When I hear of reaccuring mastitis, I try to assess for two things. One 
is over supply. And yes, I see a lot of moms using electrical pumps all 
day long with breastfeeding because they have so much milk. I only 
suggest a manual pump for over supply and just to take a little off 
before nursing and on the other breast not used for that feeding. But 
not the massive pumping that some mothers due. If they purchase those 
$300 pumps, they want their money worth!

Second, MRSA infections. Especially if mom is pumping out stringy or 
mucousy looking milk. Or there are clumps in her milk. Check out the 
photos in the BF Atlas. Also, there is a form of breast cancer than can 
masquerade as mastitis or lumps that never go away. I suspect if she had 
an abcess, this was real mastitis. The BAB has some good ideas, like 
wearing a bigger bra, cup and back size. I personally had to do this 
myself with my third baby, and I once knew a gal that could not wear a 
bra much or she would get mastitis and she tried many styles. And 
lecithin.The amount is in this book.

Somewhere I read that if mastitis is just one breast it is likely to be 
one type of infection and if on two breasts, likely to be another type 
(strep a or b??? or staff). I know this is in our common lactation 
textbooks or maybe the BF Atlas. Check your copies.

I see and hear a lot about MRSA infections here in Houston and would 
want her doctor to take this seriously. We also see a lot of c-section 
infections from the hospital stay and recurrent mastitis.

Good luck to her. Kathy Eng, BSW, IBCLC

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