Gynecologist’s Advice: How to Prevent Postpartum Breast Engorgement, Breastfeeding Tips, and Choosing a Delivery Method

As a gynecologist, I often receive questions from postpartum mothers regarding breast engorgement and breastfeeding techniques. Many expectant mothers also seek advice on choosing between vaginal delivery and cesarean section. This article offers practical guidance to help you make the best choices for your situation.

How to Prevent Postpartum Breast Engorgement

Breast engorgement is a common issue many mothers experience during breastfeeding. It can cause breast swelling, redness, and pain. If not addressed promptly, it may lead to mastitis and even affect milk supply. Here are some tips for prevention and management:

• Correct breastfeeding position: Ensure that your baby latches on properly, covering both the nipple and most of the areola. This helps prevent compression of the milk ducts and reduces the risk of blockage. Changing breastfeeding positions regularly can also help ensure complete drainage of all milk ducts.
• Frequent breastfeeding: Breastfeed frequently, ideally not allowing more than three to four hours between feeds. This keeps the milk flowing and prevents accumulation.
• Breast massage: Gentle breast massage before feeding can promote milk flow and help prevent blockages. If you feel a lump, softly massage the area to encourage drainage.
• Proper nursing bras: Avoid tight or ill-fitting bras that might compress the breasts. Choose comfortable, well-designed nursing bras that support natural breast shape and comfort.

How to Breastfeed

Breastfeeding is a critical way for mothers to bond with their babies while providing essential nutrition. Here are some basic breastfeeding guidelines:

• First breastfeeding session: Ideally, initiate breastfeeding within the first hour after birth. Early breastfeeding helps the baby receive colostrum and stimulates milk production.
• Exclusive breastfeeding: For the first few months, breast milk should be the primary source of nutrition, offering vital nutrients and immune protection against infections.
• Supplementary feeding: If breast milk supply is insufficient or direct breastfeeding isn’t possible due to health reasons, you can use a breast pump to stimulate milk production or supplement with formula under medical guidance.

3. Vaginal Delivery vs. Cesarean Section: Pros and Cons

Choosing between vaginal birth and cesarean section is a major decision for expectant mothers. Each method has its advantages and disadvantages. Here’s a breakdown:

Vaginal Delivery

• Advantages:
  • Faster recovery: Vaginal birth generally allows for quicker recovery compared to cesarean sections, and the healing process tends to be smoother.
  • Earlier breastfeeding: Mothers who deliver vaginally usually begin breastfeeding sooner, without the effects of postoperative anesthesia.
  • Benefits for the baby: Babies born vaginally are exposed to beneficial maternal bacteria while passing through the birth canal, helping establish their immune system.
• Disadvantages:
  • Long and painful labor: Labor can be lengthy and painful, even with options like epidural anesthesia.
  • Risk of perineal tearing: Some mothers may experience perineal tears during delivery, which require suturing and a recovery period.

Cesarean Section

• Advantages:
  • Avoids birth canal trauma: In cases like breech presentation or placenta previa, cesarean delivery can reduce risks for both mother and baby.
  • Less labor pain: The surgery is performed under anesthesia, so mothers avoid the intense pain of labor.
• Disadvantages:
  • Longer recovery: Recovery from a cesarean involves a longer healing time, and postoperative pain may persist for weeks.
  • Delayed milk production: Anesthesia and surgical stress may delay the onset of milk production and breastfeeding initiation.
  • Surgical risks: As a major surgery, cesarean sections carry risks such as infection, bleeding, and anesthesia-related complications.

Regardless of the method, it’s crucial for mothers to make informed choices based on their personal health, the baby's condition, and medical advice.

When it comes to breastfeeding and managing breast engorgement, early and frequent breastfeeding, proper breast care, and correct techniques are key to ensuring a successful breastfeeding experience for every new mother. If you want to know more about our service, please contact Line/wechat: jdbmom828(whatsapp:+1 828-866-8886)