When the milk comes in...

In my last post on breastfeeding I talked about the early days of breastfeeding. I left off on the topic of ENGORGEMENT; the wonderfully painful experience you will have when your milk comes in!

As I mentioned in my last post, your milk will come in 2-4 days postpartum. This can be a very painful 24-48 hours, but push through because, just like labor, the pain of engorgement won't last and the reward is huge!

Engorgement is best described as a period of time in which your breasts feel very full and tender and your nipples are very sensitive. If fact, when you baby latches on, it will literally make your toes curl and you will want to scream. Don't worry, this sensation does go away after a few minutes of nursing! The absolute best treatment for engorgement is to nurse. Letting your nipples air dry and applying a nipple cream after nursing will also help. There are many old wives tales regarding things you can do to relieve engorgement, but nursing every 2-3 hours is the best and recommended solution. (It is actually the case that hot packs, warm showers and many other suggested treatments actually make engorgement worse rather than better.) I can't stress enough how important it is to make sure you are feeding baby frequently during this time. Milk production works by supply and demand and if you are not feeding baby (or pumping) every 2-3 hours during this time, your body will not produce enough milk.

During this time, your areola may be hard which makes it difficult for baby to latch on properly. If baby does not latch on properly, you will end up with traumatized nipples. If you need to express a little milk to soften the areola before feeding to make latching on easier for baby, do so! If you are experiencing pain in your nipples after the first few minutes of nursing and/or are experiencing any kind of pain in your breasts make sure you consult your doctor because there are a number of things that could be wrong (plugged milk ducts, breast infection).

Make sure you buy some breast pads before you deliver. Chances are pretty good that you are going to need them although some lucky women never d0. I used them day and night for the first few months. I was eventually able to stop using them because I no longer leaked during the day. I still occasionally leak at night, but not often enough to wear breast pads to bed. There have been nights when I have woken up and had to change my shirt, but that usually corresponded with times when my daughter went longer than normal between feedings.

I would love to be able to tell you that you are in the clear after the engorgement period is over, but that most likely will not be the case. Breastfeeding is hard work and it requires dedication on your part. I had been breastfeeding for 4 months or so before my body and daughter finally "figured it out". Mind you, I have never experienced anything like the pain of engorgement and things have definitely gotten MUCH easier, but there have still been a few bumps in the road which I will talk about in my next post.