Does breast engorgement require emptying the breast?

Patient's question:

I have a relatively abundant milk supply after childbirth. Even after the baby is full, I still experience engorgement. My friends told me that during engorgement, it's necessary to express the excess milk. Could you please clarify whether it's necessary to empty the milk each time engorgement occurs?

Doctor's answer:

When engorgement occurs, it is important to empty the milk. If it is not emptied, it is very easy to cause milk stagnation, which can lead to mastitis and be very harmful to women's health. To prevent symptoms of milk stagnation, after the baby finishes feeding, if you feel engorged, you must promptly express the excess milk. When the child is breastfeeding, start with one side first. If it is not finished each time, you need to empty the milk before the next feeding session, and then breastfeed the other side to avoid milk stagnation and mastitis.

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