Mastitis
published 20 July 2022
Holistic Mastitis Tips For Treatment Without Antibiotics
Jump down to tips -below.
AS of May 2022, NEW GUIDELINES were published by the Academy of Breastfeeding Medicine to update their recommended clinical protocols.
I became aware of these updates in Dec 2022.
It is kind of ridiculous to me that it has taken this long for medicine to do research into female specific issues. Now after thousands of years of breastfeeding, we finally understand that we should view mastitis as a spectrum.
“In the past, mastitis has been regarded as a single pathological entity in the lactating breast. However, scientific evidence now demonstrates that mastitis encompasses a spectrum of conditions resulting from ductal inflammation. If ductal narrowing and alveolar congestion are worsened by overstimulation of milk production, then inflammatory mastitis can develop, and acute bacterial mastitis may follow. This can progress to phlegmon or abscess, particularly in the setting of tissue trauma from aggressive breast massage.” ABM revised protocols https://www.liebertpub.com/doi/10.1089/bfm.2022.29207.kbm
"The new clinical protocol from ABM outlines several key changes that significantly shift what we thought we knew about the condition, namely that plugged ducts are more accurately described as “ductal narrowing,” that ice and other anti-inflammatory treatments should be used to manage [inflammatory] mastitis instead of heat, and that extra pumping and other measures used to increase drain the breast will only hurt, not help."
https://www.mother.ly/health-wellness/womens-health/abm-protocol-mastitis/
ICE, ICE BABY (simplified explanation of the new method for inflammatory mastitis)
https://doulacare.ie/blog/new-guidelines-on-treatment-of-mastitis-and-blocked-ducts
So for the rest of this article, please keep in mind that inflammatory mastitis (red, engorged, painful breasts) is not the same as bacterial mastitis (infection with fever, chills etc). And so treatment can vary - the new guidelines will not work on bacterial mastitis.
Have a look at the information surrounding mastitis and decide for yourself at what stage of mastitis you have and what treatments are best to use. What are you drawn to? What does your intuition say? What do you as a unique woman with a unique lactation journey and baby need to be supported and healing at this time?
I include both aspects from the old and new protocols below, as some will apply to different scenarios. And we KNOW that certain herbs and techniques [passed down from wise women do work for bacterial mastitis. Please remember that no type of mastitis is dangerous for baby - you can nurse and pump for baby to drink as usual. However, should you decide you do need antibiotics, get a breastfeeding safe one, as that WILL affect baby through your milk.
"Mastitis, an infection in a milk duct, often starts with a clogged [narrowed] duct. The duct overfills, becomes inflamed, and then bacteria starts to grow. The symptoms are a hard, red, splotchy, hot, and very painful spot on the breast, fever, and flu-like symptoms. It often comes on very suddenly and must be treated quickly before it becomes serious. Prevention is much more effective than treatment. The standard treatment is immediate medical care that includes a round of antibiotics. This natural protocol has been very effective, in my experience, and early stages of mastitis have always resolved in my experience, if it is followed closely. Do not hesitate to seek medical attention if symptoms worsen or do not subside within 24 hours.
This natural protocol is a guest piece and was kindly given to me by a midwife, who allowed me to share it here to reach more women.
Natural Mastitis Protocol by Guest Midwife
Here's what I've used to treat [bacterial] mastitis without antibiotics. It's never failed me, when taken seriously and continued for some time after symptoms disappear. I keep sunflower lecithin in my cupboard, and take it every time I feel the slightest twinge, clog, or wake up engorged.
If you're getting mastitis frequently, it may also indicate a yeast overgrowth or another issue.
Every two waking hours, take the following supplements:
Sunflower Lecithin, 2400mg
Goldenseal Root Tincture, 700-1000mg Pokeweed Tincture 1000mg
1-2 cloves raw garlic, crushed
1000mg Vitamin C
Drink 1 gallon of water, per day.
Take homeopathic Phytolacca 30C, four times a day, at least 15 minutes away from food and drink.
At least twice a day, take a hot shower, or dangle the breast in water as hot as you can stand, for a few minutes. Then, look carefully at the nipple, and squeeze out any white spots. After you have squeezed them out, breastfeed your baby, pump, or hand express to drain the clogged ducts. Completely drain the breast AT LEAST twice a day. Breastfeeding will be very uncomfortable, but it is necessary to resolve mastitis. Milk from an infected breast will not harm your baby. In order to more effectively drain the milk duct, lay your baby on a bed and kneel over him/her, dangling your breast into baby’s mouth. Point the clogged side of the breast toward baby’s chin. Continue this protocol until symptoms have resolved completely. You may taper your doses off gradually, if you wish. Continue taking 2400mg of sunflower lecithin daily to prevent future incidents. Double that dose if you feel a sore spot forming. Lecithin is an emulsifier that mixes the fatty milk with the watery milk, thus dissolving and preventing clogs. I recommend keeping these supplements on hand throughout your breastfeeding journey, to be taken at the first symptoms.
More Mastitis Tips
Here are some more tips and suggestions for you collected from UBHA's personal experience and supportive Facebook groups
Prevention
Sunflower Lethicin at the first twinge or engorgement and any changes eg baby drops a feed or sleeps through
A shot of Apple Cider Vinegar (mix with a little water) at the first twinge
Increase fluids
Nurse as often as needed
Do not confuse early postpartum engorgement (usually days 3-5) with mastitis.
Avoid tight bras
Important notes:
Attack [bacterial] mastitis immediately
Get as much milk out as needed
No type of mastitis is dangerous for baby - baby can nurse or drink pumped milk as usual
Treatment Suggestions:
Breast:
steaming hot rag compresses (+Parsley Trick)
Hot bath/shower while hand expressing
Hot rags on infected breast (as hot as you can handle, and then a little hotter)
Massage the breast from nipple to clog (a little bit at a time, expressing after each, to clear the way for the lump to come out)
Massage lumps towards the nipple
(note that massaging the "lump" is no longer recommended)"The most successful technique approximates manual lymphatic drainage with light sweeping of the skin rather than deep tissue massage." - ABM
Haakaa filled with hot water and Epsom salt suctioned on
Dangle feeding (put baby's chin towards the most painful area) / dangle pumping
Lots of liquids and electrolytes to keep from dehydration
Ibuprofen for pain and inflammation
Echinacea (assists the body in fighting off infections)
Homeopathics (try Belladonna, Phytolacca, or Pulsatilla - remember to treat the symptoms)
Vitamin C (for infection and inflammation)
Vitamin E
Blackmores P.C.I.P. (potassium chloride supplement)
GARLIC "tea" = garlic, ginger, honey, lemon (garlic is the most important part here) or just eat raw garlic
Acupoint stimulation to help with lymph flow
Cabbage leaves in your bra (cool and soothing, good for engorgement BUT can cause a decrease in milk supply so don't use too often)
Cream to help massage (can contain things like charcoal, calendula)
Squeeze out any white lumps at the nipple, or express the duct that has thick yellow milk coming out
Australian Mastitis Tincture by Blissful Herbs (https://www.blissfulherbs.com.au/product-masty-blitz-tincture-108.aspx)
Fever:
Tylenol (USA) / Ibuprofen (AUS)
Cold cloth on head
Warm blankets on body
Husband's body warmth for body chills
Really warm bath for body chills
When it's over:
Nurse, pump, eat, drink, sleep extra to rebuild milk supply
Take Sunflower lecithin to help prevent clogged ducts, which will prevent reoccurrence of mastitis
Make sure to empty out breast at every feeding with hand massaging and heat for a few days
Parsley Trick
Put a handful of parsley, fresh or dried, in a clean cloth and tie it shut.
Then place it in a pot of simmering (not boiling!) water and steep it for 10-15 minutes.
Take the hot, wet bundle (as hot as you can stand it) and hold it on the sore area of your breast until it cools.
Repeat as necessary, though be aware, repeated application can affect supply for some women, though many women find that once is enough when followed by nursing baby on the sore side and then sleeping for as long as able
Parsley can cause supply issues and dry up milk