After giving birth, the young mother is faced with many challenges. In addition to daily domestic affairs, joined by another and care about the kid. And, as a rule, women do not have time for yourself. Such congestion affects the health of women and is a direct way to the development of diseases. One of the main problems of the postpartum period - a trouble associated with breastfeeding Breastfeeding: notes . First, there lactostasis, then developed mastitis, which when left untreated can turn into purulent form. According to statistics, with postpartum mastitis Mastitis - what to do with the inflammation of the breast?   faced about five percent of nursing mothers.

What is mastitis?

Mastitis - an inflammation of the breast tissue that occurs during the postpartum period on the background of lactation. But not always mastitis appears only against the background of breastfeeding. There are also nelaktatsionny mastitis, which develops after an injury breast compression of the breast or on the background of hormonal changes.

Predisposing factors of mastitis

The cause of mastitis is the infiltration into the parenchyma of the breast pathogens (Staphylococcus aureus, Escherichia coli, gram-negative bacteria). Gateway for infection are the nipples. Contributing factors are:

• cracked nipples, which arise due to violation of pumping equipment and poor attachment of the child to his chest;
• decreased immunity (foci of chronic infection, vitamin deficiency, severe course of pregnancy and delivery);
• anomalies of the nipples (inverted or flat nipples), in which the emptying of the breast is difficult;
• the presence of mastitis in history;
• violation of hygiene before and after breastfeeding;
• mastitis transferred from previous generations;
• lactostasis (stagnation of milk).

The clinical picture of mastitis

Mastitis in its development goes through several stages:

• serous stage;
• infiltrative stage;
• purulent stage.

Mastitis usually develops in the second or fourth week postpartum period .  Symptoms of mastitis are growing rapidly from a few days to a few hours .  The disease begins with a temperature rise of up to thirty-eight - thirty-nine degrees, with the appearance of pain in the breast that are characterized by aching, or pulling .  Mammary gland becomes edematous, increasing in size, there is redness of the affected area .  In the case of the transition process in the purulent stage being much worse, pronounced signs of intoxication (nausea, vomiting, headache), characterized by sweating and chills exhausting, the temperature rises to forty degrees .  Pain in the breast becomes intolerable, the breast is significantly increased in size, sharply painful on palpation .  Expressing milk is difficult and often pus .  In an analysis of blood shows signs of inflammation (increased white blood cells, ESR acceleration may decrease hemoglobin) .  In general, the analysis of urine protein and diagnosed with hyaline cylinders .

Treatment of suppurative mastitis

Purulent mastitis is an indication for urgent surgery. The essence of the surgery consists in opening the suppurative focus, removal of pus and drainage cavity. Location and length of the incision depends on the extent and localization process. Removal of drainages produce on the fifth or sixth day, removal of sutures - in the eighth. During treatment of purulent mastitis breastfeeding stopped. At the same time carry out antibiotics (with taking into account the sensitivity of microorganisms), infusion and desensitizing therapy. Some cases require the cessation of lactation:

• severe course of the disease;
• mastitis both breasts;
• recurrence process;
• a woman's desire.
• Suppression of lactation is carried out using the drug bromocriptine (Parlodel).

Prevention of mastitis

Measures to prevent development of the disease:

• compliance with the rules of hygiene;
• prompt treatment of cracked nipples;
• Regular pumping breast;
• treatment of foci of chronic infection and to stimulate immunity;
• compliance with the rules of feeding baby Feeding your baby - optimal breastfeeding .

Anna Sozinova

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