Which statement indicates understanding how to prevent mastitis after starting breastfeeding?

• A. I should pump and store milk between feedings.
• B. I should avoid waiting too long between feedings.
• C. I should avoid breastfeeding when engorged.
• D. I should feed only if the baby cries.

Answer: (B)

Preventing mastitis comes from keeping the breast well emptied so milk doesn’t sit in the ducts. When you wait too long between feedings, milk can pool and the breast becomes engorged, which can lead to plugged ducts and create an environment where bacteria can grow. Regularly removing milk through frequent feeding helps keep the ducts clear and reduces the risk of mastitis.

While pumping between feeds can help relieve engorgement in certain situations, the most effective general prevention is not letting long gaps occur between feeds. If the breast does feel engorged, continuing to breastfeed helps relieve fullness. Relying on the baby crying as a cue or waiting for a specific trigger isn’t reliable, since engorgement can develop before the baby cries.