Last update: Jan. 19, 2019

Puerperal mastitis

Very Low Risk for breastfeeding


Safe. Compatible.
Not risky for breastfeeding or 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. 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).

The full text diagnosis and treatment in Spanish can be consulted in the bibliography, updated to 2018 on our servers (Paricio 2017).


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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.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Puerperal mastitis is also known as Maternal Mastitis. Here it is a list of alternative known names::


Group

Puerperal mastitis belongs to this group or family:

References

  1. Paricio Talayero JM. Diagnóstico y manejo de la mastitis en la madre lactante. Actualización. IX Congreso Español de Lactancia Materna. Mesa 6: Abordaje del dolor al amamantar. Zaragoza, 2017 Full text (link to original source) Full text (in our servers)
  2. Amir LH, Griffin L, Cullinane M, Garland SM. Probiotics and mastitis: evidence-based marketing? Int Breastfeed J. 2016 Abstract Full text (link to original source) Full text (in our servers)
  3. Espínola-Docio B, Costa-Romero M, Díaz-Gómez NM, Paricio-Talayero JM; Comité de Lactancia Materna, Asociación Española de Pediatría.. Mastitis. Puesta al día. [Mastitis update.] Arch Argent Pediatr. 2016 Abstract Full text (link to original source) Full text (in our servers)
  4. Baeza C. Dolor en la mama lactante: claves etiológicas y manejo clínico (I). Monografías Clínicas en Lactancia Materna. Madrid: Centro Raíces 2015, p.3-13. 2015 Full text (link to original source) Full text (in our servers)
  5. Amir LH. ABM Clinical Protocol #4: Mastitis, Revised March 2014. Breastfeed Med. 2014 Abstract Full text (link to original source) Full text (in our servers)
  6. Cabou A, Babineau S, St Anna L. Clinical inquiry: what's the best way to relieve mastitis in breastfeeding mothers? J Fam Pract. 2011 Abstract Full text (in our servers)
  7. Hanna L, Cruz SA. Candida mastitis: a case report. Perm J. 2011 Abstract Full text (link to original source) Full text (in our servers)
  8. Jahanfar S, Ng CJ, Teng CL. Antibiotics for mastitis in breastfeeding women. Cochrane Database Syst Rev. 2009 Abstract
  9. Spencer JP. Management of mastitis in breastfeeding women. Am Fam Physician. 2008 Abstract Full text (link to original source) Full text (in our servers)
  10. Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #4: mastitis. Revision, May 2008. Breastfeed Med. 2008 Abstract
  11. Carmichael AR, Dixon JM. Is lactation mastitis and shooting breast pain experienced by women during lactation caused by Candida albicans? Breast. 2002 Abstract
  12. Brent NB. Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment. Clin Pediatr (Phila). 2001 Abstract
  13. Bodley V, Powers D. Long-term treatment of a breastfeeding mother with fluconazole-resolved nipple pain caused by yeast: a case study. J Hum Lact. 1997 Abstract
  14. Sedlmayr T, Peters F, Raasch W, Kees F. [Clarithromycin, a new macrolide antibiotic. Effectiveness in puerperal infections and pharmacokinetics in breast milk]. Geburtshilfe Frauenheilkd. 1993 Jul;53(7):488-91. German. Abstract
  15. Ogle KS, Davis S. Mastitis in lactating women. J Fam Pract. 1988 Abstract
  16. Dixon JM. Repeated aspiration of breast abscesses in lactating women. BMJ. 1988 Abstract Full text (link to original source) Full text (in our servers)
  17. Nakamura T, Hashimoto I, Sawada Y, Mikami J. [Clinical studies on cefuroxime axetil in acute mastitis]. Jpn J Antibiot. 1987 Abstract

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