What it means
Usually happens about 3 to 5 days after birth, when milk supply increases quickly and extra blood and fluid flow to the breasts. It can also happen when feedings are missed or spaced too far apart. The breasts become hard, warm and tender, and a swollen areola can make it hard for the baby to latch. Unrelieved engorgement can lead to blocked ducts and mastitismas-TY-tisInflammation of the breast tissue, often with infection, most common in people who are breastfeeding.mast/o breast-itis inflammationFull entry .
For the nurse
For a breastfeeding client: feed often (8 to 12 times a day), use warmth or a warm shower just before feeding to help milk flow, hand-express a little milk to soften the areola for latch, and use cold packs after feeding for swelling. For a client who is not breastfeeding: a supportive bra, cold packs and avoiding breast stimulation.
At a glance
| Also written | breast engorgement |
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Related terms
breastfeeding
Feeding a baby with milk directly from the breast.
lactation
The making and release of milk by the breasts.
mastitis
Inflammation of the breast tissue, often with infection, most common in people who are breastfeeding.
colostrum
The first breast milk, a thick yellowish fluid made in late pregnancy and the first few days after birth.