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Lactational mastitis — DRCOG MCQ

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ModeratePostnatal CareLactational mastitisDRCOG

A breastfeeding woman is 3 weeks postpartum with a painful red wedge-shaped area on one breast, fever 38.2°C and myalgia. The baby is feeding less from that side because it hurts. What is the most appropriate management?

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Correct answer: E — Continue breastfeeding and treat mastitis promptly

Breastfeeding should usually continue during mastitis because milk drainage helps recovery and is safe for the baby. Antibiotics are added when systemic symptoms are present or symptoms do not settle quickly with conservative measures. Stopping feeds can worsen milk stasis. The pearl is to review if a focal fluctuant mass develops, as abscess may need ultrasound-guided drainage.

Reference: NICE CKS mastitis and breast abscess; BNF