I exclusively pump. When I experienced a few plugged ducts in the beginning I would do the following: Fill a bowl with "hot as you can handle" water and soak the breast for 5-10 minutes. It is not the most comfortable thing to do. I would also stand in the shower with hot water running over the inflamed breast for 15-20 minutes. Massage the breast pre and post pumping as well as while you pump. Perhaps use a little olive oil or lanlin to assist with massage and counter the drying/chapping effect of the hot water. Pump often. I pumped every 30 minutes or so. Make sure that she is using an Ameda/Hollister SMB or Medela Classic/Symphony. I believe it was at Cindy's site that I saw a dosage of 1200mg daily of Lecithin will greatly decrease incidence of plugged ducts. I took this amount daily until I was 4 months post partum and never experienced another plugged duct. Lena <SNIP> I have a mom who is exclusively pumping...Mom is suffering from a painful plugged duct that has not responded so far to the usual measures. Any other suggestions, particularly with respect to pumping, that will help this mom get past the plugged duct?<SNIP> *********************************************** 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 mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html