Breastfeeding And Plugged Ducts

WHAT YOU SHOULD KNOW:

A plugged duct is a milk duct in your breast that is blocked. Milk ducts carry breast milk from the glands (small sacs) where it is made down to your nipple. When a duct is blocked, the flow of milk from the duct to your nipple may decrease or stop. Milk may build up and cause a tender lump to form in your breast.

AFTER YOU LEAVE:

Medicines:

  • Acetaminophen decreases pain. It is available without a doctor's order. Ask your primary healthcare provider (PHP) how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.

  • Ibuprofen decreases pain and swelling. It is available without a doctor's order. Ask your PHP how much to take and how often to take it. Follow directions. Ibuprofen can cause stomach bleeding and kidney damage if not taken correctly.

  • Take your medicine as directed. Contact your PHP if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your PHP as directed:

Write down your questions so you remember to ask them during your visits.

Self-care:

The best treatment for a plugged duct is to empty your breast completely during breastfeeding.

  • Breastfeed often from the breast that has the plugged duct. Feed your baby from the side that has the plugged duct first. Frequent breastfeeding may remove the blockage in your milk duct.

  • Position your baby to help empty milk from the plugged duct. Hold your baby so that his nose is pointing toward the area of your breast with the plugged duct. This helps drain breast milk from the plugged duct.

  • Massage your breast before and during breastfeeding. You may also do this while you take a hot shower or bath. Massage your breast with firm pressure from the area just behind the lump to the nipple.

  • Express milk after you breastfeed. Use a breast pump or your hand to drain extra milk after your baby is done feeding. You can also express milk if your breasts are too full for your baby to latch on.

  • Apply warmth to your breasts before you breastfeed. Put a warm, wet cloth on your breasts, or take a warm shower or bath. You can also lean over a sink or basin of warm water and place your breasts in it. This may help remove the blockage and increase your milk flow.

Prevent a plugged duct:

  • Breastfeed often. Breastfeed your baby 8 to 12 times each day or any time he shows signs of being hungry. You may need to wake your baby to breastfeed more often, or use a pump if your baby cannot empty your breasts.

  • Breastfeed long enough to allow your baby to empty your breast. Your baby will show you when he is full. He may turn his head away from the breast or give you other signs that he is full.

  • Remove pressure from your breasts. Try not to sleep on your stomach, because the pressure on your breasts may increase your risk for a plugged duct. Do not wear tight bras or clothing that places pressure on your breasts.

For more information:

  • La Leche League International
    957 North Plum Grove Road
    Schaumburg , IL 60173
    Phone: 1- 847 - 519-7730
    Phone: 1- 800 - 525-3243
    Web Address: http://www.lalecheleague.org

Contact your PHP if:

  • You have a fever and chills.

  • Your body aches.

  • Your breast is red, very swollen or hard, painful, and feels warm or hot.

  • You have a new tender lump in the same area that you have had a lump before.

  • You have nipple soreness or cracked or bleeding nipples.

  • You have pus or blood draining from one or both of your nipples or mixed in with your milk.

  • Your signs and symptoms do not get better within 24 hours.

  • You have questions or concerns about your condition or care.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Breastfeeding And Plugged Ducts (Discharge Care)

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