From the Research
Mastitis typically causes a temporary decrease in milk supply that can last for about 24-48 hours during the acute phase of infection. According to the most recent study 1, lactational mastitis usually occurs in the first 3 months postpartum and can be treated with conservative measures such as nonsteroidal anti-inflammatory drugs, ice application, and frequent feeding or pumping.
Key Points to Consider
- The study 1 suggests that most cases of mastitis are caused by inflammation and not a true infection, and a 1- to 2-day trial of conservative measures is often sufficient for treatment.
- If symptoms do not improve, narrow-spectrum antibiotics may be prescribed to cover common skin flora, and most patients can be treated as outpatients with oral antibiotics.
- Factors that increase the risk of mastitis include overstimulation of milk production and tissue trauma from aggressive breast massage, and the best prevention is a proper lactation technique, including a good infant latch, and encouraging physiologic breastfeeding rather than pumping, if possible.
- To help maintain and restore milk supply during mastitis, it is recommended to continue to nurse or pump frequently from the affected breast despite discomfort, as emptying the breast helps clear the infection and maintains production.
- Applying warm compresses before feeding, massaging any clogged areas gently, and ensuring proper latch if breastfeeding can also help.
- Staying well-hydrated and rested is crucial to support recovery, and if milk supply does not begin improving within 3-4 days of starting treatment, or if a significant ongoing reduction in milk production is noticed after the infection clears, consulting with a lactation consultant or healthcare provider may be necessary to rebuild milk supply.