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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.
Engorged breasts are a normal occurrence for many women in the first 2 to 5 days after child birth. When milk first comes in there is a flooding of lymph fluid and blood, which causes the breast tissue to swell. Breastfeed 8 - 12 times in 24 hours to prevent milk from accumulating in your breasts. 2  There may be times when you need to wake your baby for feeding. 3  Don't restrict your baby's time on the breast by limiting feeding based upon a prescribed number of minutes.