1101 First Colonial Road, Suite 100
Virginia Beach, Virginia 23454

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MASTITIS:  Is a  common breastfeeding condition that originates from bacteria in the infants mouth.  
DON'T STOP: Empty breasts regularly/adequately helps.  It is very important to continue breastfeeding - starting on the affected side.  If you stop breastfeeding with an ongoing infection it worsens the condition and abscess risk
DRINK WATER:  8 or more glasses of clear liquid/water each day.  
COMFORT STRATEGIES:  Apply moist heat - speeds up milk letdown, eases soreness. Apply cool packs - to decrease swelling (alternate with moist heat).  Use Acetaminophen or Ibuprofen to reduce fever and discomfort.
AVOID: breast shells and tight-fitting bras
USE: Lanolin creams may be used to treat nipples
GENTLY MASSAGE: to increase milk drainage from infected area
CONSIDER BREAST PUMP: If you cannot nurse due to pain - gently try a breast pump 
FLOAT IN WATER: Express milk lying in tub of warm water with breast floating comfortably  
REVIEW YOUR TECHNIQUE: Make sure your baby  does not pull excessively on your nipple. Consider a lactation consultant to evaluate your nursing technique.
THE MILK IS SAFE: Your milk is safe for infant but has increased sodium, infant may reject it
START ANTIBIOTICS: For best response start antibiotics within 24 hours of infection onset. CALL US. Antibiotics may be prescribed for 10-14 days. Expect response within 48 hours of antibiotics or notify the physician. Please finish all antibiotics. 

  • Dicloxacillin 500 mg 4x/day for 10-14 days.
  • Keflex 500 mg 4x/day for 10-14 days.
  • Clindamycin 300mg 4x/day for 10-14 days. (If Penicillin allergic)
  • Septra DS 1 tab twice a day for 10-14 days (If resistant to other antibiotics)

FOR BEST RESPONSE: use BOTH regular emptying and antibiotics 
RECURRENCES ARE COMMON: 
BREAST ABSCESS: If breast abscess occurs, you must stop breast-feeding. We will consider changing antibiotics, a fully developed abscess must be drained (opened with a scalpel) to help with cure (numbing medicine is used).
FOLLOWUP APPOINTMENT: Schedule follow-up in 7 days to be checked for an abscess.
WARNING SIGNS: Call us for worsening fever/chills, worsening redness or breast hardening