【Key Learning Points】
- Definition: Lactational
mastitis is a localized breast infection that most frequently occurs within the
first six weeks postpartum.
- Complications: Without
proper management, the condition may progress to a breast abscess.
- Prevention: Prevent
nipple trauma; vary breastfeeding positions; avoid tight-fitting bras.
- Symptom Relief: Apply
cold compresses between feedings for pain; use warm compresses before feeding
to facilitate milk flow.
- Hotline: For concerns,
call 04-23592525 ext. 8176 (24h) or ext. 6547.
I.What is Lactational Mastitis?
Lactational mastitis is an inflammatory condition often triggered when breast engorgement or blocked ducts are not effectively resolved. Studies indicate that 1 in 5 breastfeeding women may develop mastitis, typically during the first six weeks postpartum
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Image source: Generated by AI |
II.Common Causes
- Early
Postpartum Phase
- Improper
latch or poor/uncoordinated infant suck.
- Infrequent
breastfeeding or adherence to strict schedules.
- Nipple
trauma leading to bacterial entry.
- Established Breastfeeding Phas
- Oversupply of milk.
- Delayed milk expression due to illness.
- External pressure on ducts (e.g., tight bras).
- Nipple complications (fungal infections/wounds).
- Ineffective infant sucking.
III.
Symptoms
Signs include a localized lump, pain, redness,
swelling, and warmth in the breast. Systemic symptoms may include a fever
(>38.5°C), chills, and flu-like exhaustion.
IV.Self-care
Strategies:Frequent and effective milk removal is
the cornerstone of treatment.
- Frequency: Increase
feeding/pumping sessions; start on the affected side.
- Heat Therapy: Apply a
warm compress (41–43°C) for 5 minutes before feeding.
- Cold Therapy: Apply a
cold compress for 5 minutes after feeding.
- Massage: Gently massage
from the outer edge toward the lump; avoid heavy pressure on the center.
- Recovery: Prioritize
rest, hydration, and nutrition.
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Before feeding: warm compress(5min,41-43℃
)
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After
feeding: cold
compress(5min)
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V.
Medical Treatment
Breast milk remains safe for infants during mastitis, though its taste may temporarily change. If prescribed, follow the full course of antibiotics. Consult an Obstetrics and Gynecology if symptoms do not improve within 12–24 hours
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Continue Breastfeeding
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No improvement in 12-24hrs
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Follow doctor's antibiotic advice
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| Image source: Generated by AI
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VI.References
-
Blackmon, M. M., Nguyen, H., Vadakekut, E. S., & Mukherji, P. (2024). Acute mastitis. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK557782/
- Xing, J., & Zhu, Y. (2025). Progress
in treatment of acute mastitis with traditional Chinese and Western medicine. Traditional Chinese Medicine, 14(5),
2223–2229. https://doi.org/10.12677/tcm.2025.145331