Rethinking Clogged Milk Ducts: Updated Approaches for Breastfeeding Moms
Courtney Miller, RN, BSN, IBCLC
Breastfeeding is a rewarding journey, but it comes with its share of challenges, including the dreaded clogged milk duct. Recent research has shifted our understanding of what causes these clogs and how to effectively treat them. Let’s explore these new insights and how they can help you navigate this common breastfeeding issue.
Understanding Clogged Ducts
Milk ducts are the pathways that carry milk from the glands inside the breast to the nipple. A clogged duct occurs when one of these ducts gets blocked, leading to tenderness and redness in the affected area. Contrary to previous beliefs, recent research by The Academy of Breastfeeding Medicine suggests that clogs and mastitis are more likely caused by inflammation rather than milk fat buildup.
Contrary to previous beliefs, recent research by The Academy of Breastfeeding Medicine suggests that clogs and mastitis are more likely caused by inflammation rather than milk fat buildup.
Causes of Clogged Ducts
Clogs typically occur when milk isn’t properly emptied from the breast. This can happen due to missed feedings, wearing a too-tight bra, using an ill fitting breast pump flange, or if your baby has difficulty latching. The inflammation that causes clogs is similar to traffic congestion when lanes merge, narrowing the pathway and causing a backup.
Updated Treatment Approaches
Given the new understanding that inflammation is the primary cause of clogs, the treatment approach has shifted:
• Avoid Aggressive Massage: Previously, it was recommended to massage the clog out. However, since the issue is inflammation rather than milk fat, aggressive massage may worsen the situation. Gentle massage can still be beneficial, but it should be done with caution. Breast Gymnastics and Therapeutic Breast Massage can also be very helpful, see video here.
• Ice, Not Heat: While heat was once thought to help, the focus is now on using ice to reduce inflammation. Apply ice packs to the affected area to help alleviate swelling and pain.
• Anti-Inflammatory Medication: Consider taking an anti-inflammatory medication like Ibuprofen to reduce inflammation, after consulting with your healthcare provider.
• Probiotics and Choline: Incorporating a probiotic can help balance the breast’s microbiome and reduce inflammation. Adding choline, either through supplements like Lactation Hub’s BreastHealth or through dietary sources such as eggs, tofu, and broccoli, can also be beneficial.
• Keep the Milk Moving: The most important step is to continue nursing or pumping to keep the milk flowing. If the clog persists or keeps recurring, consult with an International Board Certified Lactation Consultant (IBCLC) to address the root cause.
If you frequently experience clogs, it's essential to work with a lactation consultant to identify and address the underlying causes.
Rethinking Stubborn Clog Solutions
The Epsom Salt and Haakaa method, once popular for treating stubborn clogs, is now thought to potentially increase inflammation due to the suction on the breast tissue. As such, this method is no longer recommended.
Prevention & Consultation
If you frequently experience clogs, it’s essential to work with a lactation consultant to identify and address the underlying causes. This may involve adjusting your breastfeeding technique, ensuring proper fit for your breast pump, or making dietary changes.
The approach to managing clogged milk ducts has evolved with new research highlighting the role of inflammation. By focusing on gentle care, reducing inflammation, and seeking professional guidance when needed, breastfeeding mothers can effectively manage and prevent clogged ducts.
I hope this updated information helps you in your breastfeeding journey. If you have any questions or need further assistance, don’t hesitate to reach out! Email us at info@betterboob.com or visit our website for how to check your insurance coverage for lactation visits with our team.
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Courtney Miller, RN, BSN, IBCLC – Courtney is the founder of The Better Boob Lactation. Courtney has been registered nurse since 2016 and is now an International Board Certified Lactation Consultant (IBCLC). Her passion for breastfeeding began after giving birth to her son in March 2019, and quickly realizing there wasn’t enough readily-available breastfeeding education and support.
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