FAQ

Lactamo features allow the facilitation of a unique combination of temperature, movement and compression, specific to breastfeeding. 

Temperature: Lactamo is filled with a non-toxic gel which allows for prolonged heating and cooling as required. The benefits of the application of heat in breast application are well documented in studies [7, 8, 9, 10 ], and include helping to address inflammation and congestion, helping relieve swelling, pain and supporting milk flow from the breast. Benefits of cool applications include reducing inflammation, providing relief and comfort, slowing the milk refill process, and providing maternal comfort. 

Movement: Lactamo's surface is covered with both solid and hollow lumps that are designed to gently address congestion and inflammation whilst also providing stimulation and supporting milk flow, as applicable. Lactamo has a flexible design - featuring both large and small lumps, solid and hollow – differing on each side, to cater for the varying needs of lactating breasts. 

Compression: Lactamo is made with soft, 100% medical grade silicone, specifically matched to the elasticity of lactating breast tissue. Lactamo's softness limits the amount of compression that can be applied, and was designed to avoid damage to breast tissue, as seen from other massage devices (and indeed massage done by hand). Deep tissue massage can lead to increased inflammation, tissue swelling, and microvascular damage. Recent research highlights that while breast massage has benefits for breastfeeding, its effectiveness hinges on the practitioner's ability to perform it without causing trauma. Lactamo aims to allow users to facilitate optimal breast massage taking advantage of the well-known proactive and reactive benefits of gentle compression in breast massage, whilst avoiding the potential pitfalls of deep tissue and/or aggressive breast massage. 

Lactamo’s unique features empower mothers to easily tailor massage towards their (ever-changing) individual needs.

Extensive studies recommend breast massage in lactation and temperature (essentially, three critical components: temperature, movement and compression) for the resolution of many of the most common breastfeeding issues. 

These three components have the ability to improve blood circulation, facilitate lymphatic drainage and aid in milk flow from the breast.Gentle breast massage in lactation also has the ability to increase the quality of breastmilk by increasing total solids, lipids, casein concentration and gross energy. 

Lactamo is a cohesive solution, building on decades worth of research to flexibly and cohesively address the common issues associated with lactation.

Lactamo offers the unique combination of temperature, movement and compression bespoke to lactating breasts, not offered by any other breastfeeding aid. 

Mindful of the acute sensitivity of breast tissue, Lactamo is the only breastfeeding solution available that is matched to the elasticity of breast tissue – which is critical not just for successful outcomes, but also to avoid damage to breast tissue. Other tools aiming to facilitate massage are often too hard or rely on vibrating functions. The revised ABM protocol emphasises that the key for prevention and treatment of breast inflammation is to avoid excessively high intra-alveolar and intra-ductal pressures, which prevents a critical mass of mechanical strain and rupture of the tight junctions between lactocytes and ductal epithelial cells. 

All of Lactamo’s components are incredibly specific to breast tissue: the design, compressibility, softness, temperature and protrusion size are controlled to ensure massage is therapeutic and does not cause further inflammation or damage to the delicate breast tissue. 

Lactamo is the first and only breastfeeding aid to both proactively and reactively address the common breastfeeding problems in this clinically aligned way.

It is well known that the application of heat has a wide range of benefits for breastfeeding, including aiding lymphatic drainage, aiding milk removal, increasing oxytocin, improving milk flow, increasing blood flow, and providing maternal comfort. 

Inflammatory conditions: 

Heat application in the context of inflammatory conditions during breastfeeding, such as engorgement, blocked ducts, and mastitis, is a nuanced topic: the recently updated “Academy of Breastfeeding Medicine Clinical Protocol #36:The Mastitis Spectrum, Revised 2022” (ABM protocol) highlights that while it's true that heat can cause vasodilation and potentially exacerbate symptoms for some conditions, it also offers comfort and relief to others. 

The primary goal of using a heated Lactamo for engorgement, blocked ducts, and mastitis is to facilitate the drainage of lymphatic fluid, which contributes to congestion in the breast. 

Unlike traditional heat packs or compresses that apply direct and consistent heat, potentially leading to increased discomfort, Lactamo is designed to facilitate a gentle, rolling motion over the breast. This method avoids heat being concentrated in one area, reducing the risk of aggravation. Moreover, for those who find the application of heat uncomfortable, Lactamo can be effectively used at room temperature, as indicated in our instructions. This flexibility allows individuals to tailor the use of Lactamo to their comfort levels and needs, providing a supportive aid in managing inflammatory conditions during breastfeeding. 

Non-inflammatory conditions: 

When Lactamo is used in the absence of inflammation the gentle warmth is used to stimulate the let-down reflex and support milk removal during feeding. Breast massage with heat has been shown to promote relaxation and aid in the stimulation of milk production. The temperature of Lactamo is able to be easily adjusted to suit the individual needs by adjusting the temperature of the water that is used to heat it.

There have been numerous significant studies showing the benefits of gentle breast massage for breastfeeding concerns, including [7, 8, 9, 10]. Recent research highlights that while breast massage has benefits for breastfeeding, its effectiveness hinges on the practitioner's ability to perform it without causing trauma. Deep tissue massage can lead to increased inflammation, tissue swelling, and microvascular damage. 

Lactamo and our instructions have been developed and designed by a team of healthcare professionals including lactation consultants, breast surgeons, osteopaths and lymphatic experts, with special attention to alignment with the most current medical research. It’s difficult to understand how soft and elastic Lactamo is until it is held. Upon holding Lactamo, many lactation consultants comment that they are so happy that it is “impossible to massage breast tissue too hard with Lactamo, due to its elasticity”. 

Lactamo has been specifically designed to ensure that its hardness and compressibility is suitable for the mechanical properties and elastic modulus values of breast tissue (ranging from 0.5 kPa (lower level for adipose) to 3,000kPa (upper level for skin). The outer hardness of Lactamo ranges from 10 00 to 40 A (Shore Scale) which is incredibly soft, almost ‘jelly like’ (unlike any other breast massage device on the market).

Previous advice on breast massage techniques for inflammatory conditions focused on aggressive massage to ‘dislodge a clog’ through firm pressure on the area. The ABM protocol now supports a focus on inflammation reduction through relieving breast congestion. Lactamo's instructions for conditions on the mastitis spectrum (including engorgement, blocked ducts and mastitis) recommend starting with massage for lymphatic drainage by rolling Lactamo down the sternum and then upwards towards the armpit before feeding to help alleviate breast congestion, directly aligning with the Protocol. During feeding, some parts of Lactamo’s instructions direct users to massage towards the nipple: this is not aimed ‘dislodging clogs’, but at enhancing milk flow (especially in areas of the breast that are less inflamed or congested) following lymphatic drainage. Lactamo’s focus is on the pressure and style of massage. 

Lactamo’s instructions are the product of careful consultation with input from a large number of HCP experts including IBCLCs, lymphatic specialists, and specialised osteopaths, ensuring alignment with the latest research, and in particular aligning with the latest ABM protocol. Lactamo aims to offer a simple solution to breastfeeding mothers allowing them to more easily incorporate breast massage into their daily routine, taking advantage of the well-known proactive and reactive 

benefits of breast massage, whilst avoiding the pitfalls of deep tissue and/or aggressive breast massage. 

Detailed instructions for each breastfeeding condition can be found in the Lactamo instructions both online and in the Lactamo box’s accompanying leaflet, allowing mothers to follow and apply these techniques safely and effectively.

Breast massage and heat can be beneficial tools for expectant mothers, particularly as they approach the later stages of pregnancy. Breast massage and heat can help mothers prepare for breastfeeding as part of antenatal hand expressing once they reach term and with approval from their healthcare provider. This practice not only aids in acquiring skills for effective milk expression postpartum but also can enhance the mother’s confidence and feelings of empowerment regarding her ability to breastfeed. 

Gentle breast massage and heat supports stimulation of the let-down reflex, a critical aspect of successful breastfeeding. This stimulation promotes the release of oxytocin triggering the muscles in the breasts to contract and release colostrum. 

Incorporating gentle breast massage and heat into prenatal care can be an effective way for expectant mothers to become acquainted with breastfeeding techniques and to ease the transition into breastfeeding once the baby arrives.

Breast massage and heat plays a crucial role in managing low milk supply, which is a common concern among breastfeeding mothers. This non-invasive therapeutic approach supports the physiological processes essential for efficient milk production, primarily by enhancing the let-down reflex through stimulating oxytocin. 

Breast massage and heat is aimed at supporting the dilation of the blood vessels, thereby improving blood flow to the breast. Increased circulation not only supports the milk flow but also supports essential hormones, such as prolactin and oxytocin, reaching the mammary glands more effectively. Oxytocin, in particular, is critical as it directly triggers the muscles in the breasts to contract and release milk, facilitating a more robust let-down reflex. This approach is supported by the latest breastfeeding research that breast massage increases the milk flow and accelerates the onset of lactation in the early postpartum period. 

Using gentle compression during feeding or expressing has been shown to improve milk removal by up to 48%. 

Lactamo facilitates breast massage and can be gently heated and rolled over the breast including over the nipple prior to feeding. The elasticity of Lactamo has been specifically developed and designed to be optimal for lactating breast tissue, to support and facilitate the appropriate level of compression. 

By incorporating breast massage into lactation support protocols, healthcare professionals can offer a non-invasive, scientifically supported method to help mothers increase their milk supply, thus supporting better breastfeeding outcomes and maternal satisfaction.

Lactamo is specifically designed to assist breastfeeding mothers to facilitate effective lymphatic drainage through gentle breast massage. 

In the context of breastfeeding, effective lymphatic drainage can help reduce the risk of engorgement and mastitis by improving fluid circulation and reducing swelling and congestion within the breast. Unlike the circulatory system, the lymphatic system does not have a pump. Instead, it relies on the movement of muscles and manual manipulation to move fluid. The axillary lymph nodes are the primary drainage site for the breast, handling 75% to 80% of its lymph. The remaining 20% to 25% of lymph from the breast drains into the pectoral nodes. 

Lactamo’s instructions outline methods to promote fluid movement towards the axillary and pectoral nodes. Lactamo can be gently heated and used in rolling motions directed towards the lymph nodes. This technique is aimed at helping channel excess lymph fluid away from the engorged breast tissue towards regions where the body's lymphatic system can more efficiently process it. 

One of the key features of Lactamo is its design that mimics the gentle pressure akin to stroking a baby's face. This gentle approach is crucial because research has shown that too much pressure during breast massage can cause microvascular injury and other complications. Lactamo has been designed to prevent these risks, with the aim of taking advantage of the well-known proactive and reactive benefits of massage, whilst avoiding the pitfalls of deep tissue and/or aggressive massage. 

Additionally, and very interestingly, current research supports the practice of breast massage, reporting that it has the ability to enhance the quality of breast milk by increasing its total solids, lipids, casein concentration, and gross energy, thereby improving the nutritional content of the milk.

Oversupply can lead to discomfort and complications such as engorgement. Breast massage offers significant benefits for lactating mothers experiencing both oversupply and engorgement by improving lymphatic drainage and circulation, addressing swelling and discomfort.

When heated in hot water the temperature of Lactamo can be controlled by the temperature of the water that is used to heat it. The user is advised to test the temperature by gently rolling Lactamo in their hands before applying to the breast. The appropriate temperature is subjective therefore it is important that the user finds the temperature that is most comfortable for them. As reported in current research heat is used to support movement of fluids within the breast and many women find it offers comfort. 

Breast massage is also beneficial without heat, and women often use Lactamo at ambient temperature.

Lactamo and our instructions have been developed and designed by a team of healthcare professionals including lactation consultants, breast surgeons, osteopaths and lymphatic experts, with special attention to alignment with the most current medical research. 

It’s difficult to understand how soft and elastic Lactamo is until it is held. Upon holding Lactamo, many lactation consultants comment that they are so happy that it is “impossible to massage breast tissue too hard with Lactamo, due to its elasticity”. 

Lactamo has been specifically designed to ensure that its hardness and compressibility is suitable for the mechanical properties and elastic modulus values of breast tissue (ranging from 0.5 kPa (lower level for adipose) to 3,000kPa (upper level for skin). The outer hardness of Lactamo ranges from 10 00 to 40 A (Shore Scale) which is incredibly soft, almost ‘jelly like’ (unlike any other breast massage device on the market). 

Lactamo’s instructions have been meticulously reviewed by numerous healthcare professionals, to ensure the optimal use and approach of Lactamo is advised. We recognise that medical research and best practices continue to evolve and we maintain an ongoing commitment to review the latest research regularly. We always welcome further feedback, especially evidence-based feedback from healthcare professionals.

Lactamo can be reused between patients for demonstrations and use in hospitals. It can be cleaned by submerging it in boiling water and/or using antibacterial/alcohol based wipes.

We recognise the importance of staying current with the latest research in lactation and breast health and understand that the term 'ductal narrowing' is now considered a more accurate description of the condition previously known as 'blocked ducts.' This update reflects a deeper understanding of the physiological and anatomical characteristics of mammary ducts, influenced by recent findings in ultrasound studies and histological examinations as noted in the latest update to the Academy of Breastfeeding Medicine. 

Despite these advancements, the term 'blocked ducts' is a term that many healthcare providers continue to use and is widely recognised by women seeking support for breastfeeding issues. 

Our primary goal is to ensure that the information we provide is accessible and useful to the women who need it most. By using the term 'blocked ducts,' we acknowledge the common language used by many women when they seek help for this issue. 

Regardless of the term used, the instructions and use of Lactamo is in line with the latest research, focusing on addressing ‘ductal narrowing’.

Lactamo is designed with the user's comfort and safety in mind, which is why it is filled with a non-toxic food-safe gel. Lactamo is specifically engineered to remain ultra-soft and squishy, even under cold temperatures. This material does not freeze solid in a standard freezer and will retain its jelly-like squishiness.

Lactamo is made of medical-grade silicone and is latex free. Despite being allergy free, if users don’t like the idea of something directly touching their breast then Lactamo can be rolled over the top of the user’s clothes.

The instructions have been developed with a team of independent experts including lactation consultants, breast surgeons, osteopaths and lymphatic experts . Many of these professionals specialise in managing common breastfeeding challenges through breast massage, making their contributions invaluable in developing practical, user-friendly guidelines. The team actively incorporated findings from current research, including updates on the mastitis spectrum, to ensure that the instructions are scientifically sound and reflect the latest in clinical practice. 

We recognize that medical research and best practices continue to evolve and we maintain an ongoing commitment to review the latest research regularly. We always welcome further feedback, especially evidence-based feedback from healthcare professionals. This ongoing process ensures that the information we provide, and the recommendations we make, remain current, accurate, and aligned with the best available evidence. 

By relying on expert input and current research, we ensure that Lactamo is a reliable and effective tool for managing breastfeeding-related challenges.

1. La Leche League International. Improve global breastfeeding practices. 2021. Available at: https://www.llli.org/2021-world-health-day-improve-global-breastfeeding-practices/. Accessed on: 13/02/2023.
2. Seet L & Vasilevski V. Int Breastfeed J 2022; 17(23):1-9. 
3. Anderson L, et al. JBI Database System Rev Implement Rep 2019; 17(8):1668-1694. 
4. Witt AM, et al. J Hum Lact 2016; 32(1):123-131. 
5. Foda M, et al. J Pediatr Gastroenterol Nutr 2004; 38(5):484-487. 
6. Crepinsek MA, et al. Cochrane Database of Systematic Reviews. 2020 Sep 29;9(9). 
7. Zakarija-Grkovic  I & Stewart F. Cochrane Database Syst Rev. 2020;9 
8. Yigit F, et al. Breastfeed Med. 2012;7(6):487–488.
9. Kent JC, et al. J Obstet Gynecol Neonatal Nurs. 2012;41(1):114–121. 
10. Brodribb W. Breastfeeding Management in Australia. 5. East Malvern: Australian Breastfeeding Association; 2019.
11. Morton et al. J Perinatol. 2009 Nov;29(11):757-64.
12. Katmini, K., & Sholichah, N. M. . Journal for Quality in Public Health, 2020. 4(1), 104–113.
13. Watcharaphao N, et al. HSCR . 2021 Jun. 30
14. Khan YS, et al. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan

Lactamo is available at:  www.lactamo.com

We’d love to chat to you. Contact us at: hello@lactamo.com.

We are always interested in connecting with leaders and champions in breastfeeding, and always welcome enquiries from HCPs. We recognise breastfeeding is an area of varied thoughts and opinions, with many different approaches. Working together, we believe we can better support our mission to give mothers the best success and experience in breastfeeding (if they choose to breastfeed). 

Please contact us at: hello@lactamo.com, and one of our team will get in touch. 

Yes. If you are interested in stockingLactamo, please contact us at: hello@lactamo.com, and one of our team will be in touch.

We are currently looking at ways to provide ongoing educational content and we'd love to hear your thoughts. If you have ideas on content you'd like to see and the best ways for you to receive it and/or if you’d like to be involved in developing this with us, please email us on hello@lactamo.com