Is it normal to be able to squeeze fluid from the breasts at four months of pregnancy?

Aug 10, 2023 Source: Cainiu Health

Dr. Zhao Xiaodong

Introduction

In general, during the fourth month of pregnancy, it is normal for fluid to be expressed from the breasts without other discomfort. However, if symptoms such as redness, swelling, or pain occur, this is considered abnormal. During pregnancy, estrogen secreted by the placenta causes ductal dilation in the mammary glands, leading to milk secretion. This process may also be accompanied by breast enlargement, darkening of the areola, and mammary gland hyperplasia.

Generally, during the fourth month of pregnancy, it is normal for fluid to be expressed from the breasts if there are no other discomforts. However, if symptoms such as redness, swelling, or pain occur, this is considered abnormal. The details are as follows:

1. Normal

During pregnancy, estrogen secreted by the placenta causes the mammary ducts to expand, leading to milk secretion. This process may also be accompanied by breast enlargement, darkening of the areola, and mammary gland hyperplasia. These changes are all considered normal and typically do not require special treatment. However, it's important to avoid manually squeezing the breasts, as this could lead to inflammatory infections. Maintain good daily habits, keep the skin of the breasts clean and hygienic, and avoid wearing tight bras, which might impair blood circulation and negatively affect breast health.

2. Abnormal

Although breast changes are common during pregnancy, symptoms such as redness, swelling, pain, or fever—especially when combined with the previously mentioned issues—may indicate an underlying inflammation. In such cases, the condition is considered abnormal, and patients should take medications such as dexamethasone acetate tablets or metronidazole tablets under a doctor’s guidance to improve their condition.

In summary, if unusual symptoms such as breast pain or swelling occur during pregnancy, it is advisable to seek timely medical evaluation to determine the cause and receive appropriate treatment.

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