Which non-pharmacologic measures help relieve breast engorgement?

• A. Frequent feeding or pumping, warm compresses before feeds, cool compresses after feeds, proper latch.
• B. Complete avoidance of feedings until engorgement resolves.
• C. Only take analgesics; no feeding changes.
• D. Apply hot water immersion continuously.

Answer: (B)

Relief from breast engorgement comes from removing milk and soothing the breast. The most important nonpharmacologic step is frequent feeding or pumping to empty the breasts, which reduces milk stasis, relieves pressure, and eases pain. Warmth before feeds helps the milk flow and supports a good let-down, while a proper latch ensures the infant empties the breast effectively and prevents incomplete emptying. After feeds, cool compresses can reduce swelling and tenderness. Avoid completely stopping feeds, because withholding milk only allows more engorgement to develop. Continuous hot water immersion isn’t recommended as a management strategy for engorgement.