Acute mastitis most often occurs in primiparous women
(1) Mastitis is caused by the accumulation of breast milk due to the difficulty of sucking of the baby in the early stage of thick milk and the poor discharge of milk;
(2) Inexperience, wrong breastfeeding posture, squeezing or bumping into the breasts leading to mastitis;
(3) Mastitis caused by milk accumulation due to skin ulceration and crusting of the nipple duct outlet. Prevention.
(1) 3 days after delivery, apply a clean towel to the breasts and then gently squeeze out a little of the colostrum behind the nipple to facilitate smooth milk discharge;
(2) Sitting position when breastfeeding (avoid squeezing the breast by lying down to feed), leaning forward slightly, putting the nipple into the baby’s mouth so that the lips of the mouth completely contain the areola so that the baby does not force the nipple to suck; also in the second trimester use alcohol cotton balls to lightly rub the nipple to thicken the nipple skin to avoid nipple ulceration after delivery. Treatment: Once there is breast milk accumulation combined with fever, you should go to the hospital for timely laxation and anti-inflammatory treatment. Remember that you should not discharge milk when you have a fever, otherwise your body temperature will be higher.
Acute mastitis
Purulent inflammation of the mammary gland: It is common in new mothers and occurs 3-4 weeks after delivery.
Causes
1.Stagnation of milk
2.Bacterial invasion
(1) Bacteria → lymphatic ducts
(2)Bacteria→lactation ducts
Clinical manifestations
1.Breast pain
2.Local symptoms: redness, swelling, fever, local lump (when there is fluctuation – abscess)
Enlarged axillary lymph nodes on the affected side
3.Systemic symptoms: chills, high fever, rapid pulse
Auxiliary examination
Blood count: increased white blood cell count, increased neutrophils
Ultrasound: localized edema abscess formation (multi-room, single room) posterior interstitial breast abscess
Treatment Principle: Emptying of milk and elimination of infection
Early stage: drainage of breast milk (wet dressing, drainage)
Middle stage: Bacterial culture + antimicrobial application Topical herbal treatment
Late stage: abscess incision and drainage Bacterial culture + antimicrobial application
Precautions.
(1) Main pathogenic bacteria (Staphylococcus aureus): penicillin erythromycin cephalosporins
(2) Contraindicated: tetracycline, aminoglycosides, sulfonamides, quinolones, metronidazole files
(3) Do not stop breastfeeding in general, but stop breastfeeding if abscess is incised and breast fistula develops
(4) Avoid damaging the ducts during incision to cause fistula
Prevention Avoid milk stagnation Prevent nipple injury Keep nipples clean