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Expert Q&A

	By Melissa Clark Vickers International Board Certified Lactation Consultant Moms & Babies Huntingdon, Tenn.

What exactly is engorgement?

When the mature milk comes in, generally there is no mistaking that it has arrived! The breasts are noticeably larger and feel "full." There generally is no pain associated with this fullness, and while it may feel different especially to the first-time mom it doesn't prevent a baby from nursing well. This fullness is completely normal and technically isn't considered "clinical engorgement."

Clinical engorgement is a serious condition in which the breasts become so full that they feel like rocks. The swelling may extend well into the armpits and upward toward the neck. The breasts are typically hot to the touch and painful and interfere with a baby's nursing.

Remember that in order to effectively nurse the breast, Baby has to be able to compress the areola, the dark area surrounding the nipple. With true engorgement, Baby can't get onto the breast far enough to milk the sinuses below the areola. It is a little like trying to nurse a basketball!

Unfortunately, when that milk is not effectively removed, initially more milk will be added to these already distended breasts. If the condition isn't treated, the breasts will take this as a signal to cut back on milk production. Obviously, this is a condition to be avoided when possible and treated quickly if it does happen!

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