Another, older study compared breast emptying alone as 'supportive therapy' versus antibiotic therapy plus supportive therapy, and no therapy. The findings of the latter study suggested faster clearance of symptoms for women using antibiotics, although the study design was problematic. Authors' conclusions: There is insufficient evidence to confirm or refute the effectiveness of antibiotic therapy for the treatment of lactational mastitis.
There is an urgent need to conduct high-quality, double-blinded RCTs to determine whether antibiotics should be used in this common postpartum condition. Abstract Background: Mastitis can be caused by ineffective positioning of the baby at the breast or restricted feeding. Mastitis is common in breastfeeding women as it can be caused by a build-up of milk.
Women who are not breastfeeding can also get mastitis, as can men. This can happen due to:. Page last reviewed: 29 October Next review due: 29 October Mastitis is when your breast becomes swollen, hot and painful.
Check if you have mastitis Mastitis usually only affects 1 breast, and symptoms often come on quickly. Instead, cradle your baby close to your breast. The cradle hold is similar to the cross-cradle hold, but you support the baby with the arm on the same side as the nursing breast, rather than the opposite arm.
As with the cross-cradle hold, sit up straight — preferably in a chair with armrests. Cradle your baby in an arm, with your baby's head resting comfortably in the crook of your elbow while he or she faces your breast.
For extra support, place a pillow on your lap. Another option is the football hold. This position might be a good choice if you're recovering from a C-section or you have large breasts.
Hold your baby beside you, with your elbow bent. With your open hand, support your baby's head and face him or her toward your breast. Your baby's back will rest on your forearm. It might help to support your breast in a C-shaped hold with your other hand.
For comfort, put a pillow on your lap and use a chair with broad, low arms. A lying position might be a good choice when you're tired but able to stay awake — although it's important to return the baby to his or her own bed to sleep. Lie on your side and face your baby toward your breast, supporting him or her with one hand.
With the other hand, grasp your breast and touch your nipple to your baby's lips. Once your baby latches on, use one arm to support your own head and the other to help support the baby and bring him or her close.
If you have twins, you might choose to breast-feed them separately. This can be helpful when you are first starting to breast-feed. Later, if you'd rather breast-feed them at the same time, try the football hold — with one baby in each arm. Hold each baby at one side, with your elbows bent. Your babies' backs will rest on your forearms. For comfort, put pillows on your lap and use a chair with broad, low arms.
You may be referred to an obstetrician-gynecologist. For problems related to breast-feeding, you may be referred to a lactation consultant.
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions that occur to you during your appointment. Your doctor is likely to ask you a number of questions.
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