Understanding and Managing Mastitis
Mastitis is a common yet challenging condition that many breastfeeding parents may face. It can cause pain, frustration, and sometimes even lead to early weaning if not properly managed. Understanding the causes, symptoms, and management options can empower parents to navigate this issue and continue their breastfeeding journey with confidence.
What is Mastitis?
Mastitis is an inflammation of the breast tissue that often involves infection. It typically occurs in lactating parents but can also affect non-lactating individuals. Mastitis may cause swelling, redness, and pain in the affected area, often accompanied by flu-like symptoms such as fever, chills, and fatigue.
Mastitis usually stems from milk stasis, which occurs when milk isn’t adequately removed from the breast. This can happen due to:
Poor latch or ineffective nursing: If the baby isn’t latching deeply or emptying the breast efficiently, milk can build up.
Engorgement: Overfull breasts can lead to blocked milk ducts, a common precursor to mastitis.
Missed or irregular feedings: Skipping feedings or going long periods without breastfeeding or pumping can cause milk to accumulate.
Pressure on the breast: Tight clothing, ill-fitting bras, or sleeping positions that compress the breast can contribute to milk stasis.
Cracked nipples: Damaged skin can create an entry point for bacteria, leading to infection.
Recognizing the Symptoms of mastitis can develop quickly and may include:
A hard, painful lump in the breast
Red, warm, or swollen area on the breast
Pain or burning sensation during feeding or pumping
Flu-like symptoms, such as fever, chills, and body aches
Fatigue and overall discomfort
Managing Mastitis
Early intervention is key to managing mastitis and preventing complications. Here are some steps to take if you suspect you have mastitis:
Continue breastfeeding or pumping: Frequent milk removal is essential to resolving mastitis. Start on the affected side to help clear the blockage, and ensure your baby has a deep latch.
Massage and apply heat: Gently massage the affected area, starting behind the blockage and moving toward the nipple. Warm compresses or a warm shower before nursing can help improve milk flow.
Rest and hydrate: Mastitis can take a toll on your body, so prioritize rest and stay well-hydrated to support recovery.
Use pain relief methods: Over-the-counter pain relievers, such as ibuprofen, can reduce inflammation and discomfort. Always consult with your healthcare provider before taking any medication.
Seek professional help: If symptoms persist for more than 24-48 hours, worsen, or you develop a high fever, consult a healthcare provider or lactation consultant. Antibiotics may be necessary if an infection is present.
Preventing Mastitis: While mastitis isn’t always avoidable, these strategies can help reduce your risk:
Ensure a proper latch and effective milk removal during each feeding.
Feed or pump regularly to prevent engorgement.
Avoid tight clothing and underwire bras that can compress breast tissue.
Alternate breastfeeding positions to drain different areas of the breast.
Treat cracked or sore nipples promptly to prevent infection.
When to Call a Professional
If you experience severe symptoms, such as a high fever, pus or blood in your milk, or no improvement after following self-care measures, seek medical attention promptly. Untreated mastitis can lead to abscess formation, which may require surgical intervention.
Mastitis can be a tough hurdle in your breastfeeding journey, but with proper care and support, it is manageable. Remember, you don’t have to navigate this alone. Reach out to a lactation consultant or healthcare provider for guidance and reassurance. With the right approach, you can overcome mastitis and continue providing the incredible benefits of breastfeeding to your little one.

