This teaching tool was created by the Lactation Colaborative of Greater Portland at their April 16th, 08' meeting.

MASTITIS
DEFINITION
Mastitis means the breast is inflamed. This most often occurs when feeding or pumping is delayed and milk builds up in a breast and leaks into surounding tissue, or infection can be caused by sore or cracked nipples as a result of a poor latch.
PREVENTION

Regular emptying of the breast by:

1. Frequent breastfeeding
2. Good hand washing
3. Hand expression
4. Pumping

Take care of you:

1. Eat a healthy diet
2. Drink to thirst
3. Get plenty of rest
4. Relax

Daily pacifier use has been associated with greater incidence of mastitis.

Lecithin cap 1200 mg,
3-4 times a day is a food supplement and has shown good results in reducing repeated episodes of mastitis.
SIGNS AND SYMPTOMS
ENGORGEMENT,
PLUGGED DUCTS
MASTITIS

Occurence

 

Location

 

Pain

Temperature

Overall feeling

Gradually,
Immediately post delivery

Both sides
generalized


Generalized

Less than 101f, (38.4c)

Mom feels OK
Gradually,
After feedings


One side
May be present or mild

Tender

Less than 101f, (38.4c)

Mom feels OK

Suddenly,
After 10 days

Usually one side
Red, Hot, Swollen

Painful, Chills

Greater than 101f (38.4c)

Mom has flu like symptoms

Comfort Measures:

#1 Tylenol with Ibuprofen to reduce pain and decrease swelling.
#2 Warm shower, moist heat, and massage.
#3 Frequent breast emptying *Start with the unaffected side first.
#4 Ice packs after

 
Call your doctor. Antibiotic therapy is required and usually results in rapid relief. Increase your fluid intake. Be sure to finish your full course of antibiotics.
*There is no risk to the healthy term infant.
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