Presentation Information
Assessment and Management of Subacute Mastitis with Recurrent Plugging
- Speaker: Dr. Amy Fung , MBBS, IBCLC
- Presentation Type:
- Duration: 60 Mins
- Credits:
Abstract:
Mastitis commonly occurs in lactating women and contributes to early cessation of breastfeeding. It is presented with a spectrum of clinical presentation, from one-off acute episodes to less severe but recurrent attacks. Plugging with a painful focal induration occurs in both acute and subacute mastitis. Systemic symptoms like fever, chills and malaise are less common in subacute mastitis. Other symptoms like chronic breast pain, recurrent nipple bleb, congealed milk or bloody milk are reported in subacute mastitis.
The aetiology, pathophysiology, classification and treatment of mastitis are debatable. Milk stasis in a milk duct has been postulated to be a potential provoking factor of mastitis. Does the breast lump represent a single milk duct being blocked by a macroscopic milk “plug” similar to a tube of toothpaste? Is deep massage an effective way to solve a “blocked duct”?
Studying the anatomy of the lactating breast lets us understand the pathophysiology of the mastitis spectrum. The effectiveness of various treatment modalities are evaluated, such as deep breast massage and unroofing nipple blebs. A comprehensive approach to managing subacute mastitis with recurrent plugging could protect against premature termination of lactation and hence safeguard infant and maternal health.
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27-03-2026 08:00
27-03-2026 09:00
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Assessment and Management of Subacute Mastitis with Recurrent Plugging
Mastitis commonly occurs in lactating women and contributes to early cessation of breastfeeding. It is presented with a spectrum of clinical presentation, from one-off acute episodes to less severe but recurrent attacks. Plugging with a painful focal induration occurs in both acute and subacute mastitis. Systemic symptoms like fever, chills and malaise are less common in subacute mastitis. Other symptoms like chronic breast pain, recurrent nipple bleb, congealed milk or bloody milk are reported in subacute mastitis.
The aetiology, pathophysiology, classification and treatment of mastitis are debatable. Milk stasis in a milk duct has been postulated to be a potential provoking factor of mastitis. Does the breast lump represent a single milk duct being blocked by a macroscopic milk “plug” similar to a tube of toothpaste? Is deep massage an effective way to solve a “blocked duct”?
Studying the anatomy of the lactating breast lets us understand the pathophysiology of the mastitis spectrum. The effectiveness of various treatment modalities are evaluated, such as deep breast massage and unroofing nipple blebs. A comprehensive approach to managing subacute mastitis with recurrent plugging could protect against premature termination of lactation and hence safeguard infant and maternal health.
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