During the first week after delivery your breasts will become full. This normal postpartum fullness usually diminishes within 3-5 days. Engorgement may develop if your baby does not adequately remove the milk from your breasts. During this time your breasts will feel hard, painful and hot.
Breastfeed your baby frequently, 8-12 times in 24 hours
Avoid supplements of water or formula unless recommended by you doctor
If you miss any feedings, express your milk
When weaning your baby do it gradually
Apply hot, moist towels to your breasts for 2-5 minutes or take a hot shower before nursing your baby
Hand express some milk to soften the areola after using moist heat. This makes it easier for baby to attach to the breast
Use gentle breast massage before and during breastfeeding
Apply icy cold compresses to your breast after nursing to relieve the discomfort and decrease swelling
If your baby only takes one breast, use a breast pump or hand expression to empty milk from the other breast during the engorgement period
Avoid bottles and pacifiers. These may cause nipple confusion.