Guide to Managing Clogged Ducts (Ductal Narrowing)
New Information 1
Recently, new ultrasound studies have provided insight into what’s actually going on when clogged ducts pop up. This new ultrasound info tells us that clogged ducts are actually caused by inflammation within the breast tissue pushing against milk ducts and causing ductal narrowing. For this reason, the new guidance from the Academy of Breastfeeding Medicine (ABM) focuses on inflammation reduction. Read on for possible causes and ways to manage clogged ducts.
Excessive Stimulation
Example: Pumping in addition to nursing your baby in the first six weeks postpartum (if nursing is going well).
Breast Injury
Pumping with excessive suction
Poorly fitted flanges
Narrow latch
Missed pumping/nursing sessions
Oversupply - making more milk than baby needs
New recommendations 1
Avoid Heat - Opt for cold packs to help reduce inflammation.
Avoid Extra Stimulation - Feed your baby on demand based on their hunger cues to avoid developing an oversupply. Avoid excessive pumping.
Avoid Deep Breast Massage - Deep breast massage can increase inflammation of the breast tissue. Therapeutic Breast Massage, that focuses on lymphatic drainage, can help reduce inflammation and relieve discomfort.
Consider OTC Anti Inflammatory Medications - Talk with your healthcare provider about options that can help reduce inflammation.
Dangle Feeding Isn’t Necessary - In the past, lactation professionals have theorized that leaning over baby and feeding in a position in which the breasts “dangle” could help resolve clogged ducts. Current evidence does not show that this feeding method is effective in treating clogged ducts since we now know that the source of the problem is inflammation of the surrounding breast tissue.
Gut Health Matters - Probiotics that include Limosilactobacillus fermentum or Ligilactobacillus salivarius have been shown to promote the growth of helpful bacteria that combat inflammation within the breast.
Bonus 3
Ultrasound therapy has also been shown to improve symptoms associated with clogged ducts. The current research shows there are no adverse effects of using ultrasound therapy to treat clogged ducts.
Final Thoughts
If you’re attempting to manage clogged ducts at home and things aren’t improving, be sure to reach out to an experienced IBCLC (International Board Certified Lactation Consultant) for help. If you develop signs/symptoms of mastitis, including redness or streaking on your breasts, fever, malaise, headache, upset stomach, body aches, or breast swelling, reach out to your healthcare provider or myself right away.
Written by: Jacquelyn Ordner, BSN, RN, IBCLC, RLC
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