Which statement best reflects mastitis management for a lactating mother who continues to breastfeed?

• A. Continue breastfeeding and pump to empty the breast
• B. Stop breastfeeding
• C. Avoid breastfeeding on the affected breast
• D. Wait for antibiotics to take effect before breastfeeding

Answer: (A)

The key idea is that keeping milk moving is essential when mastitis occurs in a breastfeeding mother. If she plans to continue nursing, the best approach is to keep the breast as empty as possible. This is done by ongoing feeds and using a pump to drain the milk, especially from the affected side. Complete drainage reduces engorgement, relieves pressure, and helps clear the infection by removing milk stasis that can feed the bacteria. Supportive care matters too: a warm compress before feeds can help loosen milk, gentle massage toward the nipple during feeding can aid drainage, and a good latch ensures effective emptying. Start an appropriate antibiotic that is safe for the infant and continue breastfeeding because most antibiotics used for mastitis are compatible with breastfeeding. Delaying feeds while waiting for antibiotics to work would worsen milk stasis and prolong symptoms. If high fever, increasing redness, or a firm, tender lump persists, seek evaluation for possible complications like an abscess.