Breastfeeding: Mastitis Management Thoughts

Given the commonality around the condition of mastitis in the lactating, post-partum mom, you've probably heard this buzz-word at some point during your pre-natal or post-partum period.

But - did you know that the medical management of mastitis is not straightforward as many often suggest, and is one of the leading causes of early cessation of breastfeeding?

In fact, in my experience, many practitioners are not familiar with the new evidence-based guidelines for management of mastitis, and their clinical practice and plan of care for you if you develop this condition might be outdated or generalized. I can’t tell you how many resources I’ve come across that still suggest heat, aggressive massage, and and/or antibiotics as the “go-to” management for mastitis. It’s just not that simple – and in fact - it’s possible that this could not be optimal and/or do harm for your recovery, health and wellness.

Did you know that over-stimulation or pumping to empty can often make mastitis worse? Did you know not all mastitis requires antibiotics, and in-fact, most may not?

Thanks to advancing research, we now understand that mastitis is a spectrum of varying conditions that arise from complex – and maternally specific - processes.

What does that mean for you? It means that if you do develop mastitis, you need an individualized care plan that takes into account your birth, your body, your baby, and your personal health and wellness.

Should you show signs or symptoms of this condition I will guide you through

• Expectations regarding the clinical course of mastitis

• Best practices for feeding and pumping

• The in’s and out’s of bra support and nipple shields

• What (or if!) massage techniques are right for you

• The usage of over-the-counter topical ointments

• Probiotic recommendations

• Appropriate medical interventions.

If you develop bilateral breast swelling, firmness, and/or pain, especially in the first 3-11 days post-partum, please schedule an appointment. I am here to support you as you navigate through these early days, and I whole-heartedly want to assist in ensuring the success of your breastfeeding journey.