A blocked or plugged duct can happen when the milk is not flowing freely from the milk duct in your breast.
Signs of a blocked duct
If you have a blocked duct, you will usually notice an area of your breast that is sore. You might feel a hard and tender lump when you press your breast. You will generally feel well.
Important
Talk to your GP or a lactation consultant if you have a blocked duct and develop a fever or flu-like symptoms - you may have mastitis (breast inflammation)
Blocked duct causes
A blocked duct can be caused by:
- incorrect positioning and attachment
- very long gaps between feeds
- a ‘bleb’ or blister
- your bra being too tight
What you can do for a blocked duct
Warm compress
Place a warm facecloth on your breast, covering the sore area. You can do this before or during feeds.
Gentle massage
Gently but firmly massage your breast starting from behind the sore area. Move along the sore area towards the nipple. This will help relieve the blocked area. Massage through a warm facecloth if it feels more comfortable.
Pain relief
Talk to your GP or pharmacist for advice on what medication you can take to relieve pain from the blocked duct.
Frequent feeding
Feed your baby often and look for signs that they're hungry. Find the position that is most comfortable and allows you to massage your breast as your baby feeds.
Important
Reducing how often your baby feeds from the affected breast, or stopping completely, can make the problem worse
Plenty of rest
Get as much rest as possible. Lie down when feeding. Sleep when your baby is sleeping. Ask your partner, family or friends to help.
Dangle feeding
‘Dangle feeding’ can be useful for relieving a blocked duct.
How it works:
- Lay your baby on their back with their face towards the ceiling.
- Kneeling up and resting on your elbows, lean over your baby and position your nipple directly above their mouth.
- Feed in this position with your breast dangling. Gravity can help release the blockage.
Get support
For help and advice on a blocked duct, contact your:
- midwife
- public health nurse
- local breastfeeding support volunteer
- lactation consultant