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- Parenting Babies (0-12 Months)
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Content Map Terms
Pregnancy & Parenting Categories
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Planning Your Pregnancy
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Fertility
- Ovulation and Fertility Pregnancy Planning
- Ovulation and Transport of Egg
- Find Your Ovulation Day
- Infertility: Problems With Ovulation
- Ovulation
- Superovulation
- Interactive Tool: When are you most fertile?
- Infertility
- Infertility: Emotional and Social Support
- Pregnancy after Age 35
- Infertility: Ethical and Legal Concerns
- Infertility: Factors That Affect Treatment Success
- Infertility: Setting Limits on Testing
- Infertility: Problems With the Man's Reproductive System
- Infertility: Problems With Fallopian Tubes
- Infertility: Problems With the Uterus and Cervix
- Cancer Treatment and Infertility
- Fertility Problems: Should I Be Tested?
- Infertility Tests
- Fertility Drugs
- Infertility
- Fertility Problems: Should I Have a Tubal Procedure or In Vitro Fertilization?
- Insemination for Infertility
- Intracytoplasmic Sperm Injection for Infertility
- Infertility Treatment for Women With PCOS
- In Vitro Fertilization for Infertility
- Infertility: Setting Limits on Treatment
- Infertility: Questions to Ask About Medicine or Hormone Treatment
- Infertility: Questions to Ask About Assisted Reproductive Technology
- Infertility: Should I Have Treatment?
- Insemination Procedures for Infertility
- Gamete and Zygote Intrafallopian Transfer for Infertility
- Varicocele Repair for Infertility
- Fallopian Tube Procedures for Infertility
- Follicle-Stimulating Hormone
- Luteinizing Hormone
- Progesterone
- Sperm Penetration Tests
- Basal Body Temperature (BBT) Charting
- Your Health When Planning to Become Pregnant
- Ending a Pregnancy
- Adoption
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Fertility
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Pregnancy
- Healthcare Providers During Pregnancy
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Your Health During Pregnancy
- Dental Care During Pregnancy
- Immunizations and Pregnancy
- Quick Tips: Healthy Pregnancy Habits
- Massage Therapy during Pregnancy
- Sex During Pregnancy
- Leg Cramps During Pregnancy
- Medicines During Pregnancy
- Swelling During Pregnancy
- Electronic Fetal Heart Monitoring
- Getting Help for Perinatal Depression
- Depression: Should I Take Antidepressants While I'm Pregnant?
- Pregnancy: Dealing With Morning Sickness
- Back Pain During Pregnancy
- Bedrest for Preterm Labour
- Abnormal Pap Test While Pregnant
- Acetaminophen Use During Pregnancy
- Acupressure for Morning Sickness
- Automated Ambulatory Blood Pressure Monitoring
- Pregnancy After Weight-Loss (Bariatric) Surgery
- Braxton Hicks Contractions
- Caffeine During Pregnancy
- Exercise During Pregnancy
- Fatigue During Pregnancy
- Fever During Pregnancy
- Pregnancy: Carpal Tunnel Syndrome
- Pregnancy: Changes in Bowel Habits
- Pregnancy: Healthy Weight Gain
- Pregnancy: Hemorrhoids and Constipation
- Pregnancy: Hot Tub and Sauna Use
- Pregnancy: Pelvic and Hip Pain
- Pregnancy: Ways to Find Your Due Date
- Estrogens
- External Cephalic Version (Version) for Breech Position
- Symptoms of Pregnancy
- Sexually Transmitted Infections During Pregnancy
- Pre-Eclampsia: Checkups and Monitoring
- Pre-Eclampsia: Expectant Management
- Gestational Diabetes
- Insulin Injection Areas for Gestational Diabetes
- Gestational Diabetes: Checking Your Blood Sugar
- Gestational Diabetes: Counting Carbs
- Gestational Diabetes: Dealing With Low Blood Sugar
- Gestational Diabetes: Giving Yourself Insulin Shots
- Ginger for Morning Sickness
- Heartburn During Pregnancy
- Nausea or Vomiting During Pregnancy
- Urinary Problems During Pregnancy
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Body Changes During Pregnancy
- Pregnancy
- Pregnancy: Varicose Veins
- Pregnancy: Hand Changes
- Sleep Problems During Pregnancy
- Managing Emotional Changes During Pregnancy
- Breast Changes During Pregnancy
- Pregnancy: Hair Changes
- Pregnancy: Belly, Pelvic and Back Pain
- Pregnancy: Stretch Marks, Itching, and Skin Changes
- Pregnancy: Changes in Feet and Ankles
- Pregnancy: Vaginal Discharge and Leaking Fluid
- Interactive Tool: From Embryo to Baby in 9 Months
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Your First Trimester
- Check-ups and Tests In the First Trimester
- Embryo and Fetal Development In the First Trimester
- Mothers' Physical Changes in the First Trimester
- Normal Pregnancy: First Trimester
- Week 8 of Pregnancy: What's Going On Inside
- Fetal development at 8 weeks of pregnancy
- Week 12 of Pregnancy: What's Going On Inside
- Fetal development at 12 weeks of pregnancy
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Your Second Trimester
- Mothers' Physical Changes During the Second Trimester
- Check-ups and Tests in the Second Trimester
- Normal Pregnancy: Second Trimester
- Week 16 of Pregnancy: What's Going On Inside /
- Fetal development at 16 weeks of pregnancy
- Week 20 of Pregnancy: What's Going On Inside
- Fetal development at 20 weeks of pregnancy
- Week 24 of Pregnancy: What's Going On Inside /
- Fetal development at 24 weeks of pregnancy
- Pregnancy: Kick Counts
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Your Third Trimester
- Check-ups and Tests in the Third Trimester
- Fetal Development in the Third Trimester
- Mothers' Physical Changes in the Third Trimester
- Prenatal Classes in the Third Trimester
- Writing Your Birth Plan or Wishes
- Normal Pregnancy: Third Trimester
- Week 28 of Pregnancy: What's Going On Inside
- Fetal development at 28 weeks of pregnancy
- Week 32 of Pregnancy: What's Going On Inside
- Fetal development at 32 weeks of pregnancy
- Week 36 of Pregnancy: What's Going On Inside
- Fetal development at 36 weeks of pregnancy
- Week 40 of Pregnancy: What's Going On Inside
- Fetal development at 40 weeks of pregnancy
- Pregnancy: Dropping (Lightening)
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Risks and Complications During Pregnancy
- High-risk Pregnancy
- Rh Sensitization during Pregnancy
- Post-Term Pregnancy
- Abnormal Vaginal Bleeding
- Intrauterine Fetal Blood Transfusion for Rh Disease
- Miscarriage
- Abruptio Placenta
- Anemia During Pregnancy
- Antiphospholipid Syndrome and Pregnancy /
- Asthma During Pregnancy
- Bedrest in Pregnancy
- Eclampsia (Seizures) and Pre-Eclampsia
- Ectopic Pregnancy
- Endometriosis
- Functional Ovarian Cysts /
- High Blood Pressure During Pregnancy
- Laparoscopic Ovarian Drilling for PCOS
- Low Amniotic Fluid
- Low-Lying Placenta Versus Placenta Previa
- Miscarriage: Should I Have Treatment to Complete a Miscarriage?
- Molar Pregnancy
- Passing Tissue During Pregnancy
- Placenta Previa
- Polyhydramnios
- Pre-Eclampsia
- Special Health Concerns During Pregnancy
- Subchorionic Hemorrhage
- Toxoplasmosis During Pregnancy
- Vaginal Bleeding During Pregnancy
- Healthy Eating and Physical Activity
- Emotional Health and Support During Pregnancy
- Alcohol and Other Drug Use During Pregnancy
- Interactive Tool: What Is Your Due Date?
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Labour and Birth
- Labour and Delivery
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Planning Your Delivery
- Childbirth Classes
- Childbirth: Labouring in Water and Water Delivery /
- Childbirth: Perineal Massage Before Labour
- Choosing Where to Give Birth Hospital or Home
- Doulas and Support During Childbirth
- Making a Birth Plan
- Packing for Birth at a Hospital
- Pregnancy: Deciding Where to Deliver
- Vaginal Birth After Caesarean (VBAC)
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Stages of Labour
- Cervical Cerclage to Prevent Preterm Delivery
- First Stage of Labour - Early Phase
- First Stage of Labour Active Phase
- First Stage of Labour Transition Phase
- Information on Fourth Stage of Labour
- Information on Second Stage of Labour
- Information on Third Stage of Labour
- Preterm Labour and Short Cervix
- Preterm Labour
- Preterm Labour: Testing for Fetal Fibronectin
- Preterm Prelabour Rupture of Membranes (pPROM)
- Telling Pre-Labour and True Labour Part
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During Labour
- Breathing Techniques for Childbirth
- Caesarean Section
- Cervical Effacement and Dilatation
- Cervical Insufficiency
- Childbirth: Epidurals
- Childbirth: Opioid Pain Medicines
- Childbirth: Pudendal and Paracervical Blocks
- Childbirth: Strep Infections During Delivery
- Comfort Positions Labour and Birth
- Epidural Anesthesia
- Epidural and Spinal Anesthesia
- Episiotomy and Perineal Tears
- Epistiotomy Vacuum and Forceps During Labour and Birth
- Fetal Monitoring During Labour HY
- Labour Induction and Augmentation
- Local Anesthesia for Childbirth
- Pain Relief Options Labour and Birth
- Postpartum Bleeding
- Postpartum: First 6 Weeks After Childbirth
- Postural Management for Breech Position
- Practicing Breathing Techniques for Labour
- Spinal Block for Childbirth
- Stillbirth
- VBAC: Labour Induction
- VBAC: Participation During Birth
- VBAC: Uterine Scar Rupture
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After Labour and Care for New Moms
- After Childbirth: Coping and Adjusting
- After Childbirth: Pelvic Bone Problems
- After Childbirth: Urination and Bowel Problems
- Childbirth Afterpains
- Help with Urination After Giving Birth
- Managing Bowel Movements After Pregnancy
- Mom and Baby Staying Together
- New Moms and Abuse
- Postpartum Depression
- Problems After Delivery of Your Baby
- Vaginal Care After Giving Birth
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Parenting Babies (0-12 months)
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Baby Care
- Birthmarks
- Biting
- Caring for More Than One Baby
- Caring for a Baby's Nails
- Circumcision
- Circumcision: Should I Keep My Son's Penis Natural?
- Cleaning Your Young Child's Natural (Uncircumcised) Penis
- Cleft Lip
- Cleft Palate
- Club Foot
- Common Types of Birthmarks
- Diaper Rash
- Infant Massage
- Oral Care For Your Baby
- Positional Plagiocephaly
- Quick Tips: Getting Baby to Sleep
- Screening for Hearing Problems
- Separation Protests: Helping Your Child
- Thumb-Sucking Versus Pacifier Use
- Using Soothers and Stopping When it is Time
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Breastfeeding
- A Video on Breastfeeding Positions
- A Video on Breastfeeding and Skin-to-Skin Contact
- A Video on Hand Expressing Breastmilk
- Breast Engorgement
- Breast Surgery and Breastfeeding
- Breastfeeding After Breast Surgery
- Breastfeeding After a C-Section
- Breastfeeding During Pregnancy
- Breastfeeding Multiple Infants
- Breastfeeding Positions
- Breastfeeding With Inverted Nipples
- Breastfeeding Your Newborn and an Older Child
- Breastfeeding a Sick Baby
- Breastfeeding and Your Milk Supply
- Breastfeeding at Work
- Breastfeeding
- Breastfeeding: Baby's Poor Weight Gain
- Breastfeeding: Planning Ahead
- Breastfeeding: Tobacco, Alcohol, and Drugs
- Breastfeeding: Waking Your Baby
- Breastfeeding: When Baby Doesn't Want to Stop
- Common Breastfeeding Concerns
- Common Breastfeeding Positions
- Coping With Thrush When You’re Breastfeeding
- Experiencing Let-Down Reflex
- FAQs About Breastfeeding
- Get Started on Expressing Breastmilk
- Getting Comfortable Breastfeeding in Public
- Hospital Policies and Breastfeeding
- Latching Your Baby - Video
- Learning Basics of Breastfeeding
- Learning to Latch
- Mastitis While Breastfeeding
- Medications and Herbal Products for Breastfeeding Moms
- Medicine Use While Breastfeeding
- Milk Oversupply
- Nipple Shields for Breastfeeding Problems
- Oxytocin
- Plugged Milk Ducts When You're Breastfeeding
- Poor Let-Down While Breastfeeding
- Preventing Mastitis
- Pumping Breast Milk
- Quick Tips: Successful Breastfeeding
- Signs That Your Baby Is Getting Enough Breast Milk
- Sleep, Rest, and Breastfeeding
- Storing Breast Milk
- Storing and Using Breastmilk
- Under or Over Production of Milk During Breastfeeding
- Vitamin D Supplements for Breastfeeding Babies
- What you need to Know About Supplementing Baby Formula
- Your Milk Supply
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Feeding Your Baby
- Alternative Feeding Methods for Newborns
- Baby Feeding Cues - Video
- Bottle-Feeding: When Baby Doesn't Want to Stop
- Burping a Baby
- Choosing Baby Bottles and Nipples
- Cleft Palate: Feeding Your Baby
- Combining Breastfeeding and Formula-Feeding
- Cup-Feeding Baby With Breast Milk or Formula
- Feeding Schedule for Babies
- Feeding Your Child Using Division of Responsibility
- Feeding Your Infant
- Feeding Your Premature Infant
- Getting Started and Feeding Cues
- How Often and How Long to Feed
- Introducing Solid Foods to Your Baby
- Learn More Before You Supplement Formula
- Safe Drinking Water - Your Baby's First Year
- Safe Water for Mixing Infant Formula
- Signs of a Good Feed
- Spitting Up
- Weaning
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Baby Health
- Abdominal Gas and Colic
- Basic Dental Care From Birth to 16 Years
- Bowel Movements in Babies
- Cataracts in Children
- Chronic Lung Disease in Infants
- Colic Diary
- Colic
- Colic: Harmful Treatments
- Comforting a Child Who Has a Respiratory Illness
- Common Health Concerns for Babies First Year
- Cough Symptoms in Children
- Cradle Cap
- Croup
- Croup: Managing a Croup Attack
- Crying Child That Is Not Acting Normally
- Dehydration: Drinking Enough Fluids
- Dental Care From Birth to 6 Months
- Developmental Dysplasia of the Hip
- Developmental Problems: Testing
- Failure to Thrive
- Gastroesophageal Reflux in Babies and Children
- Health and Safety, Birth to 2 Years
- Healthy Hearing and Vision For Babies
- Immunization, Your Baby's First Year
- Orchiopexy for Undescended Testicle
- Reducing Biting in Children Ages 8 to 14 Months
- Reducing Biting in Teething Babies
- Teething Products
- Teething: Common Concerns
- Treating Asthma in Babies and Younger Children
- Tongue-tie and tethered oral tissues
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Baby Growth and Development
- Babies' social and emotional development
- Children's Growth Chart
- Cognitive Development 9-12 mos
- Cognitive Development First 6-9 Mos
- Emotional and Social Growth in Newborns
- Growth and Development Milestones
- Growth and Development, Newborn
- Importance of Tummy Time for Babies' Development
- Speech and Language Milestones, Birth to 1 Year
- Stimulate Your Baby's Learning
- Tooth Development in Children
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Baby Safety
- Baby's Sleep Position and Sudden Infant Death Syndrome
- Baby Proofing Your Home First Year
- Choking Rescue for Babies
- Safer Sleep for My Baby
- Crib Safety
- Safe Chairs for Baby's First Year
- Safety at Home for Baby's First Year
- Shaken Baby Syndrome
- Sudden Infant Death Syndrome (SIDS)
- Sun Safety Babies for their First Year
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Baby Care
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Parenting Toddlers (12-36 months)
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Caring for Your Toddler
- Acetaminophen Use in Young Children
- Breath-Holding Spells
- Breath-Holding Spells: Keeping a Record
- Brushing and Flossing a Child's Teeth
- Care for Toddlers' Colds and Coughs
- Crying, Age 3 and Younger
- Dental Care and Teething in Toddlers
- Egocentric and Magical Thinking
- Hearing Health for Toddlers
- Ibuprofen Use in Young Children
- Managing Your Toddler's Frustrating Behaviours
- Positive Parenting
- Preparing Your Toddler for Health Care Visits
- Preventing Breath-Holding Spells in Children
- Promoting Positive Behaviour in Your Toddler
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Toddler Growth and Development
- Cognitive Development, Ages 12 to 24 Months
- Emotional and Social Development, Ages 1 to 12 Months
- Emotional and Social Development, Ages 12 to 24 Months
- Growth and Development, Ages 1 to 12 Months
- Growth and Development, Ages 12 to 24 Months
- Growth and Development, Ages 2 to 5 Years
- Language Development 12-18 Months
- Language Development 18-24 Months
- Language Development 24-30 Months
- Milestones for 2-Year-Olds
- Milestones for 3-Year-Olds
- Physical Development, Ages 1 to 12 Months
- Physical Development, Ages 12 to 24 Months
- Sensory and Motor Development, Ages 1 to 12 Months
- Sensory and Motor Development, Ages 12 to 24 Months
- Speech and Language Development: Helping Your 1- to 2-Year-Old
- Speech and Language Milestones, Ages 1 to 3 Years
- Toddler Play Activities
- Toddlers Language Development 30-36 Months
- Toddlers Physical Development 18-24 Months
- Toddlers Physical Development 24-30 Months
- Toddlers Physical Development 30-36 Months
- Toddlers Social and Emotional Development 12-18 Months
- Toddlers Social and Emotional Development 18-24 months
- Toddlers Social and Emotional Development 30-36 Months
- Toddlers social and Emotional Development 24-30 months
- Toilet Training
- Toilet Training: Knowing When Your Child Is Ready
- Understanding your Toddlers Development
- Toddler Sleep
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Caring for Your Toddler
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Parenting Preschoolers (3-5 years)
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Caring for Your Preschooler
- Daytime Accidental Wetting
- Dental Care: 3 Years to 6 Years
- Health and Safety, Ages 2 to 5 Years
- Preschoolers: Building Self-Control
- Preschoolers: Building Social Skills
- Preschoolers: Building a Sense of Security
- Preschoolers: Encouraging Independence
- Preschoolers: Helping Your Child Explore
- Preventing Tooth Decay in Young Children
- Temper Tantrums
- Temper Tantrums: Keeping a Record
- Thumb-Sucking: Helping Your Child Stop
- Your Child and the Dentist
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Preschooler Growth and Development
- Emotional Development, Ages 2 to 5 Years
- Encouraging Language Development in Your Preschooler
- How Reading Helps Language Development
- How to Teach Your Child by Example
- Milestones for 4-Year-Olds
- Milestones for 5-Year-Olds
- Speech Problems: Normal Disfluency
- Speech and Language Delays: Common Misconceptions 49
- Speech and Language Development
- Speech and Language Development: Red Flags
- Speech and Language Milestones, Ages 3 to 5 Years
- Stuttering
- Thumb-Sucking
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Caring for Your Preschooler
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Parenting School-Age Children (6-11 years)
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Caring for Your School-Age Child
- Bedwetting
- Building Kids Resilience
- Childhood Fears and Exposure to Violence
- Conversations that Teach Children Resilience
- Establishing Limits With Your School-Age Child
- Help Your School-Age Child Develop Social Skills
- Helping Your School-Age Child Learn About the Body
- Quick Tips: Using Backpacks Safely
- Sample School Plan
- Self-Esteem, Ages 6 to 10
- Back to School
- School-Age Children Growth and Development 6-11
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Caring for Your School-Age Child
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Parenting Teens (12-18 years)
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Teen Growth and Development
- Adolescent Sensory and Motor Development
- Cognitive Development, Ages 15 to 18 Years
- Emotional and Social Development, Ages 11 to 14 Years
- Emotional and Social Development, Ages 15 to 18 Years
- Growth and Development, Ages 11 to 14 Years
- Growth and Development, Ages 15 to 18 Years
- Menarche
- Menstruation: Not Having a Period by Age 15
- Milestones for Ages 11 to 14
- Milestones for Ages 15 to 18
- Physical Development, Ages 11 to 14 Years /
- Physical Development, Ages 15 to 18 Years
- Puberty Issues
- Teenage Sleep Patterns
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Caring for Your Teen
- Conversations that Teach Resilience
- Help Your Working Teen Balance Responsibilities and Set Priorities
- Helping Adolescents Develop More Mature Ways of Thinking
- Helping Your Child Transition Into Middle School or Junior High
- Helping Your Teen Become a Safe Driver
- How to Get Back on Track After Conflict with Teenagers
- How to Start a Conversation with Teens About Alcohol
- Medical Checkups for Adolescents
- Talking to Your Adolescent or Teen About Problems
- Teen Relationship Abuse
- Teen Substance Use: Making a Contract With Your Teen
- Teenage Substance Use: Choosing a Treatment Program
- Teenage Tobacco Use
- Teens With Diabetes: Issues for Parents
- Tips for Parents of Teens
- Your Teen's Sexual Orientation and Gender Identity
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Teen Growth and Development
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Keeping Your Child Safe
- Child Safety: Preventing Burns
- Child Safety: Preventing Drowning
- Child Safety: Preventing Child Abduction
- Child Safety: Fires
- Protecting Your Child From Infections
- Child Safety: Pets
- Child Safety: Preventing Falls
- Child Safety: Streets and Motor Vehicles
- Child Safety: Washing Toys to Prevent Germs
- Preventing Choking in Small Children
- Preventing Children's Injuries From Sports and Other Activities
- Quick Tips: Helping Your Child Stay Safe and Healthy
- Child Safety: Air Pollution
- Child Safety: Bathing
- Child Safety: Bicycles and Tricycles
- Child Safety: Drowning Prevention in Pools and Hot Tubs
- Child Safety: Guns and Firearms
- Child Safety: Strollers and Shopping Carts
- Head Injuries in Children: Problems to Watch For
- Head Injury, Age 3 and Younger
- Object Stuck in a Child's Airway
- Playground Safety
- Preventing Choking
- Quick Tips: Safely Giving Over-the-Counter Medicines to Children
- Preventing Poisoning in Young Children
- Staying Healthy Around Animals
- Thinking About Child Safety
- Rule of Nines for Babies and Young Children
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Relationships and Emotional Health
- Helping Your Child Build Inner Strength
- Helping Your Child Build a Healthy Body Image
- Symptoms of Depression in Children
- Active Listening
- Aggression in Youth
- Appreciating Your Child's Personality
- Family Life Cycle
- Family Meetings
- Recognizing and Developing Your Children's Special Talents
- Sibling Rivalry: Reducing Conflict and Jealousy
- Violent Behaviour in Children and Teens
- Growth and Development: Helping Your Child Build Self-Esteem
- Effective Parenting: Discipline
- Corporal Punishment
- Talking With Your Child About Sex
- Helping Kids Handle Peer Pressure
- Substance Use Problems: How to Help Your Teen
- Helping Your Child Avoid Tobacco, Drugs, and Alcohol
- Stress in Children and Teenagers
- Stress Management: Helping Your Child With Stress
- Family Therapy for Depression in Children
- Comparing Symptoms of Normal Moodiness With Depression in Children
- Conditions With Symptoms Similar to Depression in Children and Teens
- Warning Signs of Suicide in Children and Teens
- Taking Care of Yourself When You Have a Child With Physical, Emotional, or Behavioural Problems
- Taking Care of Yourself When Your Child Is Sick
- Grief: Helping Children With Grief
- Grief: Helping Children Understand
- Grief: Helping Teens With Grief
- ADHD: Taking Care of Yourself When Your Child Has ADHD
- Baby's Best Chance
- Toddler's First Steps
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Birth Control
- Birth Control Hormones: The Pill
- Birth Control Hormones: The Shot
- Birth Control Hormones: The Mini-Pill
- Birth Control Hormones: The Patch
- Birth Control Hormones: The Ring
- Breastfeeding as Birth Control
- Birth Control: How to Use a Diaphragm
- Birth Control
- Birth Control: Myths About Sex and Pregnancy
- What to Do About Missed or Skipped Birth Control Pills
- Birth Control Pills: Missed or Skipped Periods
- How Birth Control Methods Prevent Pregnancy
- How to Take Birth Control Pills
- Birth Control: How to Use the Patch
- Birth Control: How to Use the Ring
- Hormonal Birth Control: Risk of Blood Clots
- Effectiveness Rate of Birth Control Methods
- Birth Control
- Diaphragm for Birth Control
- Spermicide for Birth Control
- Contraceptive Sponge for Birth Control
- Cervical Cap for Birth Control
- Birth Control: Pros and Cons of Hormonal Methods
- Intrauterine Device (IUD) for Birth Control
- Hormonal Methods of Birth Control
- Barrier Methods of Birth Control
- Tubal Implants for Permanent Birth Control
- Birth Control Patch
- How Pregnancy (Conception) Occurs
- Getting Pregnant After Stopping Birth Control
- Male Condoms
- Emergency Contraception
Condition Basics
What is mastitis?
Mastitis is breast inflammation. It can happen to any woman. But it's most common during the first 6 months of breastfeeding, especially during the baby's first 2 months. After 2 months, the baby's feeding patterns become more regular, which helps prevent mastitis.
Mastitis can leave a new mother feeling very tired and run-down. Add the illness to the demands of taking care of a newborn, and many women quit breastfeeding altogether. But you can keep nursing your baby. In fact, breastfeeding usually helps to clear up infection. Nursing won't harm your baby.
Mastitis can be discouraging and painful. But it is usually easily cleared up with medicine.
What causes it?
This can happen when a nursing mother has a cracked or sore nipple. Going for a long time between nursing sessions or not emptying the breast completely may also make mastitis more likely.
What are the symptoms?
If you have mastitis, you may first notice:
- A painful area on one breast. It may be red, warm to the touch, or both.
- Chills, aches, and flu-like symptoms.
- A fever.
These first symptoms may start after you have reopened a blocked milk duct.
Signs that mastitis is getting worse include swollen and painful lymph nodes in the armpit next to the infected breast, a fast heart rate, and flu-like symptoms that get worse. Mastitis can lead to a breast abscess, which feels like a hard, painful lump.
The symptoms of mastitis most often appear within 4 to 6 weeks after childbirth.
How is it diagnosed?
Your doctor can usually diagnose mastitis based on your symptoms and by checking your affected breast. Tests usually aren't needed.
How is mastitis treated?
Treatment for mastitis includes breastfeeding or pumping your breast milk only as often as baby wishes. Self-care includes taking taking ibuprofen for inflammation and pain and using cold compresses to ease your discomfort. Treating mastitis right away helps keep the infection from getting worse and usually eases symptoms.
Prevention
Nursing moms sometimes get mastitis when bacteria enter the breast through a cracked or sore nipple. Taking these steps can help prevent mastitis.
- Breastfeed regularly.
Routine breastfeeding prevents bacteria from building up. If you know you'll go more than 4 hours without feeding your baby, arrange to pump.
- Drink plenty of fluids.
If you drink something while you breastfeed, it can help you stay hydrated.
- Position yourself well.
When you and your baby are aligned, the baby can latch on to the areola, not just the nipple.
- Use different positions.
This can help drain all areas of your breast. Try breastfeeding positions such as the Australian hold, the cradle hold, the cross-cradle hold, the football hold, and the side-lying position.
- Alternate which breast you offer first.
- Wear a bra that isn't too tight or restrictive.
- Take care of your nipples.
- Air-dry your nipples after you breastfeed. This can prevent irritation and cracking.
- Use an over-the-counter lanolin-based cream on your nipples, such as Lansinoh.
- Get help from your doctor or a lactation consultant for sore or cracked nipples.
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Wean your baby gradually.
Gradual weaning helps prevent your breasts from getting too full.
Learn more
Symptoms
If you have mastitis, you may first notice:
- A painful area on one breast. It may be red, warm to the touch, or both.
- Chills, aches, and flu-like symptoms.
- A fever.
These first symptoms may start after you have reopened a blocked milk duct.
Signs that mastitis is getting worse include swollen and painful lymph nodes in the armpit next to the infected breast, a fast heart rate, and flu-like symptoms that get worse.
The symptoms of mastitis most often appear within 4 to 6 weeks after childbirth.
In some cases, symptoms of mastitis get worse and the breast forms a pocket of pus (abscess) in the infected area.
Thrush infection
Thrush (yeast infection) can occur in your baby's mouth and spread to your nipples and breast ducts. You may have a yeast infection if you have:
- Symptoms of mastitis that don't go away with treatment.
- Pain in the nipple area during and after you breastfeed.
- Sharp breast pain between feedings.
- Nipples that look very pink.
If you have yeast infection symptoms, both your nipples and your baby's mouth should be checked for thrush.
Thrush can also begin with a sudden start of pain or burning when breastfeeding has been going well without problems.
Symptoms of a breast abscess
Symptoms of a breast abscess include a breast lump that is hard and painful and a reddened area on the breast. You may also have flu-like symptoms that are getting worse.
Examinations and Tests
Your doctor can usually diagnose mastitis based on your symptoms and by checking your affected breast. Tests usually aren't needed. But tests may be done to confirm a diagnosis. They may also be done to help guide treatment for other problems that can develop.
If you have an infection that isn't improving with treatment, your doctor may do a breast milk culture. To provide a sample for a culture, you will squeeze a small sample of milk from the affected breast onto a sterile swab. The culture results help your doctor confirm a diagnosis and find out the specific bacteria causing the infection.
Culture results may also be used to find out which antibiotic will work best for you.
Diagnosing a breast abscess
Your doctor can diagnose a breast abscess by checking your breast. If an abscess is too deep to check by touching it, your doctor may use a breast ultrasound. Ultrasound can also guide a needle to drain the abscess. A culture can then be done to identify the bacteria that are causing the abscess.
Learn more
Treatment Overview
Mastitis won't go away without treatment. Treating it right away helps keep the infection from quickly getting worse and usually eases symptoms after about 2 days. Delaying treatment can lead to an abscess, which can be harder to treat.
Treatment usually includes:
- If antibiotic medication is prescribed, take it until the recommended course is completed, even if you feel better. They destroy the bacteria causing the infection.
- Nurse or express milk regularly, following your baby’s cues. This helps prevent more bacteria from collecting in the breast. It may shorten the time that the infection lasts.
- Self-care. This includes varying your breastfeeding positions and taking ibuprofen to relieve pain, fever, or discomfort. You can rest as needed and use an ice pack on your breast.
You can safely keep breastfeeding your baby or pumping breast milk to feed your baby during illness and treatment. Your breast milk is safe for your baby to drink. Any bacteria in your milk will be destroyed by the baby's digestive juices.
Treating a breast abscess
Treatment for a breast abscess includes:
- Draining the abscess. Healing can take 5 to 7 days.
- Antibiotics that you take by mouth. They destroy the bacteria that are causing the infection. Antibiotics are given through a vein (intravenously) only in rare cases of severe infection.
- Breastfeed or pump regularly to match your infant’s need.
Most women can keep breastfeeding with the affected breast while an abscess heals. With your doctor's approval, you can cover the abscess area with a light gauze dressing while you breastfeed.
If you are told to stop breastfeeding from the affected breast while an abscess heals, you can keep breastfeeding from the healthy breast. Be sure to pump or express milk from the infected breast regularly.
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Self-Care
Taking antibiotics and continuing to breastfeed or pump will help clear up mastitis. You can also take these steps to feel better.
- Take an over-the-counter medicine.
- Acetaminophen (such as Tylenol) can help with pain, fever, or discomfort.
- You can also take ibuprofen (such as Advil) along with acetaminophen to reduce inflammation.
- Rest as much as you can.
- Use an ice pack.
Cold can reduce pain in the sore breast.
- If you use an ice pack, place it on the outside of your bra or clothes.
- Do not put the ice on your bare skin.
- Drink extra fluids.
- Pump a little first if your breasts are very full (engorged).
A breast that isn't quite so full can be easier for your baby to latch on to.
- Wash off pus.
If pus drains from your nipple, gently wash it off. Let your nipple air dry before you put your bra back on. You can also use a disposable breast pad to absorb the pus.
If you have trouble breastfeeding, you can get more help and support from your doctor or a lactation consultant.
Breastfeeding when you have mastitis
Antibiotics are used to treat mastitis. But breastfeeding is also a great way to prevent bacteria from collecting in the breast. It can also shorten the time that the infection lasts.
- Breastfeed based on your baby's cues.
Your baby is the most efficient way to empty your breasts. And your milk is safe for your baby to drink. Your baby's digestive juices will destroy any bacteria in your milk.
- Try to start on the sore side.
- If you need to start on the other side, be sure to switch.
- Vary your breastfeeding positions to be sure to empty your breasts.
- If it's too painful to breastfeed at all, you can pump or express your milk.
- Massage the sore breast.
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This can also increase milk flow.
- Use creams for sore or cracked nipples.
Try a lanolin-based cream, such as Lansinoh.
- Replace nursing pads often.
Dry and clean pads are best.
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Related Information
Credits
Adaptation Date: 3/22/2024
Adapted By: HealthLink BC
Adaptation Reviewed By: HealthLink BC
Adaptation Date: 3/22/2024
Adapted By: HealthLink BC
Adaptation Reviewed By: HealthLink BC
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