Engorgement starts between day 3 to day 5 and is a result of an increase in milk volume in the breasts as well as an increase in blood and lymph fluids. The degree of engorgement will vary from mother to mother. Here are some tips to help relieve the discomforts of engorgement. If engorgement does not improve in 24 – 48 hours, click here to book a consult with one of our Lactation Consultants. Engorgement can make feedings difficult, can interfere with latching and can lead to worse issues such as breast infections.