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Mastitis during breastfeeding

Mastitis is inflammation of the breast that often starts when milk does not drain well. The breast may become warm, painful and swollen and you may feel flu-like. Continuing to feed normally is usually safe and helps.

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  • Mastitis is an inflammatory process in the breast during breastfeeding or expressing. It often starts with tissue swelling and milk build-up and may sometimes progress to bacterial infection.
  • Part of one breast becomes painful, warm, hard or swollen; fever, shivering and a flu-like feeling may occur.
  • Usually, continue feeding the baby on demand. Giving milk from the affected breast is generally safe, and normal milk drainage helps recovery.
  • Do not try to empty the breast aggressively. Extra expressing and firm deep massage may instead increase swelling, milk production and tissue damage.
  • Rest, a cool compress, suitable pain relief and help with positioning/attachment are the first steps.
  • Call the same day if you become ill quickly, continue to have significant fever/illness, suspect an abscess or do not improve after 12 to 24 hours of appropriate measures.
  • Confusion, fainting, severe breathlessness or rapid severe deterioration may be sepsis: call 912.

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