Breast Engorgement

Engorgement mein breast bahut bhar jaata — hard, sooja, dard wala — usually delivery ke 2-5 din baad jab "doodh aata hai", ya jab feeds miss hote. KEY FACTS: → Milk "coming in" ke time normal + temporary (kuch din) → Feeding/expressing se relief — drain karna zaroori → Bahut hard breast = latch mushkil → thodi express karo → Ignore = blocked duct/mastitis risk → Halka bukhar ho sakta engorgement se — lekin tej bukhar + red area = mastitis (alag se dekho) SYMPTOMS: → Breast bhara, hard, taut, shiny, garm, dard → Dono breast (usually), areola bhi hard → Latch mushkil, halka bukhar mumkin

🏠 ENGORGEMENT RELIEF: 1. ⭐ ZYADA BAAR FEED KARO → Har 2-3 ghante, raat ko bhi — breast drain karo → Baby ko bhookh pe feed; dono breast offer 2. FEED SE PEHLE: WARM + SOFTEN → Garm sek/shower ya gunguna pani — milk flow asaan → Areola hard ho toh thodi express/haath se soft karo taaki baby latch kar sake (reverse pressure softening) 3. FEED KE BAAD: COLD COMPRESS → Thanda sek/cold pack 10-15 min — sujan + dard kam → (Cabbage leaf compress bhi traditional relief) 4. GENTLE MASSAGE (feed ke time) → Halke se breast se nipple ki taraf — flow improve 5. THODI EXPRESS KARO (zarurat bhar) → Pump/haath se bas itna ki comfort mile (bahut zyada nahi — warna aur supply badhega) 6. SUPPORTIVE (tight nahi) BRA + PAIN RELIEF → Paracetamol/Ibuprofen breastfeeding-safe ❌ KYA NA KARO: → ❌ Feed skip mat karo (engorgement badhega) → ❌ Tight bra/binding (sudden weaning ke alawa) — duct block → ❌ Bahut zyada pumping (oversupply badhega)