The prevalence and predisposing factors of mastitis in lactating mothers in puerperium
Ruma Dutta, Ravikanth Onkarappa Gowder
Objectives: To study the prevalence, evaluate the predisposing factors and know the etiological factors associated with mastitis in lactating mothers during puerperium. Materials and methods: A prospective study was performed from January 1st, 2014 to December 31st, 2015. Data were collected from patients admitted in the postnatal ward with benign breast problems by preformatted questionnaires. Breast milk cultures were done to evaluate the etiological factors. Data were analyzed by using descriptive statistics. Results: The overall prevalence of puerperal mastitis among lactating mothers was 5.1%, high among caesarean section patients (5.8%) compared to vaginally delivered patients (4.8%). The predisposing factors include primipara (57%), unbooked cases (57%), low socioeconomic status (49%), anemic patients (45%), breast engorgement (75%), cracked nipple (44%), retracted/flat/inverted nipple (13%), poor attachment of baby to breast (32%), infrequent removal of milk (7%), oversupply of breast milk (37.5%) and lower supply of breast milk(12.5%). Breast milk culture reports yielded growth of Staphylococcus aureus (75%) and MRSA (25%). Seven patients developed breast abscess (4.4%). Conclusion: It is recommended to educate the mothers and the family on the exclusive breast feeding practice and its benefits, demand feeding, optimal positioning and attachment of the baby, to provide adequate emotional support and access to skilled help in the early postpartum period.