What should be the initial management step for a breastfeeding woman with a suspected breast abscess?

The initial management step for a breastfeeding woman with a suspected breast abscess is to continue breastfeeding from both breasts and start antibiotics. This approach provides several benefits for both the mother and the infant. Continuing to breastfeed helps maintain milk production, prevents engorgement, and allows for the drainage of any pus that may be present in the affected area. Breast milk also contains antibodies that can aid the infant's immune system.

Starting antibiotics is important to address the infection effectively. In many cases, the abscess can be successfully managed non-surgically, especially if it is diagnosed early. If drainage becomes necessary, it can often be performed while allowing the mother to continue breastfeeding.

Other options, such as stopping breastfeeding completely or scheduling immediate surgery without breastfeeding, are not recommended because they do not support the ongoing needs of the infant or the mother's recovery process.