When do I have to stop breastfeeding? | Mastitis non puerperalis

When do I have to stop breastfeeding?

Since mastitis non puerperalis does not occur by definition during the lactation period, the questions after weaning are of no further relevance. If, however, mastitis puerperalis is present, which by definition occurs during the lactation period, weaning is only necessary in rare cases. For example, premature infants with bacterial mastitis should not be breastfed and if there is a Group B streptococcal infection, breastfeeding should not be continued.

What dangers are there for my baby?

It should also be said that mastitis non puerperalis does not occur during the breastfeeding period, so that dangers that exist during breastfeeding are not an issue here. A contact transmission has not been described in the medical literature so far. If an abscess is present, it is nevertheless advisable for mother and child that open areas, which arise for example during the drainage of the abscess, are sterilely bandaged until the abscess has healed.

Duration

Both an antibiotic therapy, and a therapy with Prolaktinhemmern with the abakterieller process, show fast an effect and after few days are the patients free of complaints. However a sufficiently long drug therapy is important, since otherwise the risk of recurrence is high, and a further inflammation with larger probability leads to the development of a chest abscess and also the danger of chronification increases. If an abscess is already present, the healing time is also extended, since the damaged tissue needs time for wound healing and regeneration after the drainage of the abscess.

Breast abscess

If the treatment of mastitis non puerperalis is too late, a capsule may form around the inflammation, which then develops into an abscess. An abscess is always filled with pus. The abscess can be felt as a very painful but movable lump in the breast.

Since a breast abscess heals on its own only in rare cases, it usually has to be punctured with a needle and emptied. If more abscesses develop after the first one has been drained, open surgery may be necessary to remove the entire capsule of the abscess and to thoroughly clean the remaining tissue. As a prophylaxis against further abscesses it is sometimes recommended to take a prolactin inhibitor for 3-6 weeks.