Patient's question:
Patient is female, 21 years old, currently pregnant.Doctor's answer:
Prevention Guidelines for Postpartum Mastitis1. Maintain nipple cleanliness: Prevent nipple damage, as bacteria can invade through broken nipples. During pregnancy, clean both nipples frequently with warm water and soap. If the nipples are inverted, correct them regularly by gently squeezing and pulling. Maintain good oral hygiene for the infant. Infants should not suck on the nipple while sleeping to avoid direct bacterial invasion of the milk ducts. After breastfeeding, clean the nipples with warm water. If there is any damage to the nipples, treat it promptly, applying Tinliisan or Zhuhuangsan externally.
2. Avoid milk stasis: Milk stasis promotes bacterial growth and is a significant factor in the onset of the disease. Develop a habit of feeding at regular intervals. Ensure the milk is completely emptied during each feeding. If there is stasis, use a breast pump or massage to help empty the milk. In the early stages of the disease, when an abscess has not yet formed, breast massage can help unblock the stagnant milk. Before massage, apply a warm towel to the affected breast for 10–15 minutes, then apply a small amount of lubricant to the affected breast. Use your five fingers to gently massage from the periphery of the breast toward the nipple, gradually increasing pressure to gradually expel the stagnant milk. In cases of severe infection or if a milk fistula develops after abscess drainage, consider stopping breastfeeding. A common method to stop milk production is to decoct 60 grams of roasted malt in water, divide it into multiple doses, and take one dose daily for 2–3 days.