Postpartum Risk: Mastitis

What is Mastitis?

-    Infection of the breast usually resulting from invasion of nipples by pathogens.
-    Prevention of mastitis comes with the prevention or management of sore nipples.

Assessment:
•    Usually involves only one breast.
•    There is positive localized pain, swelling, and redness.
•    Mother may be febrile and milk production may be scant.

Management:
•    Administration of cephalosporins (broad-spetrum antibiotics) as ordered.
•    Breast feeding can still be and should be continued because emptying of the milk in the breast eliminates a good medium for bacterial growth.
•    Breast feeding for women with mastitis may be too painful.  Manual expression of milk from affected breast is encouraged.
•    Ice compresses and good supporting brassieres relieve women from discomfort.
•    Warm compresses can reduce inflammation and edema.
•    If untreated, it may progress as a local abscess.  In the presence of abscess, breastfeeding is discontinued but they are still encouraged to manually empty breast.
•    Assure women that neither abscess nor mastitis leaves any permanent breast disease.  It is not associated with the development of breast cancer and does not interfere with future breastfeeding potential.


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