Certified Lactation Consultant Practice Exam

The typical recommendation for a mother experiencing engorgement is to massage the breasts before feeding. This approach promotes milk flow and can help alleviate the pressure and discomfort associated with engorgement. Massaging the breasts can stimulate the let-down reflex, making it easier for the baby to latch and effectively drain the breast. This practice not only aids in relief from engorgement but also supports continued breastfeeding by ensuring adequate milk removal.

In contrast, reducing feeding to once a day is counterproductive, as frequent breastfeeding is essential to help manage engorgement and maintain milk supply. Applying ice packs for extended periods may provide temporary relief for swelling but does not address the underlying issue of milk buildup. Additionally, using larger breast shields during pumping may not be beneficial, as improper fit can lead to inadequate milk removal and may exacerbate the engorgement rather than relieve it. Therefore, massaging the breasts before feeding is the most effective strategy for managing this issue.