What is a Plugged Duct?
Breast milk travels to the nipple pores by way of tubes called ducts. Sometimes a duct gets clogged by a plug of milk, if the milk has not been flowing well.
How do I Know it may be a Plugged Duct?
- the breast may feel tender or hot
- you may see redness around the tender area
- you may feel a lump or cord within the breast
- you may see a tiny white plug at the opening of the nipple pore (like a tiny piece of white stringy cheese)
- you feel well and do not have a fever (fever and feeling ill are signs of an infection and are reasons to call your doctor)
What may be Causing the Plugged Duct?
- skipping a feeding
- not nursing often enough or on a rigid schedule
- baby suddenly sleeping through the night
- engorgement
- producing too much milk
- taking the baby off the breast before baby is finished
- giving bottles of other fluids to baby
- bra is too tight, doesn't fit well or has underwire
- clothing, shoulder bag or baby sling causing too much pressure against breast
- feeding the baby in only one position
What can be Done?
- continue breastfeeding regularly (every two to three hours) and don’t skip feedings
- start feedings on the breast with the plug
- try different ways of holding your baby to nurse; point the baby's chin to the plug
- apply a warm wet towel to the plug area five to ten minutes before feeding
- massage gently above the plug area each time as the baby nurses
- use a nursing bra that opens and does not cause areas of pressure
- remove your bra if it is too tight or is pressing on a part of your breast
- be sure you are drinking enough fluids so your urine stays light yellow
- if you feel you are making too much milk, call a Lactation Consultant for more suggestions
Questions? Call Seton Breastfeeding Support Services at (512) 324-1000 ext. 17036.

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