Complications of breastfeeding. Complications of breastfeeding are the main causes of early termination. The identification and treatment of nipple pain is essential to ensure continued breastfeeding. Breast engorgement is a physiological event during lactation. Mastitis can be inflammatory or infectious and bacteriological culture of milk sample is needed to decide antibiotherapy and suspend breastfeeding. In case of proven infection, continuing drainage of the breast is indicated. Incision and drainage of breast abscess are the standard treatment. Past history of esthetic breast surgery or breast cancer does not contraindicate breastfeeding but are both risk factor of milk insufficiency.
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