Como tratar a mastite

É incrivel como a maternidade nos modifica por completo. Tem o poder gigantesco de fazer qualquer mulher se sentir “menos” por nao dar o peito.”

Numa visita á minha cunhada, conheci o sobrinho do meu marido de trës mesitos. A mäe perguntou se eu queria pega-lo ao colo e eu reticente afirmei. Enquanto olhava para o näo täo pequenino bebé a mae contava-me e explicava que infelizmente nao dava só o peito, que tinha de suplementar com a formula.

Naquela altura nao percebi a complicacao ou a emocao de ter que dar o biberao em vez do peito. Era alimento nao era?

Eu dei o peito desde o dia um. Umas horas depois do M ter vindo ao mundo, as enfermeiras disseram-me em tom doce que teria de alimentar o bebé.

É toda uma coisa estranha isto de um momento estares a empurrar um bebe para fora, levarem-te o bebe e depois te trouxerem de volta e dizerem aqui está ele. É teu!

Ainda mais estranho é dizerem-te: o bebe tem de comer porque deve estar com fome.

Depois de um parto de 24 horas, estava tudo muito enevoado e mal conseguia ver além da palma da minha mão. O meu cerebro tinha aparentemente tirado ferias e o meu senso comum e julgamento tinham ido pela janela juntamente com todos os nomes malcriados que disse durante o parto.

Tive um parto tramado mas um dar á luz mágico. A preeclampsia veio dizer Olá e precisei de ser medicada para baixar a hipertensão. A epidural foi a minha força de vida mas a minha bexiga foi o diabo.

Tudo era um daze que acabei por me esquecer do pequenino. Estava exausta por não ter dormido durante 48 horas e queria só mesmo fechar os olhos durante um momento. O meu marido estava pior do que eu e deixei-o descansar.

Abri a camisa e deixei-as por o M no meu peito.

Passei pelas passinhas do Algarve nas primeiras duas semanas. Mastite quando se é mãe de primeira viagem é ir ao inferno e voltar. Eu usei uma bomba de tirar o leite electrica, manual, usei as maos, o chuveiro. Nada ajudava e estava sem forças.

Eu olhava para o meu bebe recem nascido e nao o conseguia confortar com o meu peito. As dores eram tantas que cheguei ao ponto de o ressentir por ter de o fazer.

Antes de ser mae, sou humana e tenho o poder de raciocionar por isso pensei se nao fosses mae o que farias? Alimentavas o bebe correto? Dá o biberao! Já! Deixa-te de merdas! Nao vais ser mais ou menos mae por nao conseguires dar o peito. O teu bebe é a tua prioridade neste momento e Tu minha querida és segundo plano.

Fui direta á cozinha, aqueci o biberao e sentei-me com o menino e pus-lhe na boca. Nao queria. Nao havia jeito nenhum dele aceitar o biberao. As minhas lágrimas nao paravam de rolar pela cara abaixo e sozinha com o menino nao havia nada que me confortasse.

Tomei um paracetamol e enchei-me de coragem. Agarrei no meu peito e tentei-lhe dar de novo. Quando os bebes sao tao pequenos eles nao fazem ideia da maneira mais correta de agarrarem no mamilo. Somos nós que temos de os ensinar e de colocar a boca da forma correta*. Porque também é um beneficio para nós. A consequencia é obviamente, mastite.

Mastite é uma inflamacao no peito que pode causar dores, febre, alta sensibilidade e nódulos endurecidos. Ocorre especialmente pós-parto, numa má execucao ou quando se deixa de amamentar. Pode ser infecao ou uma obstrucao nos ductos mamarios. A unica solucao é continuar a dar o peito ao bebé para aliviar os sintomas e remover a obstrucao. A infecao nao é prejudicial ao bebe. Se a obstrucao perdurar por mais de 24 horas é aconselhavel visitar o medico. Foi o que li, e assim o fiz. 

Nos dias que se passaram consegui que o menino se acostumasse ao biberao e continuei a dar o peito. Assim intercalei. Foi difícil me acostumar á ideia de que precisava de um reforco para alimentar o meu filho mas dilemas psicologocos na maternidade iriam acontecer em qualquer uma das fases, vim eu a descobrir. 

Este post resume-se da seguinte forma.

Leiam muito no google acerca dos problemas e solucoes antes do rebento chegar. Mesmo que na altura nao nos lembremos, teremos ao menos uma nocao do que poderá ser e o que poderá ajudar. 

Eu bem digo ao meu marido que a maternidade merecia um livro de instrucoes ao que ele me respondeu: “Sem dúvida, estava a pensar escrever um livro.”

Esse livro deverá sair com três folhas. 😀 


It’s amazing how motherhood changes us completely. It has the gigantic power to make any woman feel “less” by not breastfeeding.

On a visit to my sister-in-law, I met my husband’s nephew’s little three month old baby. The mom asked me if I wanted to hold him while she could sip on her coffee.

While looking at the not-so-small baby, the mother told me and explained that unfortunately she wasn’t able to just breastfeed, that she had to supplement her baby with powdered milk.

At that time, I didn’t realize the complication of having to give the bottle instead of the breast. It was food after all, wasn’t it?

I breastfed from day one. A few hours after M came into the world, the nurses told me in a sweet tone that I would have to feed my baby.

It is such a strange thing that one moment you are pushing a baby out, and the next they are giving him to you and say elated, there you go momma, it’s yours! Even stranger is being told: the baby must eat because he must be hungry. And you’re like: “Eat?!”.

After a 24-hour delivery, everything was very foggy and I could barely see beyond the palm of my hand. My brain had apparently taken a vacation and my common sense and judgment had gone out the window along with all the names I yelled during childbirth.

I had a though dilation time but a magical birth. Preeclampsia came to say hello and I needed to be medicated to lower the hypertension. The epidural was my life force but my bladder was the devil. Everything was a daze that for a second I forgot that I had just given birth to a little one.

I was exhausted from not sleeping for 48 hours straight and just wanted to close my eyes for just a moment. My husband was worse than I was and I let him rest. I opened my shirt and let the nurses put my newborn on my chest.

I went through hell the first couple of weeks. Mastitis when you are a first-time mom (or second or thirs) is going to be living hell. I used an electric and a manual breast pump. I used my hands. I massaged myself in the shower. Nothing helped and I felt powerless.

I looked at my newborn baby and couldn’t comfort him with myself. The pain was so immense that I went so far as to resent him for having to breastfeed him.

However I thought, before being a mother, I am human and I have the power to reason so I thought if you were not a mom what would you do, what would you “advise”? If you cannot feed the baby properly. Is he/she hungry? Then give him/her the bottle! Immediately! Cut the crap!

You will not be more or less of a mother for not being able to breastfeed. Your baby is your priority right now and You are in second.

Sorry about the harshness, but that is what I told  myself that time.

I got up, went to the kitchen, heated up some water and made a bottle. I tried feeding it to my little boy but he refused it. The tears rolled down my face and he began crying. I felt powerless once again. But that’s motherhood my friends, the powerless feeling will not never leave not even when you think you’ve got it all together.

I googled “engorged breast” and I got many results stating mastitis. As I read through the many articles and help guides my eyes were wide open in disbelief.

“I have to do what?” I gasped.

I found out with some thorough research that the cure to mastitis is your very own self. At least for the first days.

The engorgement is normally due to either a bacteria that is causing an infection or blocked milk ducts. The milk cannot circulate through the duct and that causes of course a blockage. Such blockage can cause the body to react negatively and behave defensevley as if it has a problem it should solve imediately. That is why mastitis causes fever and chills, the feeling like you’ve got the flu.

The solution (for the first days) is to of course take a paracetamol to lower the fever and guess what, breastfeed. Yes, you will need to breastfeed. In case of a present infection, there is no problem for the baby.

Hopefully the paracetamol will also help with your pain and it will be easier to breastfeed. If you continue breastfeeding until you can no longer feel the lumps in your breast then success. If not, it’s advisable to consult your family doctor.

In case of producing a lot of milk and such is causing engorgement, I suggest investing in a breast pump. I actually got an electric first and it really do anything for me and I was scared of it to be honest but then I got a manual and I felt more in control and it worked better for me. I would express the milk everyday and that would help keeping the boob under control and pain-free.

Another cause for problems such as wounds and openings in your nipples are due to the fact that maybe your baby isn’t latching properly on your breast.

I was taught at the hospital that the baby’s mouth should be as open as if you he was “eating a burger”. Seriously, I’m not joking. The baby shouldn’t be just sucking on the “nipple” but he should get hold of the areola too. That would be a lot better for the milk to come out and not get stuck inside your breast and cause you a mastitis.

If you want to see the baby should latch properly I recommend the following videos below.

If you want to know more about mastitis from a medical point of view, the videos below can help you.

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