Lactational mastitis is an inflammatory process affecting the lactating breast. It presents with localised pain, tenderness, erythema, heat and engorgement in a breastfeeding woman, and may be accompanied by systemic features such as fever, malaise, rigors, nausea and vomiting. This protocol applies to patients who are not allergic to penicillin.
Management combines first-line analgesic support — paracetamol, with anti-inflammatory agents available as an addition — alongside antibiotic therapy and local breast-care measures to support regular, complete drainage. Full details, including specific agents and duration, are set out in the structured protocol.
Partial overview only — complete protocol available via the link below.Inflammation of the breast settling within 24–48 hours; clinical review at that point to confirm an adequate response.