If lactation<unk> , continue to breastfeed or pump, no need to dispose of breastmilk
Warm compresses and massage, wearing supportive bra
No need to routinely interrupt breastfeeding with puerperal<unk> .
For mild symptoms <24 hours, supportive care may be sufficient
Effective milk removal (frequent breast feeding - use pumping to augment milk removal)
Analgesia (NSAIDs)
Effective milk removal (frequent breast feeding - use pumping to augment milk removal)
Analgesia (NSAIDs)
Treatment directed at S. aureus and Strep and E. coli
Uncomplicated<unk>  → 10 days of antibiotics (regardless of MRSA suspicion)
Dicloxacillin 500mg PO q6hrs, considered first line if breastfeeding given safety for infant OR
Cephalexin 500mg PO q6hrs OR
Add TMP/SMX 2DS tabs PO q12hrs if suspect MRSA
Clindamycin 450mg PO q8hrs (also provides MRSA coverage) OR
Amoxicillin/Clavulanate 875mg PO q12hrs OR
Azithromycin 500mg PO x1 on day 1, then 250mg PO daily for days 2-5
Add TMP/SMX 2DS tabs PO q12hrs if suspect MRSA
Antibiotics as above
If fluid collection is greater than 2cm, evacuation is recommended, with culture and sensitivity to guide antibiotic therapy
If superficial <1cm from skin, I&D at bedside is recommended
If deep >1cm, consider percutaneous 18g needle aspiration. Percutaneous aspiration may also be appropriate for superficial abscess in a lactating patient to avoid milk duct fistula.
if palpable mass persists after 14-21 days, ultrasound and needle biopsy should be performed of solid components by radiology department
If superficial <1cm from skin, I&D at bedside is recommended
If deep >1cm, consider percutaneous 18g needle aspiration. Percutaneous aspiration may also be appropriate for superficial abscess in a lactating patient to avoid milk duct fistula.
if palpable mass persists after 14-21 days, ultrasound and needle biopsy should be performed of solid components by radiology department
Mastitis
Amniotic fluid embolus
Viral parotitis
Chorioamnionitis
Proctitis
Acute fatty liver of pregnancy
Ectopic pregnancy
Eclampsia