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Cibele Barbosa-Cesnik, MD, MPH; Kendra Schwartz, MD, MSPH; Betsy Foxman, PhD

JAMA. 2003;289:1609-1612.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

In 2001, the prevalence of both breastfeeding initiation (69.5%) and breastfeeding at 6 months (32.5%) among new mothers was the highest recorded in the recent past in the United States.¹ Unfortunately, an estimated 2% to 33% of breastfeeding women develop lactation mastitis,^2-10 which increases the risk of weaning.¹¹

The clinical spectrum of lactation mastitis, an acute inflammation of the interlobular connective tissue within the mammary gland that may or may not be infective,^{4, 12-13} ranges from focal inflammation with minimal systemic symptoms to abscess and septicemia.¹² Symptoms usually begin as malaise and fever may be in the range of 39°C to 40°C, followed by redness, warmth, and tenderness in the affected breast. Mastitis usually occurs during the first 3 months postpartum^{2, 4, 12} and results in an average of 4.9 restricted days and 1 bed day.² Supportive care, such as analgesics, hot . . . [Full Text of this Article]

Diagnosis

Epidemiology

Associated Factors

Bacteriology

Complications

Treatment

Complementary and Alternative Therapies

Conclusion

Author Affiliations: Department of Epidemiology and Center for Molecular and Clinical Epidemiology of Infectious Diseases, University of Michigan, Ann Arbor (Drs Barbosa-Cesnik and Foxman), and Department of Family Medicine, Wayne State University, Detroit, Mich (Dr Schwartz).

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