Role of Oral Antibiotics in Treatment of Breastfeeding Women with Chronic Breast Pain Who Fail Conservative Therapy

Witt, Ann M.; Burgess, Kelly; Hawn, Thomas R.; Zyzanski, Steven

doi:10.1089/bfm.2013.0093

Cited by 22 publications

(17 citation statements)

References 25 publications

(55 reference statements)

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“…16 Treatment of women with nipple fissuring and pain with oral antibiotics reduced symptoms (8% for those managed with optimal breastfeeding technique alone compared with 79% for those given oral antibiotics), additionally their risk of subsequent mastitis fell from 25% to 5% in the treated group. 17 A study performed by Witt et al, 18 found that in their clinic, the 2 most common reasons for consultation were low supply (32%) and breast pain (48%). During their study period of the 237 women seen for pain, 89 had pain lasting for >1 week with no evidence of acute inflammation.…”

Section: Breast and Nipple Painmentioning

confidence: 99%

Breast Pain

Berens¹

2015

Clinical Obstetrics &Amp; Gynecology

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Section: Breast and Nipple Painmentioning

confidence: 99%

Breast Pain

Berens¹

2015

Clinical Obstetrics &Amp; Gynecology

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“…3,4 Although there is much literature investigating the causes and treatment of nipple pain, information about breast pain with or without nipple pain is limited. 5,6 Mastalgia while breastfeeding is often attributed to engorgement, blocked ducts, infectious mastitis, abscess, and candidiasis. 2 However, it is also apparent both in the literature and in clinical practice that deep and/or superficial breast pain independent of nipple pain can exist with or without signs of an infection or a mass.…”

Section: Introductionmentioning

confidence: 99%

Severe Breast Pain Resolved with Pectoral Muscle Massage

Kernerman¹,

Park²

2014

J Hum Lact

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Many mothers stop breastfeeding because of breast and/or nipple pain, despite recommendations by the World Health Organization to exclusively breastfeed for the first 6 months. Most commonly, such pain is thought to be caused by fungal or bacterial infection; however, many women do not respond to usual treatments for such diagnoses. Furthermore, there is much dispute in the literature about these diagnoses and treatments. We submit a series of 3 cases of mothers who presented with severe mastalgia (breast pain) and who did not respond to conventional treatments. After treating the patients with pectoral muscle massage and stretching, they each had complete resolution of their pain. We suggest that each of these mothers experienced constriction of the upper thoracic muscles on their mammary neurovasculature.

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“…• Drenaje completo de los pechos tras las tomas, con extractor o manualmente. 25,[27][28][29][30][31][32][33] E n g e n e r a l , s e r e c o m i e n d a i n i c i a r antibioterapia si persisten los síntomas más de 24 horas, ante síntomas graves o si empeoran pese a haber aplicado las medidas generales descritas. En casos graves, refractarios o con limitaciones en el descanso, puede precisarse antibioterapia intravenosa.…”

Section: Drenaje Del Pechounclassified

“…En casos graves, refractarios o con limitaciones en el descanso, puede precisarse antibioterapia intravenosa. 1,8,23,32 En estos casos, es fundamental garantizar el alojamiento conjunto para mantener la lactancia. …”

Section: Drenaje Del Pechounclassified

“…En cambio, hay trabajos muy consistentes 7,32 que demuestran el papel de SA en casos de dolor crónico del pecho refractario a tratamientos conservadores. 28,39,48 Se ha aislado esta bacteria en la leche del 20% de mujeres con dolor crónico de pecho frente al 2% en la leche de los controles y se ha constatado la mejoría clínica con antibióticos.…”

Section: Dolor Del Pezón Y Del Pechounclassified

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Mastitis. Puesta al día

2016

Arch Argent Pediat

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RESUMENLa mastitis es una de las principales causas de abandono evitable de la lactancia materna, con el aumento de la morbimortalidad infantil que ello supone, pero no hay uniformidad en los criterios diagnósticos ni terapéuticos. El diagnóstico de la mastitis aguda es fundamentalmente clínico, y, solo en determinados casos, está indicado el cultivo de leche. El drenaje del pecho es fundamental en el tratamiento, por lo que debe mantenerse la lactancia. Si persisten los síntomas o si existe mucha repercusión clínica, se iniciará la antibioterapia. No hay pruebas suficientes de la etiopatogenia de otros tipos de mastitis (subclínica y subaguda) ni de que sean responsables del dolor mamario o el escaso aumento ponderal del lactante. Tampoco sobre la efectividad de los probióticos en el tratamiento y prevención de la mastitis. El objetivo es realizar una evaluación de la información disponible sobre la clínica, diagnóstico y tratamiento de las mastitis para ofrecer una visión actualizada del tema. Palabras clave: mastitis aguda, mastitis subaguda, probióticos, mastodinia. ABSTRACTMastitis is one of the main causes of avoidable cessation of breastfeeding which increases morbidity in childhood, however, there is no uniformity in diagnostic and therapeutic criteria. The diagnosis of acute mastitis is mainly clinical. Only in certain cases, a milk culture is indicated. Regarding treatment of mastitis, it is fundamental to empty the breast, so breastfeeding should continue. It is recommended to start antibiotic therapy if symptoms persist or if there is considerable clinical impact. There is insufficient evidence of the importance of other types of mastitis (subclinical and subacute). There is also a lack of evidence that these types of mastitis are responsible for breast pain or for low infant weight gain. Furthermore, there is not enough evidence regarding the effectiveness of probiotics in the treatment and prevention of mastitis.The aim of this article is to review the available information related to clinical signs, diagnosis and management of acute mastitis in order to give an updated overview.

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Role of Oral Antibiotics in Treatment of Breastfeeding Women with Chronic Breast Pain Who Fail Conservative Therapy

Cited by 22 publications

References 25 publications

Breast Pain

Breast Pain

Severe Breast Pain Resolved with Pectoral Muscle Massage

Mastitis. Puesta al día

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