Dr Law Wei Seng

12 April 2023

Breastfeeding and Mastitis: A Guide to Relief and Management

Mastitis is a common condition that affects many breastfeeding mothers, caused by a buildup of milk in the breast tissue. It can lead to redness, swelling, and pain. While it can be uncomfortable, it is crucial for mothers to continue breastfeeding as it provides essential nutrients to their babies and helps with the recovery process. This article will discuss the causes, symptoms and various treatment options available to help mothers like you manage the condition and continue breastfeeding with ease.

What Causes Mastitis?

An infection in the breast tissue typically causes mastitis. The infection can be bacterial, fungal, or viral. It may occur when bacteria from the baby’s mouth or the mother’s skin enter the breast through a cracked or sore nipple. Other causes of mastitis include:

  • Blocked milk ducts
  • Inadequate milk removal, and
  • A weakened immune system

Risk factors for mastitis include breastfeeding difficulties, engorgement (when milk is not fully removed from your breast), stress, and fatigue. Women with a history of mastitis, diabetes, or previous breast surgery may also be at higher risk for developing the condition.

What Will I Feel if I Have Mastitis?

Symptoms can vary from one person to another but may include the following:

  1. Breast tenderness and pain
  2. Swelling and redness in the breast
  3. Warmth or heat in the breast area
  4. Hardness or lumps in the breast
  5. Nipple discharge
  6. Fever and flu-like symptoms, such as chills and body aches

If you notice any redness, pain, or discomfort in your breasts, particularly during or after pregnancy, immediately seek the advice of a gynaecologist. The symptoms might be due to another condition, like inflammatory breast cancer. Only a gynaecologist can provide a proper diagnosis and recommend the best course of treatment.

What Can I Do to Relieve the Symptoms of Mastitis?

There are several home remedies that can help relieve the symptoms and maintain the milk supply. They include:

  • Rest and hydration – getting plenty of rest and drinking lots of fluids can help your body fight off the infection.
  • Warm compresses – Applying a warm, moist compress to your breast before nursing or pumping can help open up blocked ducts and promote milk flow.
  • Massage – Gently massaging the affected breast can help promote milk flow and relieve pain.
  • Proper nursing and pumping technique – Ensuring your baby is latched correctly and using the correct pumping technique can help prevent engorgement and blocked ducts.
  • Cabbage leaves – Placing chilled cabbage leaves on the affected breast can help reduce inflammation and pain.
  • Over-the-counter medications – taking paracetamol or ibuprofen can help relieve you from any pain or fever.

Remember that these remedies are not a substitute for medical treatment, and you should always consult a gynaecologist if you suspect you have mastitis.

What A Gynaecologist May Recommend

In Singapore, the medical treatments for mastitis typically involve a combination of antibiotics and pain relief medication. Your gynaecologist may also recommend the following:

  1. Continuing to breastfeed or pump milk helps ensure that your breast is fully drained and may help relieve symptoms.
  2. As mentioned above, your gynaecologist may suggest over-the-counter pain relief medication to help relieve pain and reduce inflammation.
  3. Antibiotics may be prescribed to treat the infection if the infection is bacterial.
  4. In severe cases of mastitis, hospitalisation may be required for you to receive intravenous antibiotics and fluids.
  5. If an abscess develops, your gynaecologist may need to drain it through a needle or make a small incision to remove the pus.

You must seek medical treatment as soon as possible if you suspect you have mastitis, as prompt treatment helps prevent the infection from worsening, making your recovery as quickly as possible.

How to Prevent Further Occurrences of Mastitis

Prevention of further occurrences ensures a comfortable and successful breastfeeding experience. Here are some strategies to consider:

  1. Proper breastfeeding technique
  2. Breastfeed frequently
  3. Use proper pumping technique
  4. Take care of your nipples
  5. Rest and reduce stress
  6. Wear loose and comfortable clothing
  7. Avoid sudden weaning
  8. Contact a lactation consultant

Conclusion

Mastitis is a common condition that can occur during breastfeeding. While it can be uncomfortable and even painful, many strategies and treatments are available to manage symptoms and reduce inflammation. With proper management and preventive measures, you can maintain your milk supply and prevent further occurrences of mastitis, ensuring a comfortable and successful breastfeeding experience for you and your baby.

If you have any more questions about mastitis, it is recommended that you contact a gynaecologist as soon as possible.

References

https://www.nhs.uk/c

https://www.healthline.com/