Last update: Nov. 30, 2019
Minimal risk for breastfeeding and infant.
Mastitis is the inflammation of a part of the surrounding mammary tissue. It may be infectious in origin or not. The microbe most often involved is Staphylococcus aureus.
Effective treatment requires resting of the mother, a thorough emptying of the breast, use of anti-inflammatory drugs and in case of no amelioration, it should be necessary a course of antibiotics that must be effectively active against Staphylococcus aureus.
The nursing infant may be latched on to the inflamed breast without bad consequences for the child (Lawrence 2013). Emptying of the breast is important for treatment, with the baby being the most effective extractor. Better results are obtained with a continued lactation during the treatment with antibiotics. Incidentally, the baby may refuse sucking the breast because a salted flavor of the milk, in which case, it should be manually or mechanically pumped.
Medication used for the treatment of mastitis, such as antibiotics and anti-inflammatory drugs, is compatible with breastfeeding (see Ibuprofen, Paracetamol, Cloxacillin, Cefalexin, Cefadroxil, Clavulanic-Amoxicillin)
There is not definite proof on the effectiveness of probiotics in the treatment of mastitis, however, they are compatible with breastfeeding. A fecha de última revisión no hay pruebas científicas válidas de que el uso de probióticos (véase ficha) sea eficaz para tratar mastitis o dolor mamario en las mujeres (Amir 2014, Baeza 2015, Espinola 2016, Amir 2016). Su uso indiscriminado puede retrasar otros tratamientos y ser oneroso económicamente (Amir 2016).
Evidence that orally administered can get into the milk is lacking (Elias 2011).
The use of presumably preventive probiotics during pregnancy was associated with an increased risk of mastitis and other complications of breastfeeding during the first month of breastfeeding (Karlsson 2019).
The full text diagnosis and treatment in Spanish can be consulted in the bibliography, updated to 2018 on our servers (Paricio 2017).
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
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