Which statement indicates a breastfeeding mother understands how to manage breast engorgement?

The statement that reflects the understanding of how to manage breast engorgement is that massaging the breasts before feeding can help stimulate the let-down reflex. This is an important technique because breast engorgement can happen when the breasts become overly full and uncomfortable, potentially making it difficult for the baby to latch properly. By massaging the breasts, the mother can promote milk flow, making it easier for the baby to latch on and feed effectively. This helps not only in alleviating engorgement but also in ensuring that the baby is able to breastfeed successfully.

The other options highlight common misconceptions or ineffective strategies for managing engorgement. For example, relying solely on pumping to relieve engorgement might not be the best approach, as pumping can sometimes lead to increased supply if not managed properly. Using hot compresses might provide temporary relief but can also encourage further milk production, which can exacerbate engorgement. Feeding less frequently is counterproductive; frequent breastfeeding helps to manage and prevent engorgement effectively by emptying the breasts regularly.