Tips to prevent engorgement

• Minimize engorgement by making sure the baby has a good latch and is feeding effectively. Breastfeed frequently after birth. Allow the baby to feed as long as he or she likes, as long as he or she is latched on well and sucking effectively. In the early weeks after birth, you should wake your baby to feed if four hours have passed since the beginning of the last feeding. Breastfeeding often on the affected side helps to remove the milk, keep it moving freely, and prevent the breast from becoming overly full.
• Avoid supplementary bottles and overusing pacifiers.
• Try hand expressing or pumping a little milk to first soften the breast, areola, and nipple before breastfeeding, or massage the breast and apply heat (only use heat if the breasts are leaking freely, otherwise it may worsen the swelling).
• Cold compresses in between feedings can help ease pain. Some women use cabbage leaves to soothe engorgement. Although their effectiveness has not been proven, many women find them soothing. You can use either refrigerated or room temperature leaves. Make sure to cut a hole for your nipple, apply the leaves directly to your breasts, and wear them inside your bra. Remove them when they wilt and replace with fresh leaves.
• If you are returning to work, try to pump your milk on the same schedule that the baby breastfed at home.
• Get enough rest and proper nutrition and fluids.
• Wear a well-fitting, supportive bra that is not too tight.