Hi, All:  I got a phone call yesterday from a mom I saw with both her babies.  
She had a terrible time with recurring plugged ducts with the 1st - none of the 
standard tried and true management techniques worked for her, but she 
toughed it out and nursed for over a year.  Same thing happened with her 
2nd.  She discovered that the gel pads that cover the whole breast that can 
be microwaved or refrigerated did the trick for her.  I usually recommend hot 
wash cloths, a heating pad or hot water bottle for the heat.  She thinks what 
eased her plugs with the hot gel pads was the fact that they remained warm 
for a much longer period of time than other methods and they conform to the 
breast.
I will definitely recommend the gel pad route from now on!  
Boy, the things our moms teach us!  By the way, Tom Hale did not invent 
Cheap All Purpose Nipple Ointment - one of my moms did several years ago 
when she couldn't get ahold of her OB for the scrip.  She rummaged thru her 
medicine chest at home, combined the ingredients, used it, and called me back 
2 days later, completely cured!


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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