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Engorgement
Publication Date: May 1, 2016
Last Updated: March 14, 2022
RECOMMENDATIONS
A recent study suggested considering distinguishing between ‘‘breast engorgement’’ and ‘‘breast edema’’ although both may cause significant issues for mothers and infants in the postpartum period. (II-2, )
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Assessment of Engorgement
Predictors
The onset of lactogenesis II (secretory activation) occurs sooner in multiparous compared to primiparous women and tends to resolve more rapidly than in primiparous women. (II-2)
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It is not uncommon for women who have undergone any breast surgery or lumpectomy to experience engorgement, and so, they should be given anticipatory guidance regarding these potential complications. (III)
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The influence of length of labor, premature delivery, and anesthetic options remain unclear. (III)