09 May
Common Lactating Issues Mummy Face

Breastfeeding is a natural process, but it can come with a variety of challenges and issues related to lactation. Below are the common types of breast issues that mothers might encounter during lactation:


1. Engorgement

  • Description: Occurs when breasts are overly full of milk, leading to swelling, hardness, and pain.
  • Cause: Often happens when milk production exceeds milk removal, such as during early breastfeeding, missed feedings, or sudden weaning.
  • Management: Frequent breastfeeding or pumping, warm compresses, gentle massage, and proper latching techniques.

2. Plugged Ducts

  • Description: A blocked milk duct causing a hard, tender lump in the breast.
  • Cause: May result from missed feedings, improper latch, tight clothing, or stress.
  • Management: Frequent feeding or pumping, warm compresses, gentle massage, varied feeding positions, and ensuring proper latch.

3. Mastitis

  • Description: An infection or inflammation of breast tissue, often presenting with pain, swelling, redness, fever, and flu-like symptoms.
  • Cause: Typically develops from untreated plugged ducts or bacteria entering the breast through a cracked nipple.
  • Management: Continued breastfeeding, antibiotics (if prescribed), warm compresses, rest, hydration, and pain relief as needed.

4. Nipple Pain and Trauma

  • Description: Pain, cracking, bleeding, or blistering of the nipples.
  • Cause: Poor latch, tongue-tie in the baby, improper pumping, or thrush.
  • Management: Ensure proper latch and breastfeeding technique, use of nipple creams, addressing infant tongue-tie, or treating thrush.

5. Thrush

  • Description: A yeast infection (commonly caused by Candida) affecting the nipples or breast, often with symptoms like itching, redness, or burning.
  • Cause: Imbalance of yeast and bacteria, often due to antibiotics, stress, or certain medications.
  • Management: Treatment with antifungal medications for both mother and baby, maintaining breast cleanliness, and ensuring proper drying of the nipples.

6. Inverted or Flat Nipples

  • Description: Nipples that are flat or retract inward, which can make latching difficult for the baby.
  • Cause: Natural breast anatomy, or a consequence of breast surgery or trauma.
  • Management: Use of nipple shields, gentle nipple stimulation, and ensuring proper latch techniques.

7. Low Milk Supply

  • Description: When a mother produces less milk than needed by the baby.
  • Cause: Can be due to hormonal issues, certain medications, insufficient breast stimulation, or medical conditions.
  • Management: Frequent feeding or pumping, addressing underlying medical issues, using galactagogues, and consulting with a lactation specialist.

8. Hyperlactation

  • Description: An overproduction of milk leading to discomfort, engorgement, or difficulty for the baby to latch.
  • Cause: Hormonal imbalance or excessive pumping.
  • Management: Block feeding, reducing pumping frequency, or consulting with a lactation specialist.

If you experience any of these issues, it is important to consult with a healthcare provider or lactation consultant for guidance and tailored management strategies. 

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