. Ensure to check with your doctor before you take any kind of medicine while breastfeeding. This also applies to the pregnancy stage.
4. Apply cold compress, such as the Bare Mum Warm & Cool Breast Inserts, for at least 15 minutes on your breasts. This helps to relieve inflammation.
5. Empty your breasts with each feeding. Exhaust the supply in one breast completely before you switch to the other side. Here’s how you can tell when it’s time to switch: Slowed sucking or no swallowing.
6. Massaging your breasts while nursing will help ease the pain as your baby suckles.
7. Wearing a firm and supportive bra also helps to keep the breast from free-falling.

If you’d like to try a product, the Bare Mum Warm & Cool Breast Inserts are reusable inserts that fit inside your bra. Cool them for relief from engorgement and swelling, or warm them to help with milk production and let-down.

It is also important to state here that engorgement is not always a one-time problem. In some cases, it could be sporadic or based on actions or inactions at any given time, even long after the first few weeks of birth. For instance, skipping a nursing session or not pumping at the right time may cause that heavy, full feeling that comes with engorgement. If after you have tried any of these options and the pain persists, please consult a lactation consultant to help you ascertain any other underlying causes which may need to be addressed.

This article was written by the team from Pregnant and Perfect. Pregnant and Perfect is an online community that ties in the universal and diverse experiences of mothers out there. Their team of women are focused on cheering the millions of mothers and expecting mothers on while doing everything they can to make the journey to becoming and being a mum less lonely, equipped with information, real and a lot more fun.