2. Fullness or engorgement

a. Problem: Breasts become full on 2nd or 3rd day postpartum when milk comes in. Engorgement is when milk becomes backed up and the breast and nipples become hard and shiny.

b. Solutions

1) Short, frequent feedings. Do not miss feedings. Nurse on both sides each feeding.

2) Warm showers, compresses, massages, and expression relieve fullness.

3) Make sure bra is not cutting or binding in any place.

4) May occasionally express or pump after feeding to relieve fullness.

a. Problem: Lump or tenderness in one spot.

b. Solution

1) Nurse on aflected breast first.

2) Direct baby's chin toward lump when nursing.

3) Avoid tight bras, underwire bras, and bunching clothing.

4) Use massage and heat while nursing to encourage lump drainage.