Plugged Ducts
A plugged duct is a tender lump in the breast which may be red. It comes on gradually and may shift locations. Mother feels well and has no fever. If plugged ducts are not resolved, they can lead to a breast infection, called mastitis.
Incomplete draining of the breast is the main reason for plugged ducts caused by frequent switch nursing or skipped and/or delayed feedings. Plugged ducts occur more frequently in winter months possibly due to heavy restrictive clothing and decreased fluid intake causing slight dehydration. A tight bra or an underwire bra not properly fitted can cause plugged ducts.
The treatments for a plugged duct is:
1. Apply warm moist heat for 15 minutes before breastfeeding
2. Massage affected area(s) while baby is breastfeeding
3. Breastfeed at least every 2 hours on affected breast
4. Change the baby’s position at the breast
i.e.: football/cradle hold
5. Increase fluid intake (water or fruit juice)
6. Loosen constrictive clothing, especially the bra
7. Take frequent naps
8. Deep, correct latch of the baby on the breast
9. Avoid saturated fats i.e.: chips, French fries, fast foods…
10. If menstruation has resumed, water may be retained. Decrease salt intake
several days before the period begins.
Prevent plugged ducts by feeding frequently, wearing a proper fitting bra and loose clothing, drinking plenty of fluids, eating healthy and getting plenty of rest.