The engorgement enigma.

A search of the literature reveals only a few studies that deal directly with engorgement. When the relevant research is analysed, a picture emerges of the causes of engorgement, how it can be prevented and what is the best management when it occurs. Equipped with this information, people providing support to breastfeeding mothers can encourage preventative behaviours, and assess and educate mothers at risk, thus allowing the majority of mothers and babies to breastfeed naturally without intervention.