From the Guidelines
Mastitis treatment should involve continuing to breastfeed or express milk from the affected breast, along with antibiotics and supportive measures, as this approach has been shown to be effective in managing the condition and preventing complications 1.
Key Components of Mastitis Treatment
- Antibiotics: Dicloxacillin or cephalexin for 10-14 days is typically recommended for bacterial mastitis
- Pain management: Ibuprofen or acetaminophen can be used to manage pain and reduce inflammation
- Supportive measures: Applying warm compresses before feeding and cold packs after, ensuring proper latch and breast emptying, and staying hydrated and getting adequate rest
Importance of Continuing Breastfeeding
- Continuing to breastfeed or express milk from the affected breast can help prevent milk stasis, which can worsen inflammation and increase the risk of complications such as breast abscess
- Breastfeeding can continue on the affected side as long as the infant's mouth does not contact purulent material, according to the American Academy of Pediatrics 1
Monitoring and Follow-up
- If symptoms do not improve within 48 hours of antibiotic therapy, follow-up with a healthcare provider is essential to reassess treatment and prevent complications
- Untreated mastitis can progress to breast abscess, requiring surgical drainage, highlighting the importance of prompt and effective treatment 1