A postpartum mother with a unilateral breast infection asks about continuing breastfeeding. What is the recommended plan?

• A. Stop breastfeeding from the infected breast.
• B. Continue breastfeeding.
• C. Only feed from the uninfected breast.
• D. Pump and discard the milk from the infected breast.

Answer: (B)

Continuing breastfeeding, including on the infected side, is the best approach. Draining milk from the affected breast helps clear the infection and prevents milk stasis, which can worsen mastitis. Breast milk remains safe for the infant, and breastfeeding supports the baby's nutrition and immunity even when one breast is infected. Start or continue appropriate treatment with antibiotics that are compatible with breastfeeding, and keep nursing frequently to maintain milk flow. Use warm compresses and gentle breast massage to aid letdown, ensure a good latch, and rest as needed. If symptoms worsen, fever persists, or you suspect an abscess, seek medical care promptly.