A woman can expect her milk to "come-in" two to five days after birth, with colostrum being the perfect nourishment for her newborn until then. Which of the following is NOT suggested for a woman experiencing engorgement when her milk comes in?
Explanation
Answer: D - Nursing early and often can decrease the amount of engorgement a woman experiences, so she should not be encouraged to limit nursing sessions. While many women experience full, hard, hot, leaking breasts when their milk first comes in, this initial engorgement usually resolves after 24-36 hours. A mother can use ice packs between feedings for comfort, and may want to use a warm, moist compress just before a feeding to get milk flowing. She should limit the amount of heat she uses so as not to prolong the swelling. If she is uncomfortably full, or if breast fullness is keeping baby from being able to latch, the mother might consider hand expression or pumping. She should remove just enough milk for comfort or to soften the areola to facilitate latch. If necessary, a mother can take most common over-the-counter pain relievers.
