Mastitis is an inflammation of the breast tissue. Mastitis
can occur for various reasons, not only in puerperant women, but for various
reasons. Breast inflammation that occurs in the puerperant is called puerperal
mastitis. If left untreated, it can turn into breast abscess. It usually occurs
in the first weeks after birth. Milk accumulated in the breast canals provides
a suitable environment for bacteria to grow, which causes inflammation in the
breast tissue. Mastitis usually occurs 2-4 weeks after birth. It usually occurs
in one breast.
On one part of the breast, redness, heat increase and
tenderness are observed. Inflammation of the nipple does not usually occur.
These may be accompanied by high fever, chills, weakness, malaise, swelling in
the armpit lymph nodes. The most common cause of bacteria is staphylococcus
aureus. Antibiotic therapy is given and it is recommended that breasts with
mastitis be emptied by breastfeeding or pump. Since the antibiotic will pass to
the baby with milk, an antibiotic is selected that will not harm the baby.
Breast-feeding does not harm the baby, as the bacteria that cause the infection
are already mostly from the baby's mouth, and the baby does not need treatment.
Both sick and normal breasts should be breastfed. Hot application and massage
on the breast can also benefit. In cases that do not improve with treatment and
when it becomes a abscess, the inflamed area is aspirated by needle or emptied
with a small incision and culture is made from the incoming discharge.
Excessive milk accumulation in the breasts, inflammation in
the breast, that is, if there is no mastitis, may cause fever in the mother.
This is called milk fever. It usually occurs in mothers who cannot breastfeed
frequently and 3-4 days after birth. The breasts become heavy, hard, hot and
painful. There is slight pain by touching. If breasts are frequently breastfed
and emptied, fever and breast pain often pass. Cold application on the breast
may be beneficial.
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