Contents of the article

  • 1 The causes of
    • 1.1 Uninfected mastitis
    • 1.2 Infected mastitis
  • 2 Treatment of mastitis
    • 2.1 When to take antibiotics
  • 3 Prevention
Vaccination: author →

Mastitis is an inflammatory process in the tissues of the mammary gland. In medical practice, the disease occurs not only in lactating women. They can get sick both men and children, including newborns. But it is the young mothers who are prone to illness more than others, because their breasts are in a "risk zone".

A woman feels her breasts

Causes of

Contrary to the popular belief that mastitis occurs, it is only necessary to chill the chest, the causes of the disease are found in a completely different. To catch a chest, jokers consult lactation, you can only put it naked in the cold. Your breasts are inextricably linked to the processes in your body. And if you freeze in cold weather or, for example, soak your feet, immunity will weaken, and the disease will reall

y get a chance. However, this is characteristic of the so-called recurrent or untreated mastitis, which is repeated regularly.

The reasons for the primary disease lie in the wrong organization of breastfeeding, joining the infection.

  • Complicated lactostasis. In ninety-five percent of cases, lactostasis( milk congestion in the duct) passes within one to two days with the correct technique of treatment. It requires active resorption of the breast, for which the baby is put in it hourly. If over four days to cope with stagnation did not work, the swelling of the tissues becomes inflamed. There is a complication due to the fact that the body sees the stagnant protein of breast milk as an "enemy" and sends there the forces of immune defense. Redness is formed, the inflamed share becomes painful.
  • Infection. She can quietly "sit" in the body until she has a chance to "escape" outward. Foci of infection are chronically inflamed palatine tonsils( tonsillitis), carious cavities in the teeth. Bacteria can enter the thoracic ducts during the mother's sore throat. But the shortest way for them is through the cracks in the nipples.

Depending on how the mastitis arose during breastfeeding, two of its forms are distinguished.

A woman measures body temperature

Uninfected mastitis

Represents untreated lactostasis, which was complicated due to excessive swelling of the tissues.


  • deterioration of state of health against the background of existing compaction in the chest;
  • increase in temperature to 38 and above;
  • soreness of the affected dairy lobe, swelling, redness.

To diagnose uninfected mastitis, breastfeeding counselors recommend measuring body temperature in three areas: under the arm, in the elbow, in the groin. If it is higher in the armpit, then you have developed complicated lactostasis. It is the most "simple" form of mastitis, for the treatment of which antibiotics are not required.

The woman closed her chest in her hands

Infected mastitis

Develops due to an attached infection. Can become a "continuation" of non-infectious mastitis, if the treatment was not started on time.


  • progressive deterioration of a woman's condition;
  • acute soreness of affected part, pain when touching and walking, redness, chest becomes hot;
  • increase in body temperature, maintaining it for more than two days using the tactics of treating uninfected mastitis.
The danger of infected mastitis is that, without antibiotic treatment, it can develop into an abscess: the formation of purulent cavities in the thoracic lobes. Abscess is to be removed surgically or by suction of pus during medical manipulations. Lack of timely treatment creates a threat to the life of a woman.

Treatment of mastitis

Having noticed signs of mastitis during breastfeeding, it is necessary to begin treatment immediately. The earlier measures are applied, the faster your well-being will improve, and the development of complications is less likely. Be sure to consult a doctor, especially if several days have passed since the onset of the illness. But at home you can do a lot.

  • The baby sucks his chest Get rid of stagnation in the chest. There is no more important task in the treatment of mastitis than to remove the "milk plug" that clogged the duct. The best way to eliminate stagnation will be frequent attachments to the baby's breast. For the kid in this there is no danger, even if you develop an infected mastitis. You will be able to empty the breast as effectively as possible, which will not be provided by any breast pump.
  • Choose the right posture. Attach the baby to the chest so that his chin is pointed toward the affected lobe. In such a pose, the crumb will be better emptied of the area where there is stagnation.
  • Relax before feeding to facilitate the drainage of milk. To do this, take a warm shower or attach a warm compress to your chest. To relieve spasm from the thoracic ducts during the treatment of mastitis during breastfeeding will help "Magnesia".Apply the preparation to the tissue( need 5-10 ampoules), attach to the mammary gland and soak for 15 minutes. Take care that the medicine does not get on the nipple or thoroughly rinse it with warm water before feeding.
  • Breast compress Use compresses to eliminate swelling. In periods between feedings, use cold compresses from cabbage leaf, skim cottage cheese, apply ice wrapped in cloth. Cold will reduce the flow of blood into the affected area and reduce pain. From medical preparations "Arnika", "Traumeel S" ointments will help. They need to lubricate the swollen areas.
  • Fight with temperature as needed. The presence of temperature indicates that your immune system is fighting bacteria that caused inflammation in the milk lobe. If the temperature is low, and you can safely carry it, let the body fight at full strength. If the temperature rises above 38.5 °, use a safe antipyretics. It can be drugs based on Ibuprofen, which reduce temperature, reduce the severity of pain and contribute to the elimination of inflammation. Or "Paracetamol", which will reduce the temperature and pain.
  • Have a rest! Mastitis, like the flu, must be cured. Leave all household chores close, seek help from grandmothers and girlfriends. Ensure a constant bed rest with the baby "at his side" with unlimited access to the sick chest. By the way, do not forget about healthy, so that during the treatment of mastitis in one breast, lactostasis did not form in the second.

Tablets in a jar

When to take antibiotics

Uninfected mastitis during breastfeeding passes without the use of antibiotics, with the help of folk remedies and the correct organization of the baby's attachments. But there are situations when antibacterial drugs are indispensable. The tactics of treatment is offered by the famous Canadian pediatrician Jack Newman, the founder of the first nursing mothers care clinic, an expert of UNICEF.

According to Jack Newman, it is necessary to take antibiotics if:

  • the symptoms do not go away within twenty-four hours: the temperature, redness, painful swelling persists;
  • the disease runs unchanged, the woman does not get any better or worse within twenty-four hours;
  • for twelve hours there is a sharp deterioration of the condition: pain, enlargement of the affected area or its hardening.

You do not need to take antibiotics if:

  • has reason to diagnose a woman with mastitis, but less than twenty-four hours have elapsed since it started, and the correct treatment tactic is being used;
  • without the use of antibacterial agents the patient's condition began to improve.
Antibiotics should always be approved with a doctor. But many experts do not run the risk of working with nursing mothers, demanding to temporarily stop breastfeeding. Be sure to tell your doctor about your intention to continue breastfeeding and ask to choose antibiotics compatible with lactation.

For the treatment of mastitis, antibacterial agents that affect Staphylococcus aureus are chosen. Traditional drugs based on penicillin and its modern synthetic analog "Amoxicillin" often prove ineffective against these bacteria. Combined antibacterial drugs are more effective:

  • "Amoxiclav";
  • Clindomycin;
  • "Ciprofloxacin";
  • Flukloxacillin;
  • "Cephalexin";
  • "Cloxacillin".

Jack Newman draws attention to the possibility of using these drugs without the need to interrupt breastfeeding."There is no danger for the child," he writes in the article "Stagnation of milk and mastitis.""The disease goes faster if you continue to breast-feed."

A woman is breastfeeding lying down


It is known that preventing a disease is easier than dealing with it. Recommendations for the prevention of mastitis in breastfeeding are the same as for the prevention of lactostasis.

  • Feed often, regularly. Consultants on the GW insist on the organization of a "on demand" feeding regime, both natural and physiological. Regular consumption of milk by a child without many hours of breaks is the best prevention of stagnant phenomena.
  • Change the poses. Apply crumbs to the classic "cradle", from under the arm, knife in the direction of your head. Different postures during feeding allow to release different parts of the breast.
  • Watch for the correctness of sucking. Sponges of crumbs should cover almost the entire areola of the nipple, and not just its tip, the tongue - located under the nipple. With this application, sucking does not cause discomfort in the mother, and the milk ducts work fully.
  • Do not express in vain. With the correct mode of feeding in the decanting is not necessary. Otherwise, you risk getting a hyperlactation - increased production of milk, which often becomes the cause of regular mastitis.
  • Choose the right clothes. The bra should not squeeze the breast, preventing the outflow of milk. Wear only one that is specifically designed for nursing mothers.
  • Protect your chest from injury. Blockage of vessels can provoke strokes, bruises. When cracks appear, do not rush to wash them regularly with soap. It will wash off the natural fatty protective layer of the skin and open the way for bacteria. For the hygiene of the mammary glands, a daily warm shower is sufficient.
  • Exorcise gradually. A large percentage of mastitis occurs with a sudden introduction of complementary foods or exfoliation "in one day," when the usual mode of breast release is disrupted. Breastfeeding should "go away" from the life of the mother and child gradually. Then, the excommunication and transition to the "adult" diet will pass without negative consequences for the mother.

Finally, have fun! Get enough sleep, rest more often, feel yourself, first of all, a woman, beloved mother. In life, always involve assistants, do not wear weights. On this depends not only your emotional state, but also your health.

Mastitis is a dangerous disease, but not all women face it during lactation. If it arose, do not be afraid. As evidenced by the reviews, timely conservative treatment of mastitis while breastfeeding, demonstrates the highest effectiveness. The disease does not end with an abscess and an operation, if you are attentive to yourself, you will choose the right tactic of action at its first manifestations.