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Breast Engorgement: Patterns and Selected Outcomes

School of Nursing at the University of Wyoming, Laramie, Wyoming.

Pamela D. Hill, RN, PhD

University of Illiniois at Chicago, Quad-Cities Program, Rock Island, Illinois.

Mary Ann Anderson, RN, PhD

Nursing at the University of Illinois at Chicago, Quad-Cities Program, Rock Island, Illinois.

For 14 days following birth, 114 breastfeeding mothers rated their level of breast engorgement twice daily, using a six-point engorgement scale. Individual engorgement ratings were plotted by intensity over time to provide a visual display of each subject's breast engorgement experience. Four distinct patterns of breast engorgement emerged; mothers experienced either a bell-shaped pattern, a multi-modal pattern, a pattern of intense engorgement, or a pattern of minimal engorgement. Characteristics of mothers and infants, and feeding frequency were similar across the four breast engorgement patterns.

Key Words: breast engorgement • breastfeeding • lactation

Journal of Human Lactation, Vol. 10, No. 2, 87-93 (1994)
DOI: 10.1177/089033449401000213


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