Mastitis during pregnancy

Of course, mastitis, which develops during the current pregnancy, is more likely a rarity than a routine. However, this disease may well, in certain cases, bother pregnant women. And carry with them a lot of inconvenience and complexity.

Recall that mastitis is an acute or chronic inflammation of the parenchyma, as well as intermediate tissue of the breast itself.

And depending on the damage to the functional state of the mammary gland itself (meaning the presence or absence of lactation), the physicians distinguish the lactational (or postpartum) form of the disease, and the so-called non-lactational form of mastitis.

It is believed that the share of lactational forms of inflammation of the breast accounts for at least 95% of all cases of this disease.

And only 5% of the problems are completely unrelated to the lactation period. Actually, it is customary to include in these five percent mastitis, which develops during the current pregnancy.

What is the difference between breast inflammation during pregnancy, from other time periods?

As we have already said, mastitis, which frolicked during the onset of pregnancy, is standardized for non-lactational diseases, since during pregnancy women’s breasts are only beginning to prepare for their future functional activity.

However, the symptoms of this disease, its etiology is quite similar to the states of lactation in nature.

Lactational nature of mastitis can develop not only during pregnancy.

Sometimes breast inflammation overtakes newborns, adolescents who have reached puberty, and adults. Moreover, the non-lactational nature of the disease occurs not only in women, but in both sexes.

In any case, the mouth of the milk ducts, frisky cracks, or nipple excoriation most often serve as entry gates for pathogens of this infection.

Somewhat less frequently, but it is also possible, the spread of this infection is strictly hematogenous or lymphogenous, directly from the endogenous foci of infection present in the body.

The real factors that can contribute to the development of inflammation of the breast during pregnancy can be:

  • Some of the forms of pathologies (complications) of the pregnancy itself.
  • Primary mastopathy (frolicking, as before the beginning of carrying a baby, and not directly in the period of carrying).
  • Primary anomalies of development (formation) of the mammary glands.
  • Numerous comorbidities (related or not related to pregnancy, but clearly reducing their immunological reactivity in women).
  • Breast injuries, etc.

The main difference between mastitis that develops during pregnancy is that with this disease, especially with its purulent forms, there is a real threat of infection of the embryo, and even the threat of abortion.

Forms of non-lactational mastitis when carrying a baby

So, not lactational mastitis, arising in the period of childbearing (like any other) can be:

  • Sharp Beginning with a sharp rise in body temperature, with symptoms of intoxication, with sharp pains in the affected breast.
  • And chronic. Often having a hidden character.
  • In turn, acute mastitis of a non-lactational nature is an inflammatory process that can be limited only to inflammation of the milky ducts themselves (the so-called galactophore state).

    This condition is usually accompanied by secretions from the nipple in the form of an incomprehensible, possibly with an admixture of pus secretion, as well as inflammation around the nipple circle (conditions of areolithic, or telitis).

    Further, with the progression of acute inflammation, the serous soaking of the glandular tissues is replaced by diffuse or purulent infiltration of the breast parenchyma itself.

    Mastitis during pregnancy

    This condition is characterized by the development of small foci of purulent fusion, subsequently merging and forming abscesses. According to the localization of possible purulent foci, physicians distinguish:

    • Subcutaneous variant of inflammation.
    • The so-called subareolar variant.
    • As well as intra – or retromammary variants of mastitis.

    According to the type of flow of a specific inflammatory process, not of a lactational nature, acute mastitis can be divided into:

    • On the serous form (in other words, the initial).
    • Infiltrative form.
    • Infiltrative-purulent form (often apostematoznuyu – formed by the type of standard “honeycomb”).
    • On abscess form.
    • Phlegmonous form.
    • And the gangrenous form of the disease.

    Symptoms of serous mastitis are characterized by minimal symptoms, which is manifested by the swelling of the gland by its swelling, which is often accompanied by an increase in body temperature.

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    In addition, in the initial form of the disease, there may be sweating, general weakness, or weakness, and other symptoms of intoxication. And of course, sharp pains directly in the affected breast.

    As the inflammatory process develops, the symptoms of the ailment will also progress and become more and more intense.

    In more complex forms of the disease, hyperemia of the skin of the affected gland may appear, and on palpation a specific inflammatory infiltration can be more clearly defined.

    Unfortunately, in the most dangerous cases of non-lactational nature, the mastitis that develops during pregnancy may be complicated by such conditions as lymphangitis, lymphadenitis, and quite rarely (but also possible) sepsis.

    Differences in the treatment of mastitis that occurs when carrying a child

    Immediately it should be noted that the mastitis that occurs during the period of gestation of a baby is an extremely dangerous and incredibly insidious state. The insidiousness of this disease lies in the fact that sometimes a seemingly insignificant swelling of the mammary gland can progress rapidly, reaching conditions that are dangerous for the life and development of the embryo.

    Of course, emergency conditions of pregnant women with mastitis are rare, but in most cases, the development of neglected and dangerous forms of mastitis is associated either with late treatment or with absolutely incorrect (often independent) treatment and problems with the mammary gland.

    Pregnant women should understand that the treatment of mastitis arising during pregnancy should begin as early as possible (with the appearance of the very first signs and symptoms of the disease).

    It is the timeliness of prescribing adequate therapy that, in most cases, completely prevents the development of purulent processes most dangerous for the child.

    But, in any case, the gestation period is so responsible that a woman should not allow herself to use any (even the safest and proven folk techniques) without consulting a doctor.

    Any treatment of mastitis or other disease in the period of carrying a child must be thoroughly thought out, comprehensive and most benign for the pregnant woman and her child.

    It is important to understand that a properly performed treatment allows a woman to:

    • Successfully communicate the pregnancy.
    • To protect the unborn child from infection.
    • Ensure the subsequent breastfeeding baby.

    Unfortunately, sometimes in more dangerous (purulent) cases, the treatment of mastitis in carrying a child can include antibiotic therapy and even surgical treatment. But, in this case, the doctor, as a rule, always has to relate the danger to the fetus (which the treatment itself carries) and the benefit to the mother herself, who suffers from inflammation of the mammary gland.

    As we have already made a reservation, the treatment of mastitis, which develops during the period of gestation of a child, may also consist in surgical intervention.

    In this case, physicians seek the opening of the formed abscess, and his examination, careful excision of all necrotic tissue, and subsequent drainage, the resulting purulent cavity.

    Mastitis during pregnancy

    Note that the possibility of feeding breast milk after such operations may be maintained, and may be lost. In this case, it all depends on the severity of the inflammatory process and the required (according to the form of the disease) operation.

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