Acute mastitis occurs how long after childbirth?

Written by Zhang Chao Jie
Breast Surgery
Updated on September 25, 2024
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Acute mastitis can occur a few weeks after childbirth, usually within the first two to three weeks, although it can also appear later during the breastfeeding period. The key issue is to maintain the flow of breast milk and the patency of the milk ducts during breastfeeding. It is recommended to wash both nipples before breastfeeding, let the baby completely empty one breast first, then move on to the second breast. If the baby is full and doesn't finish the milk from the other breast, it's best to empty that breast either by using a breast pump or having the father extract the milk. For the next feeding, start with the other breast, which was the second breast previously used, and alternate accordingly. Additionally, nipple care is important; after the baby has finished feeding, express a little milk and apply it on the nipple surface. Before the next feeding, wash the nipple with clean water more diligently. This can help reduce the occurrence of acute mastitis.

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Written by Lin Yang
Breast Surgery
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What are the symptoms of acute mastitis?

During the onset of acute mastitis, symptoms often include high fever and chills, and the affected breast may enlarge and become firm, with throbbing pain that becomes more apparent during breastfeeding. This is usually accompanied by an increase in local skin temperature, redness and swelling, and tenderness. If the area softens over a short period, an abscess may have formed. If the infection is not controlled, it can lead to systemic infection or sepsis. Patients often have swollen lymph nodes, and blood tests show elevated neutrophil counts in white blood cells.

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Written by Li Li Jie
Obstetrics and Gynecology
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What should I do if I have acute mastitis?

If acute mastitis occurs, the first step is to promptly relieve the blockage of the milk ducts, ensuring smooth drainage of breast milk. This can be achieved through warm compresses, massage, and the use of a breast pump for most cases of acute mastitis. With early intervention, significant relief can usually be achieved. However, if the condition has been prolonged and is severe, it is advisable to visit a formal hospital. Prompt medical attention and diagnostic tests, such as a complete blood count and localized ultrasound, are needed to further understand the condition and administer appropriate antibiotic treatment. If an abscess forms in the breast, it should be surgically drained as soon as possible. Maintaining good hygiene, paying attention to a gentle diet, and adopting good living habits, such as going to bed early and waking up early, are also important.

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Written by Zhang Chao Jie
Breast Surgery
56sec home-news-image

Acute mastitis occurs how long after childbirth?

Acute mastitis can occur a few weeks after childbirth, usually within the first two to three weeks, although it can also appear later during the breastfeeding period. The key issue is to maintain the flow of breast milk and the patency of the milk ducts during breastfeeding. It is recommended to wash both nipples before breastfeeding, let the baby completely empty one breast first, then move on to the second breast. If the baby is full and doesn't finish the milk from the other breast, it's best to empty that breast either by using a breast pump or having the father extract the milk. For the next feeding, start with the other breast, which was the second breast previously used, and alternate accordingly. Additionally, nipple care is important; after the baby has finished feeding, express a little milk and apply it on the nipple surface. Before the next feeding, wash the nipple with clean water more diligently. This can help reduce the occurrence of acute mastitis.

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Written by Lin Yang
Breast Surgery
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Acute mastitis is caused by what?

Mastitis is generally considered to be caused by the accumulation of milk, which occurs during breastfeeding when the posture or unintentional actions by the child cause damage to the milk ducts, leading to an accumulation of milk within them. Since milk serves as an excellent culture medium, this can lead to bacterial infection. The second point is that if there are cracks or fissures on the nipple, bacteria can infect in reverse, leading to significant infections by Staphylococcus aureus, which can also cause mastitis. The third point concerns a weakened immune system, for example due to mental stress or lack of sleep. These are the main causes of acute mastitis.

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Written by Lin Yang
Breast Surgery
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Does acute mastitis require milk dredging?

During acute mastitis, it is necessary to apply local heat and then clear the milk ducts by stroking them to drain excess milk. If milk stasis occurs in the ducts, it can aggravate inflammation and, in severe cases, lead to the formation of a breast abscess. Once a breast abscess forms, it requires incision and drainage, so it is essential to completely drain any residual milk during acute mastitis. For acute pancreatitis, prevention is more important than treatment. The specific methods include maintaining nipple cleanliness during breastfeeding, frequently washing the nipples with warm soapy water, developing good breastfeeding habits, breastfeeding regularly, ensuring that the milk is fully drawn each time, and if not, either manually expressing or using a breast pump. Additionally, avoid letting the baby sleep with the nipple in their mouth.