Breast engorgement is a common condition experienced by breastfeeding mothers. This sensation, where breasts become overly full, can make nursing challenging. For centuries, a folk remedy involving cabbage leaves has been used for relief.
Understanding Breast Engorgement
Breast engorgement occurs when the breasts become overfull with milk, blood, and other fluids. This typically happens a few days after childbirth as the body shifts to full milk production, or if milk is not adequately removed. Causes include infrequent feedings, a baby’s inefficient latch, or sudden changes in feeding patterns.
Symptoms of engorgement involve breasts that feel swollen, firm, hard, and painful, sometimes accompanied by warmth or throbbing. Nipples may also flatten, making it difficult for the baby to latch. If left unaddressed, engorgement can lead to complications such as plugged milk ducts, breast infection (mastitis), and decreased milk supply.
Cabbage Leaves for Engorgement Relief
Cabbage leaves are believed to offer relief from engorgement through several mechanisms. The cooling sensation from chilled leaves can provide comfort. Cabbage also contains compounds like sinigrin and sulfur, thought to possess anti-inflammatory properties that may help reduce swelling and discomfort. Some theories suggest cabbage leaves might absorb excess fluid, reducing congestion.
Scientific evidence regarding the effectiveness of cabbage leaves is varied, though generally supportive for symptom management. Multiple studies indicate that applying cabbage leaves can reduce pain and hardness associated with engorgement. However, research is less conclusive on whether cabbage leaves reduce engorgement itself compared to other cold treatments or no treatment, as the condition often resolves naturally. Despite this, their use is considered a low-cost, non-pharmacological option for alleviating discomfort, with some studies noting benefits in extending breastfeeding duration.
Applying Cabbage Leaves Safely
To use cabbage leaves for engorgement, select fresh, green cabbage leaves, as darker leaves are preferred. Wash and dry two to four leaves per breast. For comfort, chill the leaves in the refrigerator or freezer for about 30 minutes; cold leaves often provide more soothing relief.
Before application, bruise the leaves by rolling them with a rolling pin or cutting out the central vein. This helps them conform better to the breast’s shape. Place one or two leaves on each engorged breast, ensuring the nipple is exposed to prevent irritation. Secure them with a supportive bra and leave them on until they become warm or wilted, typically for 20 to 40 minutes. Apply this treatment two to three times daily, stopping once engorgement subsides to avoid inadvertently reducing milk supply. Avoid using cabbage leaves on broken skin, such as cracked nipples.
Other Relief Measures and Medical Advice
Beyond cabbage leaves, other methods can help manage breast engorgement. Frequent milk removal through on-demand breastfeeding or pumping, ideally 8 to 12 times in 24 hours, is recommended. Applying a warm compress or taking a warm shower before feeding can encourage milk let-down, while cold compresses or ice packs after feeding can reduce pain and swelling. Gentle breast massage during feeding can also aid milk flow.
Hand expression of milk or using reverse pressure softening before a feeding can soften the breast and nipple, making it easier for the baby to latch. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may be used for discomfort. Seek medical attention from a healthcare provider or lactation consultant if engorgement persists or worsens, if a fever above 101°F (38°C) develops, or if there are signs of infection like red streaks or pus.