Care for the Lactating Body focuses on the pathology of plugged ducts, and new prevention and treatment strategies. 

Part 1 centers on prevention strategies, including recent research on the use of self-massage to prevent plugged ducts. (Please note: This course does not train the provider to perform massage on the client.)

Part 2 of Care for the Lactating Body explores the significance of persistent plugged ducts, when higher level treatments for plugged ducts are indicated, and reviews the research on ultrasound treatment. (Please note: This course does not train the provider to perform ultrasound, only when to refer to a provider who does offer that treatment.)

Course Evaluations

Shared with permission from our

“It was a great course. Amazing presenters!”

Elizabeth E

Lactation Support Specialist

“I loved how this website was set up, it was so easy to navigate the materials and follow along. Loved it, the presenters were both excellent. Glad I found this course.”

Jomeka M

Certified Nurse Midwife

“Very helpful, I will be incorporating this into my practice.”

Irena F

Certified Professional Midwife

In Part One of this course, massage therapist Chelsey Swan explains the benefits of breast massage, and demonstrates a simple and effective self-massage technique that you in turn can teach to your clients. 

Upon completion of Part One, the learner will be able to:

  • Demonstrate the 5 techniques in the PHAST method of self-breast massage.
  • Describe the importance of using gender-inclusive terminology in our perinatal practices.
  • Explain the benefits of massage to breast tissue with regard to lactation and the perinatal period.
  • List the contraindications to breast massage.
  • Describe the basic anatomical structures and physiological processes in breast tissue.
  • Describe how to use massage as a complimentary therapy for engorgement, clogged ducts/mastitis, and milk production.
  • Dispel 5 common myths about perinatal massage.

In Part Two, certified nurse midwife and lactation consultant Christina Chamberlain explores persistent plugged ducts, and several treatment approaches, including a revolutionary new option.

Upon completion of Part One, the learner will be able to:

  • List common causes of plugged ducts.
  • Demonstrate knowledge of treatments to resolve and strategies to prevent plugged ducts.
  • Recognize signs and symptoms of bleb or milk blisters.
  • Achieve knowledge of the clinical protocol for the use of therapeutic ultrasound in the treatment of plugged ducts.
  • Gain a general knowledge of ICD-10 codes appropriate for billing insurance providers. (This final learning objective applies only to those providers whose scope includes providing ultrasound therapy. This is not a learning objective for lactation consultants.)

HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course meets the California Board of Nursing criteria for 3 hours of continuing education. Provider approved by the California Board of Registered Nursing, Provider Number 17686, for 3 contact hours. (This is widely accepted nationwide as continuing education for nurses and midwives.)

IBLCE has allocated 3 L-CERPs for this course. IBLCE verification number C2022019, through February 18th, 2023.

IBLCE previously allocated 1 L-CERPs for this course. IBLCE verification number C1991369, through February 17th, 2021, and IBLCE verification number C1991369, through February 17th, 2022.

Previously approved by ACNM for 3 hours of continuing education. Approval number 2020/09, through February 19, 2022

Note: Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.

For information regarding our refund policy and other Frequently Asked Questions, please refer to our FAQ. If you have additional questions, please email [email protected].

Chelsey Swan, LMT


Chelsey's background is in women’s perinatal health and the intersectionality of race, class, gender, and sexuality through her studies at the University of Washington. She holds a Bachelor of Arts degree in Women Studies. She trained as a birth doula at Bastyr University’s Simkin Center, and then graduated from Cortiva Institute of Massage. She has additional certifications in breast massage and and prenatal massage. She is deeply connected to the birth community in the greater Seattle area and through massage supports birth givers, their families, and other birth professionals.
Chelsey Swan, LMT

Kristina Chamberlain, CNM, ARNP, IBCLC


Kristina Chamberlain brings to her teaching the experiences of working as a Family Nurse Practitioner, Certified Nurse Midwife, and lactation consultant. Since graduating with her Masters of Science from the University of Washington in 2005, she has served her community as a Family Nurse Practitioner at Planned Parenthood, taught as adjunct faculty at Bastyr University, and owned Eastside Total Health and Lactation. Currently she is the Clinical Lactation Program Director at the UC San Diego Extension Lactation Program, and is the lead instructor for the Pathway 1 and Pathway 2 Programs at UCSD. Her goal is to train the next generation of Lactation Consultants so that breastfeeding support and advocacy is available to all women in all communities.
Kristina Chamberlain, CNM, ARNP, IBCLC

Course curriculum

  • 01
    Part 1: Lactation & Massage
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    • 1.1 Introduction
    • Article: Breast Massage: A “Handy” Multipurpose Tool to Promote Breastfeeding Success
    • Previous article not loading?
    • Bonus Video: Washington State Massage Law
    • 1.2 Breast Anatomy
    • Article: Anatomy of the lactating human breast redefined with ultrasound imaging
    • 1.3 Benefits, Barriers, and a Solution to Increase Access
    • Article: Breast Massage Deserves Attention
    • 1.4 PHAST Method of Breast Self-Massage
    • Printable PDF: PHAST Method
    • 1.5 Massage for Engorgement and Milk Production
    • Article: A randomized controlled trial to compare methods of milk expression after preterm delivery
    • Article: Composition of Milk Obtained From Unmassaged Versus Massaged Breasts of Lactating Mothers
    • Article: Effects of Oketani Breast Massage on Breast Pain, the Breast Milk pH of Mothers, and the Sucking Speed of Neonates
    • 1.6 Massage Myth-Busting
  • 02
    Part 2: Persistent Plugged Ducts and a New Approach to Treatment
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    • 2.1 Significance
    • 2.2 Causes
    • 2.3 Signs and Symptoms
    • 2.4 Treatment Options
    • 2.5 Massage for Plugged Ducts
    • Printable PDF: Massage for Plugged Ducts (Client Handout)
    • 2.6 Ultrasound for Plugged Ducts
    • 2.7 Evidence for Ultrasound for Plugged Ducts
    • 2.8 Considerations, Reimbursement, and Conclusion
  • 03
    Post-tests and CE/CERP Certificates
    Show details
    • Course Evaluation
    • Post-test

Pricing options

Take the course, print your CEU certificate, retain access for later reference.


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