title: Antepartum Mastitis: A Rare Occurrence.
abstract: Puerperal or lactational mastitis is an inflammatory condition of the breast that is commonly encountered in breastfeeding mothers. It occurs most commonly in the postpartum period, generally in the first 6 weeks of breastfeeding. In contrast, antepartum mastitis is an uncommon condition, and if not treated adequately, it may be complicated by the formation of a breast abscess. The authors present a case of a 24-year-old, second gravida mother who developed unilateral antepartum mastitis with abscess formation at 34 weeks of gestation, which was initially treated with antibiotics and surgical drainage. However, her symptoms persisted over the next 2 weeks, and she was referred to the authors' institution, where she was managed with antibiotics and surgical drainage after delivering a healthy near-term infant. The abscesses healed completely 2 months later, with sequelae of residual scarring and a nonprotractile nipple. The authors wish to emphasize that health care providers should be aware of the occurrence of mastitis in the antepartum period. Early recognition with adequate treatment of mastitis is the key to avoiding complications, and this will prevent lactation issues and also reduce morbidity in the mother and neonate.
authors.affiliation: Division of Neonatology, Department of Pediatrics, T. N. Medical College & B.Y.L Nair Hospital, Mumbai, India sushmamalik@gmail.com.
authors.forename: Sushma
authors.initials: S
authors.lastname: Malik
authors.affiliation: Division of Neonatology, Department of Pediatrics, T. N. Medical College & B.Y.L Nair Hospital, Mumbai, India.
authors.forename: Varsha Anant
authors.initials: VA
authors.lastname: Patil
authors.affiliation: Division of Neonatology, Department of Pediatrics, T. N. Medical College & B.Y.L Nair Hospital, Mumbai, India.
authors.forename: Charusheela Sujit
authors.initials: CS
authors.lastname: Korday
authors.affiliation: Division of Neonatology, Department of Pediatrics, T. N. Medical College & B.Y.L Nair Hospital, Mumbai, India.
authors.forename: Dipti Parag
authors.initials: DP
authors.lastname: Shah
mesh_terms: D005260:Female; D006801:Humans; D008413:Mastitis / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011295:Prenatal Care; D011296:Prenatal Diagnosis; D055815:Young Adult
keywords: antepartum mastitis; breast abscess; breastfeeding; lactational mastitis