ABSTRACT WATCH: Antepartum Mastitis. A Rare Occurrence

Antepartum Mastitis. A Rare Occurrence

J Hum Lact. August 2015 vol. 31 no. 3 367-370

Abstract

Puerperal or lactational mastitis is an inflammatory condition of the breast that is commonly encountered in breastfeeding mothers. It occurs most commonly in the postpartum period, generally in the first 6 weeks of breastfeeding. In contrast, antepartum mastitis is an uncommon condition, and if not treated adequately, it may be complicated by the formation of a breast abscess. The authors present a case of a 24-year-old, second gravida mother who developed unilateral antepartum mastitis with abscess formation at 34 weeks of gestation, which was initially treated with antibiotics and surgical drainage. However, her symptoms persisted over the next 2 weeks, and she was referred to the authors’ institution, where she was managed with antibiotics and surgical drainage after delivering a healthy near-term infant. The abscesses healed completely 2 months later, with sequelae of residual scarring and a nonprotractile nipple. The authors wish to emphasize that health care providers should be aware of the occurrence of mastitis in the antepartum period. Early recognition with adequate treatment of mastitis is the key to avoiding complications, and this will prevent lactation issues and also reduce morbidity in the mother and neonate.

AUTHORS:

Sushma Malik, MD, IBCLC1Varsha Anant Patil, MD1Charusheela Sujit Korday, MD, IBCLC1Dipti Parag Shah, BSc, IBCLC11Division of Neonatology, Department of Pediatrics, T. N. Medical College & B.Y.L Nair Hospital, Mumbai, IndiaSushma Malik, MD, IBCLC, T. N. Medical College & B.Y.L Nair Hospital, Division of Neonatology, Department of Pediatrics, 3/7, Brady’s Flats, Sorab Bharucha Road, Colaba, Mumbai-400005, India Email: sushmamalik@gmail.com

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