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Figure 1.78. Mastitis neonatorum due to physiologic breast engorgement is the result of transplacental transfer of maternal estrogen to the fetus. Enlargement is generally symmetrical, as noted in this infant. Witch's milk (which is chemically identical to colostrum) may be expressed from the breasts, but it is not advisable to relieve the swelling by expressing the milk since infection may follow.

Figure 1.78. Mastitis neonatorum due to physiologic breast engorgement is the result of transplacental transfer of maternal estrogen to the fetus. Enlargement is generally symmetrical, as noted in this infant. Witch's milk (which is chemically identical to colostrum) may be expressed from the breasts, but it is not advisable to relieve the swelling by expressing the milk since infection may follow.

Witch Milk

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