North American Registry of Midwives (NARM) Practice Exam

What is one of the causes of breast engorgement?

1. Excessive feeding

2. Milk and lymphatic stasis

3. Inadequate breastfeeding

4. Change in diet

The correct answer is: Milk and lymphatic stasis

Breast engorgement occurs when the breasts become overly full, typically with milk, and can result from several physiological processes. One key cause is milk and lymphatic stasis, where there is an accumulation of milk that is not effectively removed from the breast tissue, leading to swelling and engorgement. This stasis can occur when there is an imbalance between milk production and its removal, such as when a breastfeeding mother experiences missed feedings or delayed breastfeeding sessions. Additionally, lymphatic stasis can contribute to inflammation and discomfort due to fluid retention. While other factors, such as inadequate breastfeeding or excessive feeding, can play roles in breast fullness, the specific process of stasis highlights the importance of effective milk removal and circulation within the breast tissue to prevent engorgement. Understanding the dynamics of how milk is produced and cleared is crucial for managing and preventing engorgement in nursing mothers.