What to do about decreased milk supply after fever from mastitis

Mar 27, 2023 Source: Cainiu Health
Dr. Yu Xiaopeng
Introduction
The decrease in milk supply after fever due to mastitis varies in cause, and corresponding interventions differ accordingly. It may be related to fluid loss, reduced hormone levels, or damage to breast tissue; therefore, targeted treatment should be provided after identifying the specific cause. Additionally, factors such as breast duct malformations may also contribute. After onset, enhanced care of the breast area is required, along with maintenance of good hygiene practices.

Fever, also known as pyrexia, can lead to reduced milk supply in cases of mastitis. The underlying causes vary, and therefore management strategies differ. Reduced milk production may be related to dehydration, decreased hormone levels, or damage to breast tissue. Targeted treatment should be provided after identifying the specific cause.

1. Dehydration

Fever increases body temperature and leads to excessive fluid loss, resulting in dehydration. This fluid deficit can affect breast milk production, causing a decrease in milk volume. It is recommended to replenish fluids adequately. Consuming soups or other liquid-rich foods may also help increase milk supply.

2. Decreased Hormone Levels

Reduced breastfeeding frequency during fever can disrupt hormonal balance, particularly affecting prolactin secretion, which is essential for lactation, thus leading to decreased milk production. It is advisable to regularly use a breast pump during fever episodes to empty the breasts, which helps maintain and stimulate milk secretion.

3. Breast Tissue Damage

In severe cases of mastitis, milk stasis may occur, compounded by bacterial infection, impairing the health of breast tissue and hindering milk secretion. Mild cases may resolve spontaneously with proper care, while severe cases require medical consultation and treatment with antibiotics such as amoxicillin capsules, cefixime dispersible tablets, or cefuroxime axetil tablets, which provide antibacterial and anti-inflammatory effects.

In addition, factors such as breast duct abnormalities may also contribute. After onset, enhanced care of the breast area is necessary, along with maintaining good hygiene practices.


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