Yes, if severe breast engorgement is not addressed in time, it can develop into mastitis. Mastitis occurs due to milk stasis in the breast or a blocked milk duct, leading to infection and inflammation. Here are the key factors that can cause engorgement to develop into mastitis:
Milk Stasis:
When milk is not properly expressed or the baby does not feed enough, milk can accumulate in the breast, causing increased pressure and hard lumps, leading to breast pain. If this persists, it may result in blocked milk ducts.
Blocked Milk Ducts:
A blocked milk duct can impede milk flow, worsening engorgement. If the blockage is not cleared, the affected area of the breast may become red and painful, potentially leading to an infection.
Bacterial Infection:
If milk stasis or a blocked duct is not resolved over time, bacteria (often from the skin or the baby's mouth) can enter the breast tissue, causing an infection and eventually leading to mastitis.
How to Prevent Mastitis?
Regular Breastfeeding or Pumping: Maintain regular breastfeeding or use a breast pump to prevent excessive milk buildup.
Ensure Breast Emptiness: After each feeding, make sure the breast is fully emptied, especially if engorgement is severe. Express any remaining milk if necessary.
Change Feeding Positions: Try different breastfeeding positions to ensure the baby can drain milk from all areas of the breast, preventing localized milk stasis.
Gentle Massage: Massage the breast gently before and after feeding or pumping to help milk flow more smoothly.
Maintain Hygiene: Keep the breasts and breast pump clean to reduce the risk of bacterial infection.