A woman's body begins the process of producing milk almost as soon as she gets pregnant, but lactation doesn't usually occur until after the placenta is delivered, triggering the brain to produce the hormones progesterone and prolactin Early signs of lactation include leakage of a yellowish fluid, colostrum, followed about two to three days later by painful breast engorgement when the milk comes in. If a woman resists expressing (pumping) the milk, the body will shut down production within 2-4 days. The breasts may continue to feel tender and swollen for several weeks, however To reduce discomfort, apply cold compresses to the breasts.
Surprisingly, many women find chilled cabbage leaves, stuffed inside the bra, particularly soothing. For pain relief, your doctor may suggest using NSAIDs (non-steroidal anti-inflammatory drugs) like naproxen (Aleve®, Anaprox®) or ibuprofen (Advil®, Motrin®), or an analgesic like acetaminophen (Tylenol®). If the pain is severe, it's okay to pump a small amount of milk, but doing so may slow the drying process Avoid binding the breasts, as this does nothing but increase pain.It's also best to refrain from any activity that stimulates the breasts or nipples, such as sexual play, hot showers, heating pads, and going bra-less, as this signals the body to continue producing milk and worsens engorgement.
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