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How to prevent or minimize engorgement. 1  Nurse early and often â at least 10 times per 24 hours. Donât skip feedings (even at night).  Nurse on babyâs cues (âon demandâ). If baby is very sleepy: wake baby to nurse every 2-3 hours, allowing one longer stretch of 4-5 hours at night.
Here are some things you can do to reduce your chances of becoming engorged: 1  Breastfeed within two hours after birth if possible. ( 2 Your labor and delivery team should be able to help you with this.). 3  Nurse frequently â between eight and 12 times a day after the first 24 hours.uggestions for soothing your sore nipples as you continue to nurse your baby. Mastitis. Find out what causes painful inflammation (mastitis) in your breasts, how to tell if you have a breast infection and what you c...