What is a primary sign of breast engorgement in a nursing mother?

The primary sign of breast engorgement in a nursing mother is primarily characterized by the physical changes in the breast tissue that occur when milk supply exceeds demand, leading to an overfilling of the breast. This condition typically results in breasts that feel full, firm, and possibly hot to the touch. Flattened nipples can occur as a consequence of engorgement, making it difficult for the infant to latch effectively during breastfeeding, potentially leading to increased discomfort for the mother.

In this context, warmth on the breast is a common sensation associated with engorgement, but it is not the most prominent indicator. Painful urination and increased appetite are not directly related to breast engorgement and would not be signs typically associated with this condition. Understanding these aspects is essential for identifying and managing breast engorgement effectively in nursing mothers.