No Blocked Ducts!
Going for long stretches between nursing or putting pressure on breasts for an extended period of time (with a too-tight bra or a seat belt, or by sleeping on your stomach) can lead to a blocked duct, which causes milk to build up and form a painful, hard mass in the breast. Treat a blocked duct as you would engorgement (see previous page), offering Baby the sore breast first if you can tolerate it; she'll nurse more vigorously there and drain it more effectively. If you develop a fever or body aches, or if the skin on your breast becomes red and sore, you may have mastitis, a bacterial infection caused by blocked ducts or open wounds on the nipples. About a third of nursing women get it. It's treatable with antibiotics, so if you have symptoms, call your doctor.