PI-163 PI-163 - Breast-feeding: Breast Fullness and Engorgement
Contents
1. PI 163 7 University Hospitals PATIE Info ation 11100 Euclid Avenue Cleveland Ohio 44106 5000 Produced by the Department of Nursing Resources PI 163 Breast feeding Breast Fullness and Engorgement Breast fullness Treatment for engorgement e Is the normal result of increase in e Watch for feeding cues and feed your fluids blood and breast milk in the baby FREQUEN TLY 8 to 12 times or breast as milk increasing more in 24 hours e Usually occurs around 3 to 5 days Baby is latched deeply onto the breast after birth e Massage the breast during feeding to help drain the breast see Figure 1 e May cause the breasts to be firm but Manual Massage breasts should be compressible and Da baby should be able to latch deeply e Remove your bra if tight as this may to breast restrict the flow of breast milk e Take an anti inflammatory medication such as Advil or Ibuprofen as directed by physician to help reduce swelling or for pain relief e Will decrease as your breasts eradually regulate milk supply to match baby s needs Breast engorgement e Use cold compresses on the breast after e Results from the increase in fluids feeding for comfort and blood in the breast as well as If your baby is having problems latching milk remaining in the breast onto the breast try the following to incorrect latch infrequent feedings soften the breast and nipple before not expressing breast milk if baby l2. atching baby does not drain breast or not allowing baby time to drain breast 1 Reverse Pressure technique see Figure 3a and 3b Reverse Pressure e Results in breasts being hard and swollen with tight shiny skin You 2 Hand Expression see Figure 1 amp 2 may have mild to severe pain in your Manual Massage and Expression breasts and may also have a fever B Use breast pump onlyifveverse e May cause your baby to struggle to pressure and expression by hand latch or may be unable to latch onto does not relieve breast the breast engorgement or if your baby is unable to latch onto the breast Call your lactation consultant or File Under Breast feeding e healthcare provider Revised 06 94 09 95 06 96 06 98 06 02 03 07 08 10 07 13 Continued University Hospitals SMOG 8 3 pgs Submitted by Libby Svoboda Figure 1 Manual Massage a a Cup your breast with both hands and gently massage from the base of the breast to the areola Do this several times Figure 2 Manual Expression Lift your breast and compress between your thumb and fingers drawing gently forward to express a few drops of milk Repeat this movement at several points all the way around the areola to reach the other milk sacs PI 163 Breast feeding Engorgement 07 13 Page 2 of 3 Figure 3 Two handed two step method Drawn by Kyle Cotterman Drawn By Kyle Cotterman Using straight thumbs base of thumb move turn Repea
3. t nail even with side of nipple Repeat above amp below nipple Drawn by Kyle Cotterman oe a For help with breast feeding call University MacDonald Lactation Center East 216 595 5354 West 440 250 2035 References Lawrence Ruth A amp Lawrence Robert M Breastfeeding A Guide for the Medical Professional 7th edition Mosby Inc 2011 Riordan Jan amp Wambach Karen Breastfeeding and Human Lactation 4th edition Jones amp Bartlett 2010 PI 163 Breast feeding Engorgement 07 13 Page3of 3
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