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Ages & Stages

Engorgement While Breastfeeding: Prevention & Relief

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As a nursing parent, you may find that your breasts ache at times when they become uncomfortably full or engorged. This feeling of fullness is not uncommon as the body readjusts to a baby’s changing demands for breast milk.

A little fullness during the first few days after birth is normal. But excessive breast engorgement, which can occur from missed feedings or a change in how often your baby nurses, can be quite painful. It can also decrease your milk supply.

Feeding on demand & more tips to try

Feeding on demand helps prevent engorgement. If your baby is nursing as often as they want and is gaining weight, though, you may have to take extra measures to relieve the pressure on your breasts.

You can can soak a cloth in warm water and put it on your breasts, for example. Or, take a warm shower before feeding your baby. It may also help to express a small amount of milk before breastfeeding, either manually or with a breast pump.

Can cabbage leaves help ease engorgement?

Yes, clean, refrigerated cabbage can provide comfort. That's because they are cold and fit nicely around the entire breast as a compress. For engorgement, cabbage should be used only until the swelling and pain begin to subside. Continued use may decrease the milk supply too much. In fact, some nursing parents use cabbage leaves when weaning their child over a brief period of time tp hasten the resolution of swelling or discomfort that can occur.

For severe engorgement, use a cool compress, gel pack, or ice pack between feedings to relieve discomfort and reduce swelling. Taking a recommended dose of acetaminophen or ibuprofen to relieve your discomfort also may be useful.

Last Updated
3/10/2025
Source
American Academy of Pediatrics Section on Breastfeeding (Copyright © 2025)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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