Which statement best reflects the interpretation of nipple discharge in a breastfeeding mother?

• A. This is a normal finding; clean the nipple.
• B. It indicates an infectious process that requires antibiotics.
• C. Breastfeeding should be stopped until evaluated.
• D. A mammogram is needed now.

Answer: (A)

Discharge during breastfeeding is usually milk let-down and is a common, normal finding. Cleaning the nipple helps maintain skin health and prevent irritation or infection, but there’s no need for antibiotics or to stop breastfeeding solely because of this discharge. A mammogram isn’t routinely needed in this scenario unless there are red flags such as unilateral bloody discharge, a new lump, or other concerning symptoms. If the discharge is clearly milk or appears in the context of regular nursing and there are no other warning signs, it’s typically nothing to worry about.