Users' Replies

Nov 14, 2016 15:40 PM

Thank you for your question about engorgement and mastitis.

Primary engorgement at day 3-4 postpartum is a normal physiological engorgement, any engorgement after this time is due to insufficient milk transfer of milk from the breast. The body produces an immune response-fever/pain, engorgement (usually the whole breast) if not managed will usually progress to mastitis, typically an episode of mastitis will present with pain, flu like symptoms, rigours.

Treatment/management of engorgement /mastitis includes; Gentle hand expression, application of cold or warm compresses, medication to reduce pain and fever, fluids and rest.

Hope this is helpful.

Katherine Fisher IBCLC