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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.
Engorgement is sometimes apparent in the areola and/or the breast; in one breast or in both breasts. (you may have just one engorged, sore swollen breast). Dealing with engorgement on top of having a new baby to care for, day and night, may be discouraging to a mother. Breastfeed your baby at least eight times every 24 hours. 2  Do not supplement your baby with any extra fluids, for the first four weeks. 3  If any feeds are missed, the mother will need to express milk manually. 4  Breast engorgement from weaning: When the mother needs to wean her baby, it should be done gradually.