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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.
Tips for relieving engorgement: 1  Nurse very frequently--a minimum of 8 times in 24 hours, waking the baby by the third hour if necessary. 2  Apply heat to the breast for 5-10 minutes before nursing. 3  Apply cold compresses to your breasts after feedings for 15-20 minutes.