The question of whether mastitis patients can breastfeed should be analyzed in detail and treated in stages. Acute mastitis can be divided into three stages: early stage, middle stage and late stage:
1. Early stage of mastitis: If Bao Ma just feels breast discomfort, pain, localized breast lump, normal skin color on the surface of the lump or slight redness, and pain when pressing, this is the stage of milk stasis, that is, the early stage of mastitis.
At this time, the main problem is that the milk tube is blocked. At this time, there is no problem at all. It is necessary to breastfeed the baby, and breastfeeding is also beneficial to unblocking the blocked milk tube, which is also a therapeutic effect on mastitis.
In addition, local massage can also be used, such as hand or wooden comb back pressing massage along the direction of mammary duct, which is helpful to the recovery of mastitis. At this time, Bao Ma should drink more water and eat lightly, and generally do not need to use antibiotics.
2. Mid-stage mastitis: If the inflammation lasts for a long time, it will develop into a red, swollen, hot and painful reaction and gradually form an abscess. At this time, the manipulation of milk ejection will not work. If it is not treated, the symptoms will be more serious. However, the medication for treatment should be in accordance with the doctor's advice, and some drugs contraindicated during lactation cannot be used.
At this time, it is not recommended to feed the sick breast, and the other side can be fed.
3. Late stage of mastitis: In the late stage, the abscess will continue to expand and even rupture, which requires incision and drainage to achieve the purpose of promoting granulation and closing the mouth. At this time, the breast of the affected side cannot be fed. Why do you suffer from mastitis after childbirth?
Breast-feeding mothers usually have decreased body resistance, which creates favorable conditions for the invasion, growth and reproduction of pathogenic bacteria. Milk is a good bacterial culture medium, and milk deposition is conducive to the growth and reproduction of invasive bacteria.
At this time, if the lack of feeding experience leads to insufficient breastfeeding, the milk will accumulate, or the nipple or areola will be cut due to improper feeding methods and habits, so that pathogenic bacteria will take the opportunity to invade, thus causing mastitis. What are the precautions during mastitis?
1. When the body temperature exceeds 39 degrees Celsius or when antibiotics are used, it is necessary to stop breastfeeding (please ask the treating doctor whether you can breastfeed when antibiotics are used);
2. It is not recommended to use a breast pump to empty milk, and it is recommended that babies suck;
3. Empty milk in time;
4. When the illness gets worse, you need to go to the hospital in time;
5. If the disease persists for a long time, it is necessary to communicate with the doctor in time and differentiate it from inflammatory breast cancer during lactation;
6. Wash nipples with warm water in time to keep them clean;
7. You need to wear a bra to hold up your breasts;
8. Keep the spirit relaxed and happy, reduce bad emotions, spend more time with family members, and eliminate their anxiety and nervousness.
9. It is recommended to have a light diet and avoid spicy food. How can lactating mothers prevent mastitis?
Breast-feeding mothers can pay attention to the following items to prevent mastitis, especially for new mothers within 6 months after delivery, especially during the second month, so as to reduce milk deposition and improve immunity.
1. When breastfeeding, let the baby suck with nipple and areola, and don't let the baby sleep with nipple;
2. Feed regularly and empty the milk in time. When the milk supply exceeds demand, you can empty the breast with the help of a breast pump;
3. Before and after feeding, you should scrub the nipple with clean water, and then wipe it with a clean towel. Do not use disinfectant alcohol, because alcohol will irritate the nipple skin and volatilize and dry it, which will easily cause chapped nipple skin.
4. The postpartum lactagogue method should be scientific and appropriate, and seek help from a regular prolactin;
5. Postpartum diet is light and nutritious. Eat more fresh vegetables and fruits. Postpartum supplementary nutrition is not the more the better. You should drink fish soup, broth or chicken soup to promote lactation according to the milk secretion and children's needs.
6. Don't wear bra with steel support or underwear that is tight.