Breast congestion and its infection

Breast congestion and its infection:
13-15% of women have fever caused by breast congestion after giving birth. Congestion occurs 2-3 days after delivery and the resulting fever does not last more than 14-16 days. This condition is caused by 2-sided breast congestion, tenderness and warmth (without redness).
Treatment: In a person who wants to breastfeed, breastfeeding and milking the breast repeatedly by hand or a suction device. If you don’t want to breastfeed, use a hard corset, compress with an ice pack, prescribe painkillers, and if necessary, stop breastfeeding, use bromocriptine.
Breast infection or mastitis: Occurs one week after giving birth. The common microbe is Staphylococcus aureus and Streptococcus species.
Putting the infant on the breast, the entire nipple and most of the dark area around it (areola) should be placed in the mouth of the infant to prevent the nipple from cracking.
Dermatitis of one breast is locally involved and there is local swelling, sensitivity, redness with general symptoms (weakness, fever, chills, increased heart rate) and purulent discharge may also be seen from the nipple. It is often treated on an outpatient basis by prescribing pain-relieving antibiotics and local compresses and repeated breast emptying.
The appropriate antibiotic is cephalexin (500 mg every 6 hours for 10 days). About 10-15% of those suffering from breast infection develop a breast abscess, in which case it should be drained and drained.
Scarring of the nipple is one of the common complaints by lactating women. It usually happens if breastfeeding is not done properly (only the nipple without a brown halo is in the baby’s mouth).
Do not stop breastfeeding. After each feeding, keep 1-2 drops of milk in the nipple. After a few moments, dry the tip of the chest with a hair dryer. If it doesn’t get better, go to a medical center or a doctor.

Producer: Marjan Fallahi
Source: Main manifestations and treatment of diseases
Maternity and pregnancy emergencies
Compilation date: Autumn 1400
Revision date: 3 years later

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