Mastitis
I have been breastfeeding my six-month-old, but noticed this morning an area of warmth and tenderness on my left breast. Could it be mastitis?
Mastitis is a breast infection that causes localised tenderness, redness and warmth. The infection can also produce flu-like symptoms such as muscle aches, high temperature and chills. The infection, usually caused by a bacteria (staphylococcus or streptococcus) can be transferred from the baby's nose, mouth or skin onto the mother's breast. If the nipple is cracked, then the bacteria has a ready route into the breast.
If the breast duct is blocked as a result of inadequate or infrequent emptying, then the retained breast milk provides an ideal medium to support bacterial growth.
How can it be treated and will I have to stop breast feeding my baby?
You need to get the condition treated promptly, as a delay can result in a breast abscess developing. Antibiotic treatment will quickly reduce discomfort while analgesics will help reduce pain and inflammation. Mastitis does not mean you have to abandon breast feeding as continuing to feed will help empty the breast, removing residual milk in which bacteria thrive and sustain milk production. Be sure to wear well-fitting nursing bras, and support the breast with a pillow while lying down. Warm or cold packs applied indirectly to the affected breast prior to feeding will help reduce pain. You should start feeding on the affected breast first as this will promote complete emptying of the ducts as your baby feeds.
Can I do anything to prevent it happening again?
You should review your current feeding method and make sure your baby is sucking correctly. Routinely check for areas of tenderness or firmness in the breasts and massage these gently while your baby feeds.
Dry airing the nipples after feeding helps prevent cracks developing. Use a vitamin-based ointment on the nipples if they develop cracks or dryness. Washing your hands prior to feeding will help prevent transmission of infection.
Fatigue, stress and insufficient fluid intake can all contribute to making you more prone to mastitis, so it's important to take good care of yourself. Drink plenty of water and other fluids but limit caffeine drinks as they may cause dehydration. Contact your local public health nurse for support.