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[Mastitis puerperalis - causes and therapy].

J Peters1

  • 1Röntgenabteilung Bethanienkrankenhaus und Zentrum der Radiologie der Universitätsklinik Frankfurt. j.peters@em.uni-frankfurt.de

Zentralblatt Fur Gynakologie
|April 28, 2004
PubMed
Summary

Puerperal mastitis in 1,827 women was treated effectively by intensified breast emptying, avoiding antibiotics. This non-infectious inflammation resolved quickly, preventing complications like abscesses.

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Lactation Medicine

Context:

  • Puerperal mastitis affects numerous postpartum women.
  • Traditional treatments often include antibiotics and bromocriptine.
  • Understanding the etiology is crucial for effective management.

Purpose:

  • To investigate the etiology of puerperal mastitis.
  • To evaluate a treatment protocol focused on intensified breast emptying.
  • To assess the efficacy of this conservative approach.

Summary:

  • A study of 1,827 women with puerperal mastitis identified non-infectious inflammation or congestion as the primary cause.
  • Treatment involved frequent breastfeeding and manual milk expression, excluding antibiotics and bromocriptine.
  • Symptoms like fever, flue-like symptoms, redness, and soreness resolved within 2-3 days in most cases.

Impact:

  • Demonstrates a highly effective, non-antibiotic treatment for puerperal mastitis.
  • Highlights the potential for conservative management in non-infectious cases.
  • Suggests that intensified breast emptying can prevent complications such as abscess formation.

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