Which statement best describes the management of mastitis in a lactating patient?

• A. Continue breastfeeding and treat with antibiotics and pain relief
• B. Stop breastfeeding until infection resolves
• C. Switch to formula feeding
• D. Avoid antibiotics and take only pain relievers

Answer: (A)

The key idea is to keep milk flowing while treating the infection. In mastitis during lactation, regular drainage of the breast is essential because milk stasis fuels infection and can lead to abscess if not relieved. Therefore, continue breastfeeding or expressing milk from the affected side to empty the ducts and relieve blockage. This approach helps clear bacteria and reduces engorgement, which is safer for both mother and baby than stopping breastfeeding.

Pair that drainage with antibiotic therapy targeted at common pathogens like Staphylococcus aureus, and with appropriate pain relief to manage fever and discomfort. Most antibiotics are compatible with breastfeeding, so the baby is generally protected and the mother can continue nursing. Add supportive care such as warm compresses before feeds to stimulate milk flow, good latch and thorough emptying, adequate fluids, and rest. If symptoms persist beyond 48–72 hours, or fever increases, re-evaluate for possible complications like an abscess and adjust treatment accordingly.