Mastitis Myths Busted: What Actually Works (and What Doesn’t!)
Updated Breastfeeding Protocol: What You Need to Know to Protect Your Supply and Stay Comfortable
Breastfeeding is a natural process, but that doesn’t mean it always goes smoothly. Whether you're dealing with engorgement, discomfort, or just trying to keep your supply regulated, it’s easy to feel overwhelmed by conflicting advice.
The Academy of Breastfeeding Medicine (ABM) has recently updated its guidelines, and some of the recommendations may surprise you! Many of the older approaches—like pumping excessively or using certain breastfeeding tools—can actually make things worse.
So, let’s break down the latest evidence-based recommendations and what they mean for you.
Breastfeeding on Demand: Your Body Knows What to Do
The new protocol emphasizes the importance of breastfeeding on demand—letting your baby feed as often as they need. This is your body’s natural way of regulating milk production, preventing engorgement, and keeping your supply balanced.
If you’re dealing with discomfort, it might be tempting to space out feedings or pump in between for relief. But in most cases, extra pumping can actually make things worse by signaling your body to produce even more milk than your baby needs. Trust that your baby’s feeding cues will help regulate your supply.
Why More Pumping Isn’t Always the Answer
For years, moms have been told to pump as a way to relieve discomfort or boost supply. But the updated recommendations actually discourage excessive pumping—especially if you’re already struggling with oversupply, engorgement, or clogged ducts.
Pumping more than necessary can create a cycle where your body overproduces milk, leading to even more swelling, discomfort, and potential complications like mastitis. Instead of reaching for the pump, try gentle hand expression if you need a little relief between feeds.
If you do need to pump—whether for work or to maintain supply—be mindful of how often and how long you're doing it. A lactation consultant can help you fine-tune your routine to make sure you’re not overdoing it.
Rethinking Nipple Shields and Vibrating Massagers
Many moms turn to nipple shields when struggling with latch pain or feeding difficulties. While they can be helpful in some situations, the new guidelines advise against using them unless absolutely necessary. Shields can interfere with milk transfer, causing baby to remove less milk and potentially lowering supply over time.
Vibrating massagers, which have been widely promoted for clogged ducts, are also not recommended. While they may provide temporary relief, they can sometimes make inflammation worse. Instead, focus on gentle lymphatic massage, which helps move fluid and reduce swelling without overstimulating the breast tissue.
What You Should Be Doing to Stay Comfortable
If you’re experiencing discomfort, the key is support and gentle care—without overstimulation.
Wear a comfortable, supportive bra. Avoid anything too tight or restrictive, as this can contribute to clogged ducts and discomfort.
Use cold compresses after feeding or pumping. Ice packs can help reduce swelling and inflammation.
Prioritize rest, hydration, and good nutrition. Your body needs fuel to keep up with milk production and healing.
Seek therapeutic ultrasound if needed. If you’re dealing with persistent clogged ducts or swelling, a trained provider can use therapeutic ultrasound to help relieve inflammation.
When to Get Extra Help
If you’re feeling stuck—whether it’s ongoing pain, supply concerns, or feeding struggles—it’s okay to reach out for help. You don’t have to figure this out alone.
💛 Book a Virtual or In-Person Lactation Consult today! Out team will help you troubleshoot any challenges, fine-tune your breastfeeding plan, and make sure you’re following the latest evidence-based recommendations that truly support your body and baby.
You’ve Got This!
Breastfeeding advice is always evolving, and it’s okay to feel a little confused about what’s best for you and your baby. The most important thing? Listen to your body, trust your instincts, and don’t be afraid to ask for support when you need it.
With the right approach, you can keep your breastfeeding journey comfortable, manageable, and sustainable. 💛