It is normal for your breasts become larger, heavier and a little sensitive when they start to drink more milk. Sometimes this fullness can become a bottleneck, when your breasts feel very hard and painful. You can also have breast swelling, tenderness, warmth, redness, throbbing and flattening of the nipple. Congestion sometimes cause a slight fever can be confused with a sinus infection. The bottleneck is the result of the introduction of milk. It usually occurs in the third and fifth day after birth, but can occur at any time.
Engorgement can lead to satellite channels or a breast infection, so it is important to try to prevent it before it happens. If treated properly, should solve the congestion.
What you can do
Breastfeed often after birth, allowing the baby to nurse until he or she likes, provided he or she is positioned correctly and sucking effectively. In the first weeks after birth, you should leave your baby to nurse if four hours have passed since the beginning of the previous feeding.
Working with a lactation consultant to improve child safety.
Breastfeed frequently on the affected side, remove the milk, keep it moving freely, and prevent the breasts from becoming too full.
Avoid excessive use of pacifiers and bottles to use to supplement feedings.
Hand or pump some milk for the first breast, areola and nipple before breastfeeding.
Massage the chest.
Use cold compresses between feedings to help ease the pain.
If you return to work, trying to express milk at the same time the baby nursed at home. Or, you can extract at least every four hours.
Get enough rest, proper nutrition and fluids.
Use a fitted, supportive bra, which is not too tight.
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