Challenges in the treatment of lactational mastitis for general practitioners

Breastfeed Rev. 2015 Nov;23(3):23-8.

Abstract

Objectives: To determine how GPs manage breastfeeding women with mastitis and how confident they are in treating women with breast conditions that occur during lactation.

Design, participants and setting: A cross-sectional survey conducted among all Croatian GPs.

Key findings: Sixty-four per cent of the total number of respondents (171/268) had seen a patient with lactational mastitis (LM) in the previous 12 months. Among respondents who recommended medication for the treatment of LM, 93% prescribed an antibiotic (122/131). Fifteen per cent of respondents who gave advice on infant feeding advised alternative feeding methods. Approximately half (47%) felt completely confident when treating LM while more than half (57%) felt partially confident when treating other breast conditions that can occur during lactation.

Conclusion: The management of LM among Croatian GPs is not in full compliance with current recommendations. FUTURE IMPLICATIONS: There is a need for further training of Croatian GPs in the management of mastitis.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bottle Feeding
  • Breast Feeding / adverse effects*
  • Breast Milk Expression*
  • Clinical Competence*
  • Cold Temperature
  • Croatia
  • Cross-Sectional Studies
  • Female
  • General Practitioners / standards*
  • Guideline Adherence / statistics & numerical data*
  • Hot Temperature
  • Humans
  • Male
  • Massage*
  • Mastitis / therapy*
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' / standards*
  • Surveys and Questionnaires

Substances

  • Anti-Bacterial Agents