12/12/2025
American Academy of Breastfeeding protocol #36 
https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdf
HOW TO TREAT EARLY INFLAMMATION?
(Lumps, Blocked Ducts, Mastitis)
The principles of management are to resolve the
INFLAMMATION in the breast tissue.
- Feed or pump only enough only to feed baby, not empty (YOU CANNOT EMPTY A BREAST)
Cold/ice packs to reduce swelling/pain.
Ibuprofen to reduce inflammation
- Lymphatic drainage (light strokes toward your armpit)
WHAT TO AVOID IN MASTITIS MANAGEMENT?
The previous methods of management WORSEN mastitis and INCREASE the risk of developing an abscess.
AVOID these actions:
* Deep massage INJURES tissue & INCREASES swelling.
* Pumping to empty tells your body to make MORE milk, increasing pressure.
* Heat WORSENS swelling and INCREASES inflammation.
These cause early inflammation to develop into severe mastitis.
Please call for help if not resolving and if you continue to have a fever and have flu like symptoms.