Mastitis

Mastitis is inflammation of the breast usually from nipple damage and/or blocked duct. Mastitis occurs when there is insufficient drainage of the breast.

How do I know I have mastitis?

• Feeling unwell, achey, shivering (like the flu).

• Redness and Tenderness.

• Uncomfortable lump, reddened area.

How did I get Mastitis?

• Nipple damage.

• Baby’s attachment is not ideal.

• Prolonged time between feeds.

• Stopped breastfeeding suddenly.

• Blocked milk ducts.

• Tight underwire bras causing pressure on breast.

• A baby with a tongue tie having difficulty feeding.

How can I prevent mastitis from happening?

Breastfeed often – babies feed 8-12 times in 24 hours. Don’t delay or miss feeds. Wake baby to feed if breasts are feeling full.

Breastfeed both sides – offer both breasts each feed if possible. If the second breast isn’t taken then offer first the next feed.

Express – you can express off after or before a feed just enough that the feeling of fullness leaves. This may only be a few minutes. 

Look after your breasts – don’t wear restrictive clothing or underwire bras just wear comfortable clothes. 

Ok, I think I have Mastitis what now?

Keep Feeding! – Continue to breastfeed even if you have mastitis. Make sure you are feeding from the affected breast. Breast milk still remains safe. 

Heat and massage (prior to feeds) – placing a heat back or beginning massage prior to a feed may assist with milk flow. It will also help to soften lumps and clear blockages.

Cold (After feeds) – helps reduce the swelling and pain associated with mastitis after feeds. Tip: Fill a nappy with cold water and place in the freezer, then cover your breast. 

Rest and Pain relief – make sure you rest and drink lots of fluid. It is safe to take regular pain relief such as Panadol and Ibuprofen to help with inflammation.