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“Witch’s milk” is the common term for neonatal breast engorgement with milk secretion.

What it is
• Seen in newborns (both boys and girls) during the first days to weeks of life.
• The baby’s breasts become swollen, sometimes firm, and may even express a small amount of whitish fluid (“milk-like” discharge).

Why it happens
• It’s caused by maternal hormones (estrogen and prolactin) crossing the placenta late in pregnancy.
• After birth, these hormones stimulate the baby’s breast tissue, just like they do in mothers.

Clinical points
• It’s benign and self-limited, usually resolving within 1–2 weeks, though in some infants it can persist for a few months.
• It occurs in up to 5–10% of newborns, more often if they are full-term.
• It does not require treatment.
• Important: parents should avoid squeezing the breasts, since this can prolong secretion or risk local infection (mastitis or abscess).