What causes fever during breastfeeding? ——Comprehensive analysis of medical treatment guidelines and nursing suggestions
Fever is a common problem among breastfeeding mothers, but it is often confusing as to which department to treat and how to take medication safely. This article combines recent medical hot topics and authoritative guidelines to provide you with structured answers.
1. Common causes of fever during lactation and corresponding departments
| Symptoms | possible causes | Department recommended |
|---|---|---|
| Fever + breast tenderness | Mastitis | Breast Surgery/Obstetrics and Gynecology |
| Fever + cough and runny nose | respiratory tract infection | Respiratory medicine |
| Fever + frequent urination and urgency | urinary tract infection | Urology |
| Unexplained persistent fever | systemic infection | Infectious Disease Department/Fever Clinic |
2. Recent hot searches for drug safety data during lactation (last 10 days)
| Drug name | Security level | Usage suggestions |
|---|---|---|
| Acetaminophen | Level L1 (safest) | Preferred fever reducer |
| Ibuprofen | L2 level (safer) | Second choice, short-term use |
| Cephalosporin antibiotics | Level L1-L2 | Useful for bacterial infections |
| pseudoephedrine | L3 level (use with caution) | May reduce milk production |
3. Guide to the whole process of treating fever during lactation
1.Pre-examination and triage: After arriving at the hospital, go to the triage desk to explain the special circumstances of lactation.
2.Check items: Usually includes blood routine, CRP test (inflammation indicator), breast B-ultrasound if necessary
3.Medication principles:
4. Precautions for home care
| Nursing measures | Operational points | Things to note |
|---|---|---|
| physical cooling | Warm water bath (avoid breast) | Alcohol bathing is prohibited |
| Hydration | Daily water intake＞2000ml | Drink coconut water in moderation |
| breast care | Empty breast milk regularly | Use a breast pump to assist |
5. Recent recommendations from authoritative organizations (updated in 2023)
1. WHO emphasizes that breastfeeding should not be interrupted at will during lactation, even if the mother has a fever
2. The National Health Commission issued the "Guidelines for Postpartum Maternal and Infant Health Care" stating that: temperatures below 38.5°C can be observed, and persistent high fever requires medical treatment.
3. The Chinese Medical Association recommends: fever caused by mastitis should be unclogged in time, and antibiotics should be used according to medical advice.
6. Handling special situations
Emergency treatment is required if the following situations occur:
Although fever is common during breastfeeding, scientific response is key. It is recommended that mothers collect this article and deal with it calmly when encountering situations, so as to protect their own health and ensure the safety of feeding their babies.
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