Ileana Berrios, MS, IBCLC

Breastfeeding is a beautiful journey, but it can sometimes come with challenges. One such challenge is mastitis, an inflammation of the breast tissue that can cause pain, swelling, and even infection. Understanding how to prevent and manage mastitis is essential for maintaining a healthy breastfeeding experience. Here are some tips to help you navigate this condition effectively.

Understanding Mastitis

Mastitis can occur when a milk duct becomes blocked or bacteria enter the breast through a cracked nipple. It often results in a painful, swollen breast and can be accompanied by flu-like symptoms such as fever, chills, and fatigue. While it can be uncomfortable, the good news is that mastitis is treatable, and there are ways to prevent it from occurring.

Essential Tips for Managing Mastitis

To help manage mastitis and relieve symptoms, the Academy of Breastfeeding Medicine recommends the following strategies:

1. Apply Ice Packs

Applying ice to the affected breast can help reduce inflammation and alleviate pain. Use ice packs for 5-10 minutes every 2-3 hours to minimize swelling.

2. Practice Lymphatic Massages

Lymphatic massages can help improve lymphatic drainage and reduce swelling. Gently massage your breasts in a circular motion between feedings to encourage milk flow and prevent blockages.

3. Take NSAIDs

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help reduce swelling and relieve pain. Be sure to follow the dosage instructions and consult with your healthcare provider if you have any concerns.

4. Use Warm Compresses While Nursing or Pumping

Applying a warm compress to the affected breast while nursing or pumping can help ease milk flow and relieve discomfort. However, avoid using warm compresses between feedings, as this can increase swelling.

When to Seek Medical Attention

While many cases of mastitis can be managed at home, it's crucial to seek medical attention if you experience severe symptoms. If you have a fever of 100.4°F (38°C) or higher, consult with your doctor or visit your nearest urgent care center. A healthcare professional can determine whether antibiotics or other treatments are necessary to address an infection.

Tips for Preventing Mastitis

Prevention is key when it comes to managing mastitis. Here are some tips to help reduce your risk:

  • Ensure Proper Latch: A good latch ensures effective milk removal, reducing the risk of blockages.
  • Frequent Feeding: Nurse or pump frequently to keep milk flowing and prevent engorgement.
  • Alternate Breasts: Alternate the breast you start with at each feeding to ensure even milk drainage.
  • Wear Comfortable Bras: Avoid tight-fitting bras that can constrict milk ducts.

Conclusion

Mastitis can be a challenging hurdle on your breastfeeding journey, but with the right strategies, you can manage and prevent this condition. Listen to your body, seek support when needed, and consult your healthcare provider if you experience severe symptoms. By taking proactive steps, you can continue enjoying the many benefits of breastfeeding for you and your baby. Remember to continue breastfeeding and pumping as usual, as this doesn't affect your baby.


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