Expect to pump for a few minutes before you see a steady flow of milk. This gives baby a break, so he can continue nursing. When a mother is engorged, her breasts become full, firm, hard, hot, and sometimes painful. Nipple yeast , also known as thrush or candida, can be painful and interfere with breastfeeding. But in rare cases may occur in both breasts.
Some think breast engorgement is caused by too much milk. The farther you live from the NICU, the more likely it is that you will have to pad the inside of the cooler with extra cold packs to keep frozen milk from thawing. Freeze breastmilk in small amounts so that only what your baby needs is thawed each time.