Unfortunately, the hormonal changes that cause swollen breasts during pregnancy affect all women, whether you are breastfeeding or not. These changes are most pronounced at the beginning of your pregnancy, although breasts may be swollen or sore throughout pregnancy. Talk with your doctor about comfort measures if you want to continue breastfeeding during your pregnancy.
New Pregnancy
For many women who are breastfeeding, tingling, swollen breasts or sore nipples may be the first sign of a new pregnancy. Hormonal changes in early pregnancy cause changes in the breast even if you are breastfeeding. Additionally, you may notice a slight reduction in the amount of breast milk you produce. Talk with your doctor about pain relievers that are safe to take during pregnancy. Cold or warm compresses may provide some relief, as well. Distractions, such as listening to music or reading a book while breastfeeding, may also provide relief.
Throughout Pregnancy
Your breasts may not become as swollen during pregnancy if you are breastfeeding, but your nipples may become sore. Some women continue to nurse easily throughout another pregnancy, while others may find breastfeeding increasingly uncomfortable.
After Pregnancy
Changes in your breasts during pregnancy may make breastfeeding uncomfortable, but the payoff comes after birth. Women who continue breastfeeding throughout a pregnancy usually experience fewer problems with sore, cracked nipples or engorgement than non-breastfeeding women, according Robin Elise Weiss, certified lactation consultant and author of "The Better Way to Breastfeed."
Recommendations
Many women continue to breastfeed successfully during pregnancy, in spite of swollen or sore breasts. However, you'll need to pay special attention to your diet, increasing calories by an additional 350 to 400 calories per day to meet the nutritional demands of pregnancy and breastfeeding in addition to the extra 500 to 600 calories you are already consuming during breastfeeding. If your baby is young, he may not get enough milk to meet his needs. Talk with your doctor and consider supplementation if your baby does not seem to be getting enough milk.
References
- La Leche League International; Breastfeeding During Pregnancy; Sarah Walters; January 2008
- "The Better Way to Breastfeed"; Robin Elise Weiss; 2010
