User:Barbara (WVS)/drafts

"It is normal for your breasts to become larger, heavier, and a little tender when they begin making milk. Sometimes, this fullness may turn into engorgement, when your breasts feel very hard and painful. Engorgement is the result of the milk building up. It usually happens during the third to fifth day after giving birth. But it can happen at any time, especially if you have an oversupply of milk or are not feeding your baby or expressing your milk often.^[7]

Accusations "COPYVIO - "others have mentioned this, and this continues. this diff from 2 weeks ago, is a copy/paste from [1] here], with the original inline citations left in place. That was at one of the prostate articles, which she ran right on over to in response to SandyGeorgia."jytdog 18 March 2018

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Engorgement can also cause:

• Breast swelling
• Breast tenderness
• Warmth
• Redness
• Throbbing
• Flattening of the nipple
• Low-grade fever

Engorgement can lead to plugged ducts or a breast infection, so it is important to try to prevent it before this happens.^[7]

• Breastfeed often after giving birth. As long as your baby is latched on and sucking well, allow your baby to feed for as long as he or she likes.
• Work with a lactation consultant to improve your baby's latch so that your baby can remove more milk from your breast.
• Breastfeed often on the engorged side to remove the milk, keep the milk moving freely, and prevent your breast from becoming too full.
• Do not use pacifiers or bottles to supplement feedings in the beginning. Try to wait to introduce pacifiers until your baby is 3 or 4 weeks old.
• Hand express or pump a little milk to soften the breast, areola, and nipple before breastfeeding.
• Massage the breast.
• Use cold compresses on your breast in between feedings to help ease the pain.
• If you are returning to work, try to pump your milk on the same schedule that your baby breastfed at home. Pump at least every four hours, or more often.
• Get enough rest, proper nutrition, and fluids.
• Wear a well-fitting, supportive bra that is not too tight.^[7]

Try reverse pressure softening to make the areola soft around the base of the nipple and help your baby latch. Try one of the holds in the illustrations below. Press inward toward the chest wall and count slowly to 50. Use steady and firm pressure, but gentle enough to avoid pain. You may need to repeat each time you breastfeed for a few days.^[7]

1. One-handed "flower hold." Works best if your fingernails are short. Curve your fingertips in toward your body and place them where baby's tongue will go.
2. Two-handed, one-step method. Works best if your fingernails are short. Curve your fingertips in toward your body and place them on each side of the nipple.
3. Two-handed, one-step method. You may ask someone to help press by placing fingers or thumbs on top of yours.
4. Two-handed, two-step method. Using two or three fingers on each side, place your first knuckles on either side of the nipple and move them 1/4 turn. Repeat above and below the nipple.
5. Two-handed, two-step method. Using straight thumbs, place your thumbnails evenly on either side of the nipple. Move 1/4 turn and repeat above and below the nipple.
6. Soft-ring method. Cut off the bottom half of an artificial nipple and place it on the areola. Press with your fingers."^[7]

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