Reverse Pressure Softening
Reverse Pressure Softening (RPS) is a gentle technique designed to ease swelling in your breasts, often caused by engorgement during the first week after your baby’s birth. At times, the fullness of engorgement can be so intense that it may be difficult for your baby to latch or even for you to express your milk by hand or with a pump. When used correctly, RPS can help soften the tissue at the base of the nipple (areola), making it easier for your baby to latch effectively, encouraging your milk to flow, and providing much-needed relief.
When to Use RPS
- Engorgement: When the breasts are overly full and firm, making it difficult for your baby to latch.1
- Flat or Inverted Nipples: To help draw out the nipple for easier latching. https://turkarchpediatr.org/en/breastfeeding-problems-and-interventions-performed-on-problems-systematic-review-based-on-studies-made-in-turkey-13186
- Plugged Ducts and Mastitis: To relieve swelling and promote milk flow.1
Benefits of RPS2
- Facilitates Latching: Makes it easier for babies to latch onto the breast.
- Reduces Discomfort: Helps relieve pressure and discomfort associated with engorgement.
- Promotes Milk Flow: Encourages effective milk removal, which can help prevent issues like mastitis.
The Basics of Reverse Pressure Softening2
- Who Can Do It: You, your healthcare provider, or willing partner can all perform RPS.
- Wash Hands: Ensure your hands are clean before starting the technique.
- Positioning: Sit comfortably, or lie on your back if the swelling is more intense. Lying on your back helps the excessive fluid in your breasts be reabsorbed by your body.
- Apply Gentle Pressure: Using the tips of the fingers of one or both hands, apply gentle pressure to the base of your nipple, toward the chest wall.
- Hold the Pressure: For best results hold the pressure for at least 30-60 seconds.
- Release and Rotate: After holding the pressure, release. The tissue should be softer, and the nipple may protrude more. Rotate your fingers around your areola to soften all sides.
- Repeat: If necessary, repeat this process a few more times to help further soften the breast tissue. You may need to continue doing RPS prior to latching your baby until engorgement has resolved well enough for easy latching.
- Breastfeed: Once the tissue surrounding the nipple is more pliable, bring your baby to the breast to latch.
Tips for Success
- Use Cold Compresses: When engorgement is severe, apply cold to the breasts, not heat. This will reduce swelling and provide some comfort. You can use ice packs or bags of frozen vegetables wrapped in a light towel or t-shirt. Apply for 10-20 minutes in between feedings.1
- Ibuprofen: Anti-inflammatory medications can also help reduce swelling. Check with your provider if you have questions about the safety of taking these medications.1
- Protect Your Milk Supply: If your baby is unable to latch due to engorgement, begin pumping regularly to safeguard your supply and ensure you have breast milk to offer until breastfeeding improves.3
- Stay Hydrated: Drink plenty of fluids to help manage engorgement and support milk production.
- Seek Support: A Lactation Consultant can provide invaluable support if you are having difficulty breastfeeding. Don’t hesitate to reach out if you have questions or need help.
- Consult Your Healthcare Provider: If you experience persistent pain or worsening symptoms of mastitis (such as fever, chills, or severe pain), reach out to your doctor or midwife.
What If I Have Questions?
If you are interested in learning more, these Aeroflow classes expand on some of the topics discussed above:
- Ultimate Breastfeeding Prep
- Lactation Q & A
- Moms Circle
To register for these classes, log into your portal or click here.
Want More Info?
For a directory of Aeroflow’s other Care Guides offering information on pregnancy, baby care, and more, browse our comprehensive list of titles:
References