Plugged Ducts/Mastitis
Plugged ducts occur when the milk is unable to flow through the milk duct because of inflammation. If you notice a tender, and often times, red spot or lump on one breast it may be a plugged duct. Factors leading to plugged ducts include infrequent feedings, improper nursing positions, wearing a tight or underwire bra, and changes in the nursing habits of the baby (i.e. sleeping through the night suddenly).
At the first sign of a red, tender lump or spot on your breast, it is very important to begin prompt treatment. Sometimes, a plugged duct can become infected. This is called mastitis, which may lead to a breast abscess if left untreated. Treatment for plugged ducts should include the following:
- Rest!
- Apply warm moist compresses to the affected area before every feeding.
- Breastfeed your baby frequently (every 2 hours, even at night) to the keep the milk flowing freely.
- Nurse on the affected breast first.
- Gently massage the affected area while your baby is nursing.
- If possible, position your baby so his chin is over the affected area when nursing.
- Wear loose clothing, stop wearing an underwire bra
If you feel that the plugged duct has not resolved within 2-3 days of home treatment or if at anytime you have flu-like symptoms or fever, you must call your OB/CNM immediately. This could mean that you have mastitis and prompt treatment is very important. You most likely will need a course of antibiotics. Most are safe for your baby. If you are prescribed an antibiotic, it is extremely important that you finish the course of treatment. Very rarely, breast abscesses can occur, usually from untreated mastitis. Your OB must surgically drain an abscess.
If you are recognizing a pattern of plugged ducts or recurrent mastitis, you should look at your overall well being. Are you doing too much as a new mother? Are you eating and drinking properly? Are you getting enough rest? Ask for help when you need it. Take extra time to enjoy your baby, keep feedings relaxed.
