A plugged milk duct occurs when the flow of milk is obstructed (or blocked) in a specific area of the breast, often developing gradually. They typically affect one breast at a time, and can cause discomfort. The blockage may be caused by wearing tight or restrictive bras/clothing, compression during breastfeeding, or infrequent milk removal (like when you return to work or if the baby starts sleeping longer stretches). Managing a plugged duct when you first notice symptoms is the best way to ensure it resolves quickly.
How Do I Know If I Have a Plugged Duct?
You might notice these signs:
- A small, hard lump in the breast.
- Localized tenderness, swelling, or redness around the lump.
- A dull, achy pain that tends to worsen before feeding or pumping, but improves afterward.
- A low-grade fever (below 101°F).
How Do I Manage a Plugged Duct?
Here are some steps to relieve a plugged duct:
- Increase Feeding & Pumping Frequency: Nurse or pump more often to encourage milk flow and empty the breast fully. Hand expression after nursing or pumping can also help remove any leftover milk.
- Nurse in Different Positions: Try different nursing positions to target the plugged area. A position where the baby’s nose points toward the blocked duct provides the strongest pull.
- Use Cold Compresses & Gentle Massage: Apply ice packs to the plugged area for 15-20 minutes. Gently massaging the area while nursing or pumping can also help loosen the blockage.
When Should I Call My Provider?
Contact your healthcare provider if:
- You have a fever exceeding 101°F.
- You develop flu-like symptoms (chills, body aches, fatigue).
- The plugged duct doesn’t improve after 48 hours.
How can a Lactation Consultant Help?
A lactation consultant provides expert guidance tailored to your specific breastfeeding challenges. If you’re struggling with recurrent plugged ducts, a lactation consultant can assess your baby’s latch, positioning, and feeding efficiency to ensure milk is being effectively removed. They may also evaluate your pumping technique and flange fit to optimize milk expression, reducing the likelihood of blockages. By working with a lactation consultant, you can receive hands-on support, personalized strategies, and reassurance that you’re on the right track.
Addressing a plugged duct promptly is essential because, if left untreated, it can progress into mastitis, a painful breast infection that may require antibiotics. Mastitis can cause high fever, chills, and significant discomfort, potentially leading to a decrease in milk supply. By taking early action and seeking professional support, you can prevent complications and continue breastfeeding comfortably. A lactation consultant can help identify contributing factors, such as improper latch or prolonged time between feedings, and offer practical solutions to keep your milk flowing freely.
In addition to preventing complications, working with a lactation consultant can support your overall breastfeeding journey. Whether you’re navigating changes like returning to work, adjusting your baby’s feeding schedule, or overcoming breastfeeding challenges, professional guidance can provide confidence and clarity. A consultant can also help you create a feeding plan that meets both your baby’s needs and your lifestyle, ensuring breastfeeding remains a positive experience.
What If I Keep Getting Plugged Ducts?
If plugged ducts become a recurring issue or you have concerns about your milk supply, it’s a good idea to consult with a lactation consultant for personalized advice and guidance. Our consultants at The Confident Latch can help you address any underlying issues and support you in maintaining a healthy breastfeeding experience. Schedule a in-home or virtual appointment should you want assistance reaching your breastfeeding goals.
