Hi Kristi,

First, I have seen mastitis resolve with rest, and frequent feeding or
expression, provided it was not severe. I guess what I mean is the beginning
signs and symptoms if managed right away. Having had non-lactational
mastits, abscess, and sepsis, treated for 5 days in hospital (and even
before that), I am not someone who would advise against the use of
antibiotics, especially when systemic symptoms present like fever, body
aches, malaise.

Second, it is not unusual for a post-mastitis breast to have a reduced milk
production, sometimes this is permanent. However, I would definitely
recommend a sort of re-lactation, if the child will cooperate, continue
frequent bf or frequent expression if the child will not cooperate. The
mother could even use a lactation aid (tubing) on the affected side if she
had previously pumped ebm to use, or saved up several pumpings from affected
side and then nursed with the lactation aid when she had a feed's worth.

Third, with the first mom's history of c/s birth, separation for jaundice
treatment, pumping during the jaundice treatment, and possible bf problems
as contributory to the jaundice and baby seems hungry all the time (or was
it due to blood type incompatibility?) -- I would highly recommend this mom
get with a breastfeeding counselor who can make sure she is on the right
track for effective and satisfying bf.

Laurie Wheeler RN MN IBCLC
Mississippi USA

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