Objectives: To assess the management of postpartum women with lactational mastitis/breast abscess in Coburg's Emergency Department and determine if it aligns with best practice guidelines. Subjects and methods: The study was designed as a retrospective, cross-sectional study, collecting data from patient records between January 2020 and June 2022. A questionnaire with 40 questions was employed to explore various aspects of management. All lactating individuals presenting with symptoms of mastitis and breast abscess during the study period were included, based on specific ICD-10 codes. Results: 29 patients with lactational mastitis and breast abscess were included in the study. The mean age was 30.24 years. The prevalence of lactational mastitis was highest within the first 6 weeks postpartum (75%). Both breasts were affected almost equally. Most patients presented to the Emergency Department more than 48 hours after symptom onset with breast lump/firmness, breast inflammation/erythema, and breast pain being the most common symptoms reported. Ultrasonography was performed in approximately 79% of patients, with the most frequent findings being breast abscess. Breast care and breastfeeding continuation were the main conservative measures. Antibiotic therapy was prescribed to approximately 86% of participants, with Cefuroxime being the most used antibiotic. Ibuprofen was the most frequently prescribed analgesic, followed by paracetamol. Approximately 55% of patients were diagnosed with breast abscess, which was treated with surgical incision and drainage in 75% of cases. The most frequently encountered microorganism was Staphylococcus aureus (approximately 73%). Approximately 76% of patients were admitted for inpatient treatment. Conclusion: The management of lactational mastitis and breast abscess in Coburg's Emergency Department partially aligns with current recommendations. Antibiotic prescriptions differ from international guidelines, and local resistances and cultures should be evaluated to review their effectiveness. Less invasive treatment options should be considered for the management of breast abscesses, and training for physicians on the management of mastitis/abscess should be encouraged.