Certified Lactation Consultant Practice Exam

Engorgement occurs when the breasts become overly full with milk, which is often a result of an imbalance between milk production and milk removal. One likely contributing factor to engorgement is extended periods without breastfeeding or expressing milk. When milk is not removed from the breast frequently, either because of infrequent feedings or missed sessions, pressure builds up due to continued milk production. This excess milk can cause the breasts to become distended, leading to discomfort and potential complications such as clogged ducts or mastitis.

Frequent feedings typically help to prevent engorgement, as they allow for regular milk removal, keeping production in sync with the baby's needs. Taking pain medications can manage discomfort but do not contribute to engorgement directly, whereas having regular lactation consultations generally supports and encourages effective breastfeeding practices that can also help to reduce the risk of engorgement.