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Breastfeeding Challenges

Breast Infections

It has been reported that up to 30 percent of all nursing women develop mastitis—an infection of the breast that causes flu-like symptoms, including fever, chills, achiness, headache and sometimes nausea and vomiting. Normally, only one breast is affected and becomes swollen, tender and reddened in a limited area. Mastitis occurs most commonly in the first three months after giving birth. Breast infections usually are caused by cracked nipples or a plugged milk duct, though a tight bra, skipped feedings, infrequent changes of wet breast pads, anemia, stress or fatigue may also be contributing factors.

Treatment for Breast Infections

If you think you may have an infection, contact your doctor. Most doctors prescribe antibiotics for mastitis, but with prompt and proper treatment, the symptoms usually subside within 24 hours. Though professional advice is best, the following treatments may also help:

Remove or change your bra if it is uncomfortable, tight or presses into part of your breast.
Nurse frequently, at least every two hours, and begin each nursing on the affected breast (unless your doctor instructs you otherwise). This is not harmful to your baby. Discontinuing nursing, on the other hand, may slow healing and lead to the development of a breast abscess (swollen or inflamed breast tissue).
Increase your fluid intake so you notice an increase in urination.
Apply moist heat to the breast for 15 to 20 minutes before nursing and intermittently between feedings.
Check your temperature every four hours. Consult your doctor if you run a high fever and ask about over-the-counter pain relievers.
Ask your doctor or lactation consultant about vitamin supplements that may help speed healing.
Try to identify the probable cause of the infection to prevent a recurrence.

This publication is for general informational purposes only and it is not intended to provide any reader with specific authority, advice or recommendations. Where you deem necessary, we suggest that you seek advice regarding your particular situation from the appropriate professional.