Toxic Cycle of Breast Engorgement

Breast engorgement is an uncomfortable and painful component of the postpartum period. Engorgement poses a big risk to breastfeeding outcomes, which can lead to failed breastfeeding and early weaning. The inflammation and swelling in the breasts when engorgement occurs, prevents baby from having a deep latch and resulting in nursing difficulties. Baby may also become frustrated with the difficulty in receiving milk. During engorgement, circulation to the Mammary alveoli (the site of milk production and storage in the mammary gland) is compromised. If engorgement progresses too far and is not treated soon enough, some of this alveoli will die and they will not be replaced until a future pregnancy. At the same time, the Feedback Inhibitor of Lactation (whey protein found in breasts that plays a role in the demand and supply process of breastfeeding) also builds up in the breast, signaling it to make less milk and promoting cell involution. Some mothers may resort to self treatment (i.e placing cabbage on breasts, massage, hot/cold therapy) to ease engorgement. - This is dangerous as if not managed properly, can lead to adverse results on the mother such as a drastic decrease in milk supply or aggravated into more serious problems such as mastitis.

“My breasts hurt a few days after I gave birth, why is this happening? I was latching fine a few days before, but now my breasts are growingly painful. How do I cope with it?” Don’t worry mummy! What you are experiencing is engorgement – which is a signal that your body is undergoing a… Continue reading Toxic Cycle of Breast Engorgement

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