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Lactational mastitis — MCCQE Part 1 MCQ

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ModerateBreast PainLactational mastitisMCCQE Part 1

A 33-year-old breastfeeding woman has fever, malaise and a tender erythematous wedge-shaped area on the breast. She wants to continue breastfeeding. Which of the following is the most appropriate management?

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Correct answer: D — Continue milk removal, provide analgesia and start antibiotics if bacterial mastitis is likely or symptoms are significant

Lactational mastitis is managed with continued milk removal, supportive care and antibiotics when bacterial infection is likely. Stopping breastfeeding abruptly can worsen milk stasis and symptoms. Persistent mass, atypical features or failure to improve should prompt reassessment for abscess or malignancy.

Reference: SOGC breastfeeding/mastitis guidance; Canadian Paediatric Society breastfeeding resources