Acute mastitis occurs how long after childbirth?

Written by Zhang Chao Jie
Breast Surgery
Updated on September 25, 2024
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Acute mastitis can occur a few weeks after childbirth, usually within the first two to three weeks, although it can also appear later during the breastfeeding period. The key issue is to maintain the flow of breast milk and the patency of the milk ducts during breastfeeding. It is recommended to wash both nipples before breastfeeding, let the baby completely empty one breast first, then move on to the second breast. If the baby is full and doesn't finish the milk from the other breast, it's best to empty that breast either by using a breast pump or having the father extract the milk. For the next feeding, start with the other breast, which was the second breast previously used, and alternate accordingly. Additionally, nipple care is important; after the baby has finished feeding, express a little milk and apply it on the nipple surface. Before the next feeding, wash the nipple with clean water more diligently. This can help reduce the occurrence of acute mastitis.

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Written by Lin Yang
Breast Surgery
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Can acute mastitis be treated with hot compresses?

Acute mastitis can be treated with hot compresses, which can reduce local pain, dilate the milk ducts, and facilitate the expulsion of milk. To completely cure mastitis, it is essential to visit a hospital for examination. Under a doctor's guidance, taking antibacterial drugs for anti-infection treatment is recommended. For women who are breastfeeding, the priority in treating mastitis is to empty the breast milk first; thereafter, taking antibacterial drugs for anti-infection treatment is advisable. For severe cases of mastitis, it may be necessary to perform puncture aspiration or incision and drainage to achieve optimal treatment results. Patients with mastitis should pay attention to their diet and eat lightly in daily life, avoiding particularly greasy foods. It is advisable to eat light meals, vegetables, and fruits.

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Written by Lin Yang
Breast Surgery
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Early treatment of acute mastitis

In the early stages of mastitis where there is pain but no redness and swelling, applying heat and then having a lactation masseur clear any residual milk can be effective. However, if symptoms like high fever and chills occur, along with localized redness and swelling, it is advised to go to the hospital to have a complete blood count and an ultrasound. If the leukocyte count is under 10,000 and there is localized swelling, topical application of Rifanuo and oral anti-inflammatory medication can be curative, but it is necessary to stop breastfeeding. If the leukocyte count exceeds 10,000, intravenous antibiotics may be required, alongside cessation of breastfeeding. Then, using a breast pump to extract the milk can help in healing. (Please use medications under the guidance of a doctor.)

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Written by Lin Yang
Breast Surgery
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What should I do if acute mastitis bursts?

An acute breast abscess has ruptured, and it should be treated in a formal hospital setting. Under general anesthesia through intravenous administration, the abscess area should be expanded to the normal tissue via an incision. Then, using color ultrasound for abscess localization, to avoid damaging the milk ducts and prevent fistula formation, the incision should follow the direction of the milk ducts, extending radially towards the areola. If there are multiple abscess cavities, the partitions between the cavities should be opened with a finger. If necessary, multiple incisions should be made, or successive operations for drainage of the abscess cavities might be required. Latex sheets or drainage tubes may be used.

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Breast Surgery
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What is acute mastitis?

Acute mastitis is an acute purulent infection of the mammary gland, commonly occurring in women during the postpartum breastfeeding period, especially more frequently seen in primiparous women. It usually occurs within three months after delivery, particularly in the third and fourth weeks postpartum. Therefore, it can also be referred to as postpartum mastitis or lactational mastitis. The main causes are due to bacterial invasion, stagnation of milk, and a decrease in the body's immune function. The primary pathogens are generally Staphylococcus aureus, with occasional cases involving Streptococcus. In such instances, it is recommended to conduct a routine blood test for the mammary gland and an ultrasound to determine the severity of the mastitis.

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What should be noted for acute mastitis?

For acute mastitis, it is important to keep the nipples clean. The nipples should often be washed with soapy warm water, and rinsed with clean water before and after breastfeeding. Patients with inverted nipples should gently extrude the nipple before cleaning it, but should not use alcohol to clean the area, as alcohol can make the skin of the nipple and areola brittle and prone to cracking. It is important to develop good breastfeeding habits, breastfeeding on a regular schedule, and ensuring that all the milk is drawn out each time. If the milk cannot be fully expressed, it should be manually massaged out or extracted using a breast pump. Additionally, do not let the baby sleep with the nipple in their mouth. If there are any nipple injuries or cracks, stop breastfeeding, use a breast pump to extract the milk, and resume breastfeeding only after the wounds have healed.