Engorgement occurs most of often three to five days after delivery, as a mother transitions
from Lactogenesis Stage I to Stage 2, commonly referred to as the milk «coming in.»
Not exact matches
Since mothers are generally sent home
from the hospital before their milk comes in, they should plan to seek help if their milk is not in by 72 hours (the period defined as normal for the onset of
lactogenesis II).
Lactogenesis includes all processes necessary to transform the mammary gland
from its undifferentiated state in early pregnancy to its fully differentiated state sometime after pregnancy.
This is an important group to consider because combination feeding is common, for example, in the first few days in the hospital when
lactogenesis II is delayed while a mother's breast milk is becoming established, among mothers who have difficulty producing adequate milk and supplement their own milk with infant formula, or among mothers who are unable or choose not to pump breast milk when separated
from their babies.
From a clinical perspective, primiparas who are older, overweight, or who give birth to an infant > 3600 g are at greater risk of delayed OL and thus should be provided with appropriate lactation support until
lactogenesis has occurred and the infant is gaining well.