What is it like when the milk first comes in on the third or fourth day after birth when a mother has had breast or nipple surgery?
A Engorgement when the milk first comes in (transitions from colostrum to mature milk) on the third or fourth day after birth can be a significant first hurdle when breastfeeding after breast or nipple surgery. Despite the extent of the engorgement and no matter when it is experienced, it is important to remove as much milk as possible to avoid damage to functional milk-making cells. If milk is not removed, a protein called the Feedback Inhibitor of Lactation (FIL) builds up in the milk and signals the cells to slow down milk production. When production has slowed down significantly, they shut down permanently and stop making milk. This reduces how much milk can be made for this baby (new milk-making cells are developed with each pregnancy). Most mothers with surviving lactation tissue will experience some degree of engorgement following delivery of their first babies. It is often after delivery of the second baby, though, that engorgement becomes pronounced enough to cause serious dis
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