Because the breast is so full and swollen, the nipple and areola may flatten out, making the tissue difficult for the baby to grasp. Don t set time limits on time spent at the breast. Cold can help reduce swelling. Use a layer of fabric between the compress and the skin. Taking a warm shower, leaning over a basin of warm water, soaking in a warm bath, or applying warm compresses or a heating pad may help.
Moist heat is best.
Gentle breast massage can also help the milk flow more readily. Hand express or pump a little milk from your breast to soften the nipple and areola before trying to nurse. Removing the milk will relieve the pressure and reduce the swelling, softening the areola and making it easier for the baby to latch on. Whether you manually express or use a pump, be very gentle, since engorged breasts bruise easily due to increased blood volume. You may want to use cabbage leaf compresses if the above suggestions don t bring you enough relief.