You may have heard of the condition mastitis, an inflammation of the breast tissue, common during the postpartum period. This article takes a look at the condition, how to spot it, and what steps you can take to reduce the likelihood of developing mastitis, along with treatment options.
Mastitis is an inflammation of the breast tissue, usually caused by a blocked milk duct or an infection. Contrary to popular belief, mastitis can occur in anyone, even males, although it predominantly affects breastfeeding mothers. If you have breast tissue (most humans), you can get mastitis. Mastitis can occur when milk isn’t fully drained from the breast after feeding. This leads to a build-up that irritates the tissue or provides an environment for bacteria to grow. Bacteria tends to enter the body through cracked nipples caused by poor attachment from the baby or tongue tie concerns.
How do I know if I have mastitis?
It’s crucial to identify mastitis early and you can do this by recognising how symptoms may appear across different skin tones. The hallmark signs include redness, swelling, and warmth in the affected area of the breast. On lighter skin, this can present as a red patch, whereas on darker skin tones, the redness might be subtler or appear as a deeper discoloration. On all skin, the area may also be warm to the touch. Other symptoms include pain or tenderness in the breast, flu-like symptoms such as fever, chills, and fatigue, and occasionally, a lump that may feel sore. Mastitis can be extremely uncomfortable but is treatable.
If you suspect you have it, the first step is to ensure the affected breast is emptied regularly. You can do this by continuing to breastfeed or by expressing milk by hand or with a pump. This can help to clear any blockage in the milk ducts. It’s often recommended to start feeding or pumping on the affected side first, as the stronger suction at the beginning of a session can help. Warm compresses before feeds and gentle massage during nursing or pumping can also provide relief and support milk flow. Bes sure to rest, drink plenty of water and eat well as this all helps with recovery from mastitis.
In some cases, mastitis may require medical treatment, particularly if it doesn’t improve within a day or two, if there is a high fever or if symptoms worsen. Antibiotics may be prescribed to treat a bacterial infection, and they are usually safe to use while breastfeeding but do check with your doctor. Pain relief, such as paracetamol or ibuprofen, can also help manage discomfort and reduce inflammation. However, always consult a healthcare professional before taking any medication while breastfeeding.
Where can I get support for mastitis?
Your GP or health visitor should be your first port of call, and they can provide guidance and treatment if necessary. You can also contact a breastfeeding specialist or lactation consultant for practical advice on latch, positioning, and other techniques to prevent recurrence. For immediate advice, the National Breastfeeding Helpline (0300 100 0212) is available.
Mastitis can often feel isolating and challenging, but it’s important to remember that you’re not alone. With the right support and care, it is possible to overcome it and continue your breastfeeding journey successfully. Education is key, and taking time to prepare for breastfeeding during pregnancy or in the early days postpartum can make a significant difference.
If you’re looking for comprehensive breastfeeding guidance, I highly recommend exploring the NowBaby Breastfeeding Course. This on-demand course is tailored to the needs of new parents, offering practical advice and support to help you navigate breastfeeding with confidence.