Plugged Duct

Cause:
The narrow passages or ducts that carry newly-produced milk from the milk-producing cells to the collecting pools can become blocked. When feedings are delayed or missed or when the baby nurses poorly, milk can collect in the ducts and form a thick plug or a small lump. The area may or may not be painful.

Recommended Treatment:

• Put warm water on the plugged area before each feeding.
• Breastfeed more often during the day.
• Begin each feeding on the breast with the plug.
• Adjust the position of the baby's mouth on the breast (baby's nose or chin pointing toward the plug) to help remove the plug.
• Gently massage the plugged area while the baby is nursing.
• Pump or hand express after each feeding to help remove the plug and relieve the fullness.
• Breastfeed in a position that will best relieve the fullness in the plugged portion of the breast.

To Prevent Plugged Ducts:

• Position the baby correctly on the breast.
• Use 2-3 different nursing positions each day.
• Do not delay or miss feedings.
• If necessary, pump or hand express to relieve fullness.
• Avoid bras that are too tight or bind making it difficult to relieve fullness in all parts of the breast. Avoid bras with underwires.