Denise, I'm too am confused about when to use hot or cold on breasts...so I'd love to hear other's input. In the mean time, I just use my common sense: I know that heat is used for getting the milk flowing (as in a plugged duct) and cold is used for swelling. So, I always advise heat when the mother has an obvious plug, and if she has mastitis, I advise *alternating* heat and cold...heat to keep the milk flowing (often just before a feed is a good time) and cold to counter-act the inflammation (such as between feeds). Anyone else? Karyn-grace Clarke, IBCLC, LLLL Gabriola Island, BC, Canada *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html