16 May 2019 It usually happens on the second or third day after birth, when the milk comes down. It may cause some discomfort, and it may be difficult for the baby to feed from a nipple and aureole that have tightened as a result of stretching caused by the milk. There are things that you can do so that the baby adapts well and to help resolve the engorgement. Before breastfeeding, massage your breast in a circular movement with your fingertips from the base to the nipple, expressing a little milk; If the engorgement is still marked after breastfeeding, express milk manually or with a pump until the discomfort is relieved; Between feeds, cool your breasts to reduce swelling and discomfort; Reduce fluid intake for as long as breast engorgement continues to be a problem. This article was written with the support of physicians and other clinical professionals from the Hospital da Luz network. . The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.