Postpartum mastitis management begins with which approach?

• A. Breast tenderness, localized redness and warmth; continue breastfeeding, warm compresses, and antibiotics as prescribed.
• B. Stop breastfeeding and apply cold compresses.
• C. Immediate surgical drainage without antibiotics.
• D. No treatment is necessary.

Answer: (A)

Postpartum mastitis starts with keeping the breast well emptied to relieve milk stasis and support ongoing breastfeeding. The best first approach is to continue nursing, including from the affected breast, to promote drainage and maintain milk supply. Warm compresses and gentle massage help loosen milk and ease engorgement, making feeds more effective. Antibiotics are started because infection is suspected or present, and they can be safely used while breastfeeding. Along with rest, fluids, and pain relief, this strategy addresses both the inflammatory/mlystasis component and the infectious component.

Stopping breastfeeding would likely worsen milk stasis and prolong the problem. Cold compresses don’t promote drainage, and immediate surgical drainage isn’t routine unless an abscess develops. No treatment isn’t appropriate because mastitis can progress without intervention.