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PBL Foundations


  • What is engorgement and how does it dial down your milk production?
  • How to soften the areola if your breasts are engorged ('reverse pressure softening')
  • How to care for your breasts when they're engorged
  • What to do when you're feeling upset and overwhelmed by a hungry newborn and breast engorgement

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  • PBL Foundations
  • S11: Lumps, engorgement, or pain in lactating breasts
  • CH 3: Engorgement

What to do when you're feeling upset and overwhelmed by a hungry newborn and breast engorgement

Dr Pamela Douglas23rd of Jun 202429th of Dec 2024

mental health; self-care; self-compassion; breastfeeding

Caring for your breasts and body

If you are feeling upset and overwhelmed by engorgement, with a hungry baby who is wanting to breastfeed but having trouble coming onto the breast, I recommend that you find out about

  • Bringing baby on to the breast here

  • Fit and hold, starting here

  • Frequent and flexible breastfeeds here

  • Reverse pressure softening of the area around your nipple here

  • How to care for your sore and swollen breasts here.

Caring for your mind and emotions

Also, you might like to put in place some of these emergency strategies for caring for your mind and emotions.

  1. Move slowly, noticing where you place your feet, how your body changes positions.

  2. Pay attention to everything you touch, everything you can see and hear around you.

  3. Notice your own breathing. Breathe deep and slow.

  4. Remind yourself that even though baby’s cry breaks your heart, your baby will be ok.

  5. Speak to yourself with great self-compassion. “You are trying so hard, you are worthy of such profound love, you are bathed in rivers of love and light. You are courageous and beautiful, you are giving it your all. I’m so proud of you!”

  6. Notice that your mind wants to tell you all sorts of things which are unhelpful and may even be unkind e.g. that you are failing. This is normal behaviour for minds under stress. You don’t need to believe what your mind tells you. Let your mind play like a radio in the background.

  7. It’s ok to cry. Crying doesn’t mean you’re not coping. It’s just crying.

  8. Don’t hesitate to reach out for practical help.

  9. Problem solve as best you can. Experiment: try one thing, then another thing.

You can find a lot of practical information about caring for your emotional and mental wellbeing in the Caring for you part of the Possums programs.

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Next up in The lump that isn't red

What to do if you have a 'blocked duct'?

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What is meant by 'blocked duct'?

Breasts that make milk are lumpy. These lumps disappear after breastfeeds. A lump that persists after breastfeeds is often called a 'blocked duct'. A blocked duct

  • Is not red or hot, and doesn't cause a fever

  • Is not actually a duct which has blocked or plugged up from the inside

  • Is not caused by bacteria or biofilm in the ducts. You can read why it's not caused by bacteria or biofilm here.

A blocked duct is a place in your breast where the inflammatory process, which is part of the breast’s natural adaptation to your baby’s needs, has become…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.