A postpartum client who is bottle feeding develops breast engorgement. What is the best recommendation?

• A. Avoid stimulation of the breasts and wear a tight bra
• B. Stimulate the breasts to relieve engorgement
• C. Use warm compresses continuously
• D. Feed from bottle frequently to relieve engorgement

Answer: (A)

Engorgement after delivery in a mother who isn’t nursing happens when milk production continues but there isn’t regular emptying. The most effective approach is to suppress stimulation of the breasts to reduce milk production and ease engorgement. Wearing a supportive, properly fitted bra helps minimize movement and leakage, providing comfort without promoting more milk flow. Avoid stimulating the nipples, and avoid methods that encourage milk flow, such as pumping or frequent bottle feeding, because they keep milk production going. Cold compresses can help with swelling and tenderness, while warmth or continuous stimulation would counteract the goal. This combination targets reducing milk production and relieving discomfort, which is why this recommendation is best.