When you first start breastfeeding your baby, your breasts produce colostrum in small amounts that gradually increase over the first few days. One of the signs milk is coming in is your breasts become fuller and firmer. This swelling is not just caused by the greater quantity of milk, but also by increased blood flow and extra lymph fluids in your breast tissue. For most new mums, if their baby is feeding well and frequently, these feelings of heaviness pass without problems. But some produce almost more milk than their breasts can hold, which makes them feel rock hard and uncomfortably full — a condition called engorgement. While this is usually only temporary, the 24 to 48 hours it typically lasts for can be painful.

Engorgement and mastitis are complications associated with breast feeding. Mastitis associated with breast feeding is also called lactational mastitis. Breast feeding, like parenting, is not always uncomplicated, especially in the first few weeks after birth. It can be easy to forget at this time that, like all new skills, breast feeding can take a while to learn and become really good at. Not all women experience true engorgement or mastitis; however, if you do it may really test your commitment to breast feeding.

Minimizing early engorgement Treat engorgement to… When to treat engorgement After the first few weeks Causes of engorgement Treating engorgment Be sure your baby is sucking effectively Reverse pressure softening Keep comfortable Watch out for signs of mastitis. Position your baby with his chest and tummy in full contact with your body. With his cheek in close contact with your breast, your baby can easily tip back his head to latch on. Listen for swallowing as he feeds.