Authors (including presenting author) :
Li KWS (1), Cheng P (1), Lam P (1), Ho LF (2)
Affiliation :
(1) Department of Physiotherapy, Queen Mary Hospital
(2) Department of Obstetrics and Gynaecology, Queen Mary Hospital
Introduction :
Blocked milk duct is a common problem during lactation which can lead to discomfort and potential complications if left unattended. It is one of the reasons for early cessation of breast feeding in lactating mothers. Physiotherapy including therapeutic ultrasound, lymphatic drainage, exercise, and education has been shown to be effective in managing blocked milk ducts. (Cooper BB, 2015). A collaboration program involving physiotherapists and lactation consultants was implemented in Queen Mary Hospital since August 2018.
Objectives :
1) To evaluate the efficacy of physiotherapy in blocked milk ducts patients at QMH
2) To facilitate breastfeeding continuity in lactating mothers suffering blocked milk ducts.
Methodology :
Lactating mothers who were diagnosed to have blocked milk ducts were referred to physiotherapy service from O&G ward, breast surgical ward or lactation clinic. Physiotherapy intervention including ultrasound therapy, lymphatic drainage and self-care advice were given to blocked milk ducts patients. Pain level measured in numeric pain rating scale, volume of milk output, average size of lump area, 6 points engorgement scale and self-perceived overall improvement were compared on the 1st and last treatment session from August 2018 to November 2024 for analysis the efficacy of physiotherapy intervention in blocked milk ducts patients in QMH.
Result & Outcome :
From 1st August 2018 to 31st November 2024, 209 patients completed the program. 97% of the patients received their 1st physiotherapy intervention within 7 days from the onset of symptoms. An average of 3.6 sessions of physiotherapy course was provided. 52 cases had previous history of blocked milk duct. The average pain level was reduced from 3.5 to 1.5. The average volume of expressed milk output increased from 80.3ml to 94.4ml (17.6%) and the average size of lump area was 50% reduced from 9.6cm2 to 4.9cm2. The 6-point engorgement scale was 37.5% reduced from 4 to 2.5. The self-perceived overall improvement was up to 83.9% in average upon discharge.
The collaboration program for blocked milk ducts patients was effective in improving the symptoms and decreased the pain level in lactating women with timing intervention. Patients were reported satisfactory improvement upon discharge.
