Easy ways to unclog a milk duct

What is a blocked (plugged) milk duct?

During a let-down breast milk is ejected from the milk producing glands (alveoli) and flows through a network of milk ducts out the nipple. If one of these ducts becomes clogged, milk builds up behind the blockage, a lump forms and the area feels sore.

What causes this?

A blocked duct is caused by inadequate drainage of the milk ducts or as a result of something obstructing the flow of milk. If you’re troubled by plugged ducts assess the following as potential causes:

• A poorly attached baby
• Incorrect sucking by baby
• Giving your baby bottles in place of breastfeeds or not emptying your breasts when separated from him
• A sudden change in feeding pattern – for example, baby skipped feeds because he started sleeping through the night, he become unwell or he discovered he loves eating solids
• A tight or ill-fitting bra; particularly under-wire bras
• A baby carrier or seat belt that digs into your breast
• Using your fingertips to compress your breast tissue away from your baby’s nose
• Holding your breast too tightly while feeding
• Sleeping on your stomach
• Trauma to your breast

Blocked ducts are more likely to occur in the early months of breastfeeding, a time when many mothers have an abundant supply of breast milk.

What are the signs and symptoms to look out for?

Generally only one breast is affected, but it’s possible for blocked ducts to occur in both breasts at the same time. Here are some things to look out for:

• A tender lump or knotty area developing within the breast
• A hot and reddened area on your breast
• Tenderness around the affected area which is more pronounced before feeding compared to after

If left untreated

While it can be painful, a blocked duct is not a serious problem. However, if left untreated it could lead tomastitis (inflammation of the breast) which can become serious.

What to do?

A blocked duct can usually be cleared within a day or two by taking steps to enhance milk drainage.

Before feeding: Take your bra off while breastfeeding to ensure it does not restrict milk flow. Warm your breast by taking a warm shower or bath, or by placing a warm compress on the affected area, or by leaning over a bowl or sink of warm water for a few minutes. Massage your breast from the chest wall to the nipple while it’s warm.

During feeding: Feed your baby as often as she’s willing to feed, starting with the affected breast. If possible position your baby so that her chin points toward the affected area. Check that she’s properly attached. Gently massage the area in a circular motion starting behind the lump, working toward the nipple.

After feeding: If the duct has not cleared during the feed, hand express or pump after your baby has finished feeding to ensure your breast is adequately drained. It may take several feeds to clear the blockage.

Source:news.com.au