Reverse Pressure Softening (RPS) is a gentle, simple intervention designed to ease swelling, often caused by breast engorgement during the early postpartum period. In the first week after birth, your breasts may feel overly full, firm, or even painful, making it difficult for your baby to latch or for you to express milk by hand or with a pump. When used correctly, RPS helps soften the tissue at the base of the nipple (areola), making it easier for your baby to latch effectively, encouraging milk flow, and providing much-needed relief from fullness or sore nipples.

When Should You Use Reverse Pressure Softening?

  • Engorgement: When the breasts are overly full and firm, making it hard for your baby to latch comfortably.

  • Flat or Inverted Nipples: Helps draw out the nipple for easier latching.

  • Plugged Ducts or Mastitis: Can relieve swelling and promote milk flow.

What Are the Benefits of Reverse Pressure Softening?

  • Facilitates Latching: Softens the areola, helping your baby achieve a deeper latch.

  • Reduces Discomfort: Relieves pressure and discomfort associated with breast engorgement.

  • Promotes Milk Flow: Supports more effective milk removal, helping prevent complications like mastitis.

The Basics of Reverse Pressure Softening

Who Can Do It

You, your healthcare provider, or a supportive partner can all perform RPS.

Wash Your Hands

Clean hands help protect you and your baby.

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 fingertips of one or both hands, apply gentle inward pressure at the base of your nipple toward your chest wall.

Hold the Pressure

Maintain this pressure for about 30–60 seconds to help move fluid away from the areola.

Release and Rotate

Gently release and rotate your fingertips around the areola to soften all sides.

Repeat

Repeat several times if the tissue still feels firm. Continue doing RPS before each feeding until your engorgement subsides.

Breastfeed

Once the area around the nipple is softer and more pliable, bring your baby to the breast for latching.

Tips for Success

  • Use Cold Compresses: When engorgement is severe, apply cold—not heat—to reduce swelling. Ice packs or bags of frozen vegetables wrapped in a thin towel work well. Apply for 10–20 minutes between feedings.

  • Ibuprofen: Anti-inflammatory medications may reduce swelling and discomfort. Always check with your health care provider before taking medication.

  • 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.

  • Stay Hydrated: Drinking enough fluids supports milk production and helps your body recover during the postpartum period.

  • Seek Support: A lactation consultant can guide you in using RPS and improving your baby’s latch. Don’t hesitate to ask for help if you’re unsure.

  • 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.

Disclaimer: Our classes and accompanying materials are intended for general education purposes and should not replace medical advice. For personalized recommendations, please consult your healthcare provider and/or lactation consultant.