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Management of Breast Diseases pp 81–104Cite as

Management of Common Lactation and Breastfeeding Problems

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Abstract

Following childbirth, mothers and neonates should remain together, skin to skin, to allow the process of breastfeeding to begin. Lactation and breastfeeding difficulties manifest in many ways, including infant problems such as failure to thrive, colic, or fussiness and maternal concerns such as nipple pain and damage, or mastitis. The most common reason for premature breastfeeding cessation is insufficient milk. The etiology is multifactorial, but the risk of low supply can be reduced by ensuring correct attachment to the breast and frequent breastfeeds day and night. A small proportion of women have insufficient glandular tissue. Acute mastitis occurs in about one in five breastfeeding and is managed by improving milk drainage, antistaphylococcal antibiotics, and analgesia. Lactational breast abscesses can usually be drained by aspiration under ultrasound visualization, and breastfeeding can continue. Lactation can be successfully induced in nonpregnant women using combinations of medications and breast stimulation.

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Authors and Affiliations

  1. Judith Lumley Centre, La Trobe University, 215 Franklin St, Melbourne, VIC, 3000, Australia

    Lisa H. Amir

  2. Department of Family Practice, The Vancouver Breastfeeding Centre, University of British Columbia, Canada Suite 340-943 West Broadway, Vancouver, BC, V5Z 4E1, Canada

    Verity H. Livingstone

  3. Breastfeeding service, Royal Women’s Hospital, Melbourne, Australia

    Lisa H. Amir

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  1. Lisa H. Amir
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  2. Verity H. Livingstone
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Correspondence to Lisa H. Amir .

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Editors and Affiliations

  1. Department of Surgery, University of Texas Health Science Center, San Antonio, Texas, USA

    Ismail Jatoi

  2. Obstetrics and Gynecology, University Medical Center Schleswig-Holstein, Luebeck, Germany

    Achim Rody

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Amir, L.H., Livingstone, V.H. (2016). Management of Common Lactation and Breastfeeding Problems. In: Jatoi, I., Rody, A. (eds) Management of Breast Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-46356-8_5

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