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16. The problems and solutions of engorged breasts.

a. Mothers will experience fullness and heaviness on the second to third day postpartum when the milk comes in.

b. Milk may become "plugged up" and the breast and nipple will appear shiny and hard.

c. The infant may have trouble attaching to the breast because of  this fullness. The client can express a small amount before feeding if this occurs.

d. The mother is encouraged to nurse on both breasts at each feeding.

e. Warm compresses to the upper area of the breasts, warm showers, massage, and hand expression may relieve the fullness.

f.  Bra should fit well, not cutting or binding skin (evidenced by redness of skin along the bra lines).

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lsb 05/30/2002