What is the recommended management for a plugged duct?

• A. Frequent breastfeeding with warm compresses and gentle massage to ensure complete emptying of the affected area.
• B. Stop breastfeeding from the affected breast
• C. Use cold compresses and restrict fluids
• D. Massage vigorously without emptying

Answer: (A)

When a duct becomes blocked, the key goal is to promote milk flow and fully drain the breast. The best approach is to feed frequently on the affected side, making sure the baby latches well so the milk is drawn out and the duct is emptied. Before nursing, apply a warm compress to the area to soften the plug and help milk flow. During feeds, use gentle massage directed toward the nipple, starting at the outer edge of the lump and working toward the areola, to help release the blockage and encourage milk to move through the duct. After nursing, continue to drain the breast and vary positions to target different ducts. Keeping the breast well emptied reduces the chance of recurrence and helps prevent mastitis. Stay hydrated and rest as you maintain regular feeds. If you develop fever, increased redness or warmth, or the blockage doesn’t improve within a day or two, seek medical care, as antibiotics may be needed for a developing infection.