This is a term applied to the feverishness which is sometimes present on the third day after confinement. The fever may be introduced by a slight chilliness. The patient has thirst, headache, and frequent pulse. The breasts are generally somewhat swollen, harder than natural, and sensitive; throbbing and darting pains are sometimes felt in them. It is probable that the fever is not the result of the milk secretion, but is due to the absorption of decomposing discharges through the raw surfaces of the vagina and womb. The thorough use of disinfectant injections will generally prevent a recurrence of this fever.

Allowing the child to suck the breast soon after birth, and at regular intervals afterward, is also an excellent means of prevention. The treatment at this time should consist in giving the patient little fluid to drink, feeding her chiefly with solid food, and quenching the thirst by means of pieces of ice. Hot fomentations should be applied to the breasts, and they should be emptied by means of the breast-pump, unless the child is able to withdraw the secretion by nursing. Sometimes the swelling is so great that the nipple is partly buried, thus interfering with the nursing. In this case the breast-pump should be employed to draw out the nipple, or a nipple shield with a rubber teat should be employed. In the absence of either one, an adult may act as a substitute for the child.