A 28-year-old woman, 2 days postpartum, presents with a red, painful, swollen right breast and fever of 38.5°C. She has difficulty breastfeeding due t...

Question

A 28-year-old woman, 2 days postpartum, presents with a red, painful, swollen right breast and fever of 38.5°C. She has difficulty breastfeeding due to pain. There is no fluctuance. What is the most appropriate initial management?

Accepted Answer

Start oral dicloxacillin or flucloxacillin and encourage continued breastfeeding

Answer

Advise cessation of breastfeeding on the affected side and observe

Answer

Arrange immediate surgical drainage of the breast

Answer

Prescribe topical antifungal cream

Answer

Start high-dose intravenous vancomycin in all cases

au-racgp MCQ (SBA): Lactational mastitis

A 28-year-old woman, 2 days postpartum, presents with a red, painful, swollen right breast and fever of 38.5°C. She has difficulty breastfeeding due to pain. There is no fluctuance. What is the most appropriate initial management?