The Magic of Reverse Pressure Softening

Difficulty latching with swollen engorged breasts is a frustrating but common issue for both parent and baby. When your milk comes in or if you have very full breasts, the rock hard breast tissue can be difficult for the baby to latch onto due to a lack of elasticity. Fortunately, a technique known as reverse pressure softening can offer some relief!

What is Reverse Pressure Softening?

Instead of hand expressing the entire breast, reverse pressure softening targets the nipple area so your baby can then feed and provide engorgement relief.

When you’re experiencing engorgement, the milk-filled breast tissue can become firm and swollen, which can compress the nipple and make it less accessible for your baby. Reverse pressure softening involves using your fingers to apply gentle pressure to the breast tissue around the areola. This pressure pushes the milk away from the areola and making the nipple more prominent.

Here’s a step-by-step guide to performing reverse pressure softening:

Image from Milkology

With clean hands place your fingers around the areola, just behind the nipple, and apply gentle pressure towards the chest wall. You should use a rolling motion with your fingers, pressing inwards and towards the chest.

Press gently but firmly for a few seconds, then release. Repeat this process several times rotating your hand around the areola to empty different milk ducts.

After performing the technique, check if the nipple has become more prominent and accessible. If necessary, you can repeat the process before offering the breast to your baby but the goal isn’t to remove a large amount of milk before nursing.

Once the nipple softens and is flexible enough for your baby to latch, offer the breast and have baby nurse.

When Should You Use Reverse Pressure Softening?

Reverse pressure softening can be particularly useful when engorged or if your baby is having trouble with your letdown when too full. It’s commonly used in the early newborn days of breastfeeding.

Tips for Successful Reverse Pressure Softening

Be Gentle. Always use gentle pressure to avoid discomfort or bruising. Breast tissue is more sensitive than you think!

Add Other Comfort Measures. If you’re experiencing severe engorgement, combining reverse pressure softening with other comfort measures like warm compresses or hand expression can be helpful. Trial different nursing positions if your baby struggles to handle your initial let down even after reverse pressure softening.

Get Personalized Help. If you’re having persistent issues with latching or engorgement, consider reaching out to a LC for personalized guidance. I’m always here if you need me