Breast Unit
Mastitis (Breast Feeding & Pregnancy)
Mastitis
Mastitis or lactational infection is commonly seen within the first 6 weeks of breast feeding, especially after the first pregnancy, but can also sometimes occur during weaning.
A cracked nipple or skin erosion is usually the route for Staphylococcal entry. Drainage of milk from the affected segment is recommended by continuing lactation if possible along with antibiotic therapy using flucloxacillin.
If the mastitis has progressed into abscess formation, then repeated needle aspiration with antibiotic treatment is usually all that is required but occasionally surgical drainage under general anaesthesia may be necessary.