I am working with a mom and 3 wk. baby. Mom has fibrocystic breasts -- in the past she had a cyst lanced on the left breast. Baby had a rough start; wouldn't nurse at all. With LLL help, baby began nursing some. Then mom saw hospital-based LC. Position change enabled baby to empty left breast -- at hospital baby nursed better on rt. breast, too. Since coming home, baby won't swallow much on rt. side. Mom has mastitis and began antibiotics today. She called me for 1st time this A.M. I did home visit today. Left breast suck/swallow ratio is 1:1. On rt. breast, S/S ratio is more like 1:4. We worked on nipple position in baby's mouth -- saw some improvement -- brest softened. But lower outside lobe remained somewhat firm -- that was area of mastitis. Doc said it wasn't plug, but bacteria from nipple????? I don't think I agree! Upon initial exam, breast was very lumpy and remained so following nursing. Does anybody have info on how fibrocystic disease affects lactating breasts. Are plugged ducts more common? Any special suggestions on management? Thanks, Glenni Lorick in Huntsville, AL where my 5 year old son runs around wearing his pink elephant "Pinky" in a sling and nursing her on demand (Sometimes he feeds her bottles of his "wife's" EBM!!!) [log in to unmask]