Reverse Pressure Softening (RPS)
A simple, effective technique to ease
engorgement and improve latching.
RPS is a gentle technique that helps soften the areola (the area around the nipple) by moving swelling slightly back into the breast. This can make latching easier and more comfortable for both mother and baby, especially when breasts are overly full or edematous (swollen with fluid).
When to Use RPS
• In the first 14 days postpartum, especially if you’ve had IV fluids during labor.
• Just before breastfeeding if baby is struggling to latch.
• As often as needed until the areola is soft and pliable.
How It Helps
• Temporarily shifts swelling away from the nipple.
• Restores areola softness to support deeper latch.
• Eases milk flow by relieving pressure in milk ducts.
• May reduce nipple pain and trauma.
• Stimulates milk letdown (ejection reflex).
How to Do RPS
• Using clean hands, apply steady, gentle pressure around the nipple base with fingers or thumbs.
• Press inward toward the chest wall for 60 seconds or more (longer if needed).
• Use various hand positions (e.g., two thumbs, fingertips, or “flower hold”) to target all quadrants of the areola.
• Avoid pain—use lighter pressure for longer if needed.
• RPS may leave temporary “dimples,” which is normal.
• Lying flat during RPS can slow the return of swelling, giving more time to latch.
You can use a mirror to see your areola more clearly while applying RPS, and you may follow with hand expression to further soften the area if needed.