One of the loveliest and most crucial ways for a mother and her child to bond is through breastfeeding. However, for many mothers, the journey comes with its challenges, with engorgement being a common issue.

To ensure the physical comfort, emotional well-being, and general success of the breastfeeding journey for both the mother and the baby, it is recommended that engorged breasts are treated. 

What is breast engorgement?

Breast engorgement is a typical condition that can occur while breastfeeding, especially in the first few days following delivery. Swelling and discomfort are a result of an excessive buildup of milk in the breast tissue. Engorgement can be quite uncomfortable for mothers who breastfeed and may also make it difficult for the baby to latch on properly.

Engorgement is common in the first week after birth but can also happen at any time if the breasts are not properly emptied.¹

However, in case it feels hot, painful, hard, and tight, then it is no longer breast engorgement, but mastitis, and it's highly advised that you visit your healthcare provider.

What are the causes of engorged breasts?

The causes of engorged breasts include the following:

• Oversupply of breast²
• Infrequent feeding
• Blocked milk ducts²
• Weaning your baby too early
• Skipping feedings
• Introduction of solid food
• Improper use of breast pumps 
• Use of birth control

What are the symptoms of breast engorgement?

• Swelling of the breasts³
• Pain and discomfort⁴
• Warmth and fullness of the breast
• Nipple discomfort
• Difficulty breastfeeding your baby
• Feeling unwell

Effective breastfeeding positions for engorged breasts

The cross-cradle hold

How to position your baby in the cross-cradle hold position

•  Sit comfortably with a pillow or breastfeeding cushion to support your arm and baby
•  Place your baby's head in the crook of your arm, opposite the breast you're feeding from
•  Use your hand to support your breast, making it easier for your baby to latch
•  Bring your baby's mouth close to your nipple and let them work their magic

Benefits of the cross-cradle position in relieving engorgement

• It provides better control over the baby's head and helps guide them to feed on the breast properly
• This position helps drain the breast
• It encourages the baby to feed more often, leading to a regular milk supply and reducing the chances of engorgement
• This position also helps mothers, as they can use their fingers to gently apply pressure behind the areola, which helps soften the breast tissue and encourage milk flow

The football hold

How to position your baby in the football hold position

• Sit in a comfortable chair with a pillow or cushion on your side to support your baby
• Hold your baby at your side, under your arm, like a little football ball
• Support your baby's head with your hand and bring them to your breast, making sure their mouth is level with your nipple
• Use your other hand to cup and support your breast

Benefits of the football position in relieving engorgement:

• It's especially helpful for engorged breasts because it allows you to have more control and reduces strain on your boobs
• It keeps your baby's weight away from your engorged breasts, making it easier for them to latch and feed comfortably⁵
• You can see what's happening down there more easily, ensuring a proper latch and avoiding any unexpected milk showers
• It's a great option if you've had a caesarean birth and want to steer clear of any uncomfortable tummy pressure

Remember, when it comes to engorgement, finding the right breastfeeding position⁵ is all about comfort, support, and making sure your milk supply flows smoothly. So relax, and let the feeding begin!

The side-lying position

How to position your baby and breast in the side-lying position

• Find a comfortable surface, like your bed, and lie on your side
• Make use of pillows to support your head, neck, and back
• Place your baby on their side and let them face you, with their head at the same level as your breast
• Align the mouth of your baby with your nipple and let them latch on

Benefits of the side-lying position in relieving engorgement:

• Gravity is on your side! When you're lying down, you are relaxed and the excess milk has an easier time flowing out, which can help relieve the pressure in your engorged breasts
• It's like a mini-vacation for you and your breasts!

The Laid-Back Position

How to position your baby and breast in a laid-back position

• Find a comfortable spot, like a recliner or a supportive chair
• Lean back partially and let the chair support your body
• Place your baby on your chest, their tummy against yours
• Support your baby's head and neck, allowing them to find your nipple and latch on

Benefits of the laid-back position in relieving engorgement:

• This position encourages your baby to use their instincts to find the breast and latch correctly
• The force of gravity can help your baby get a good latch and effectively drain your engorged breasts
• In the laid-back position, you can relax and enjoy the bonding experience with your little one. Who said breastfeeding had to be a struggle?

How to cope with engorged breast

Engorged breasts can be uncomfortable, but there are several strategies you can use to cope with this condition. You can take the following actions to lessen the discomfort: 

Breastfeed your baby frequently

The most effective way to reduce the discomfort that comes with engorged breasts is to breastfeed frequently; this is one method that helped me while nursing my baby. Nursing or pumping helps empty the breasts and signal your body to produce less milk.

Ensure your baby is latched to your breast correctly

A proper latch helps your baby effectively remove milk and can prevent engorgement from worsening.

Empty both breasts

Make sure to alternate breasts during each nursing session to ensure both breasts are emptied. If one breast is still engorged after nursing, you can start the next nursing session with that breast.

Warm Compresses

Before nursing, applying a warm compress to your breasts can help increase blood flow and make it easier for your baby to latch.

Cold Compresses

After nursing, applying a cold compress or ice pack for about 15 minutes can help reduce swelling and relieve pain.

Hand Expression

If nursing or pumping isn't sufficient to relieve the engorgement, you can try gentle hand expression to manually remove some milk.

Avoid Tight Bras or Clothing

Wearing tight bras and clothing can exacerbate the discomfort. Opt for a well-fitting, supportive bra that doesn't compress your breasts too tightly⁵

Avoid Overusing Dummies

If your baby is using dummies frequently, they might nurse less, leading to engorgement. Try to limit its use until breastfeeding is well-established

Rest and Self-Care

Engorgement can be physically and emotionally draining. Get enough rest and take care of yourself, or ask for support from loved ones

Avoid Using Breast Binders

While it might seem like a good idea to bind your breasts to reduce milk production, this can worsen engorgement and lead to other issues like plugged ducts or mastitis 

FAQs

Can breastfeeding positions help with breast engorgement?

Yes, absolutely! Proper breastfeeding positions can make a significant difference in managing breast engorgement. Certain positions, like the cross-cradle hold, football hold, side-lying position, and laid-back position, help in effectively draining the breasts and relieving discomfort.

How long should I use a particular breastfeeding position to relieve engorgement?

The duration of using a specific breastfeeding position to relieve engorgement may vary for each individual. It is recommended to use a position until the breasts feel softer and less engorged. Some mothers find switching between different positions during a feeding session helpful in fully emptying the breasts and achieving relief.

Are there any other remedies or techniques I can try besides breastfeeding positions?

Absolutely! In addition to using proper breastfeeding positions, some other remedies and techniques can offer relief from breast engorgement. Some options include using warm compresses or cold packs, massaging the breasts, and expressing milk before or after feedings. Try using different methods to find what works best for you.

Should I seek professional help if breastfeeding positions don't alleviate my engorgement?

If you have tried various breastfeeding positions and other remedies but still experience persistent and severe engorgement, it may be helpful to seek professional assistance. A lactation consultant or healthcare provider can provide guidance, evaluate latch and positioning, and offer additional strategies to address your specific situation.

Summary

Finding the right breastfeeding positions is essential to managing breast engorgement effectively. By using positions such as the cross-cradle hold, football hold, side-lying position, and laid-back position, you can alleviate discomfort and ensure optimal breastfeeding experiences. 

Trying different breastfeeding positions can make a big difference when dealing with engorged breasts. Engorgement can be uncomfortable, but practising the various positions listed here can help relieve the pressure and discomfort you feel.

Additionally, implementing tips like warm compresses, cold packs, and breast massage can further aid in relieving engorgement. Remember, every mother's breastfeeding journey is unique, and it may take some trial and error to find the most comfortable position. 

With the right knowledge and techniques, breastfeeding with engorgement can become a more comfortable and enjoyable experience for both mother and baby.

If your engorgement persists or is causing significant discomfort, consider seeking help from a lactation consultant. They can provide help and guidance based on your situation.