What are the consequences of not expressing milk for 5 hours when experiencing breast engorgement?

Mar 28, 2023 Source: Cainiu Health
Dr. Yu Xiaopeng
Introduction
Engorgement lasting 5 hours without milk expression may lead to milk stasis, reduced milk supply, breast lumps, hardened areas in the breast, or acute mastitis. It is recommended to let the baby nurse as soon as possible or use a breast pump to express the milk. If you experience any physical discomfort during breastfeeding, seek medical attention promptly for proper treatment to prevent worsening symptoms and disruption of daily life.

Going five hours without expressing milk when experiencing breast engorgement may lead to milk stasis, reduced milk supply, breast lumps, hardened areas in the breast, and acute mastitis.

1. Milk Stasis

After breast engorgement, excessive accumulation of milk can cause enlargement of the breasts and may also impair normal breast function.

2. Reduced Milk Supply

If milk remains stagnant in the breast for prolonged periods without being expressed promptly, it may negatively affect breast secretion, leading to decreased milk production.

3. Breast Lumps

Prolonged engorgement without milk expression may result in milk buildup within the mammary glands, causing lumps in the breast accompanied by a sensation of fullness and discomfort.

4. Breast Hardening

Five hours of milk engorgement may cause blockage of the milk ducts, resulting in hard areas in the breast. These areas may feel significantly tender or painful upon touch.

5. Acute Mastitis

Excess milk that is not timely removed creates an environment conducive to bacterial growth, thereby increasing the risk of developing acute mastitis, which may manifest as redness, swelling, heat, and pain in the affected area.

It is recommended to let the baby nurse as soon as possible or use a breast pump to express the milk. If any physical discomfort occurs during breastfeeding, prompt medical consultation and scientific treatment are advised.