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It is no longer recommended to treat mastitis with heat. According to the Academy of Breastfeeding Medicine Protocol #36, heat can cause more fluid congestion in the area and can worsen symptoms. Cold compresses, wrapped in a towel, are a better choice for relief of pain and swelling.

Using the wrong size flange can cause pain, blocked ducts, and poor milk output. Flanges should fit snuggly against the sides of your nipple, causing gentle stimulation to the nipple, increasing prolactin and oxytocin. A snug fit also concentrates the vacuum to the tip of the nipple where the milk ducts terminate, avoiding pressure on the rest of the nipple and areola. Read the newest research at: https://journals.sagepub.com/doi/abs/10.1177/08903344241296036

Hi, I'm Sandra Cole, RN, IBCLC, and I've dedicated my career to helping families navigate the challenges of breast/chest feeding and lactation. With years of experience in Neonatal Intensive Care nursing across Canada and the United States, including roles as a neonatal/pediatric transport nurse and ECMO perfusionist, I've seen firsthand the complexities families face, especially with late preterm infants. I'm proud to have held the High-Risk Neonatal Intensive Care certifica