Cabbage leaves should be used only until the swelling goes down and should be discontinued if a skin rash or other signs of allergy appear. The goals of treatment for engorgement are to reduce vascular and lymphatic congestion and remove milk from the breasts. Use of a breast pump is sometimes discouraged due to a fear of engorgement reoccurring, but it can be part of an effective treatment plan. For a breast pump to assist in the treatment of engorgement, it must effectively and gently remove milk. An automatic cycling breast pump with adjustable suction levels is most effective.
Breast tissue is fragile when engorged and can bruise easily.
For this reason, gentleness should also be emphasized when recommending massage of the breast during this time. The mother may find that the use of pain medication is helpful. She can ask her health care provider to recommend an over the counter anti-inflammatory medication. Binding the breasts is not recommended although a supportive bra may be worn if mother is comfortable. Mothers should NOT limit fluid intake to reduce engorgement as adequate fluid intake is needed in the postpartum period to avoid urinary tract infections and constipation.