Scribd Logo
Upload

Welcome to Scribd!

  • 116 views

    XII Breast and Nipple Conditions

    Uploaded by

    teabagman
    The document discusses breast and nipple conditions that mothers may experience such as engorgement, mastitis, sore nipples, and inverted or large nipples. It provides information on examining mothers' breasts, causes and treatments for various conditions, ensuring proper attachment during breastfeeding, and demonstrating assistance to mothers experiencing issues.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    XII Breast and Nipple Conditions

    Uploaded by

    teabagman
    116 views23 pages
    The document discusses breast and nipple conditions that mothers may experience such as engorgement, mastitis, sore nipples, and inverted or large nipples. It provides information on examining mothers' breasts, causes and treatments for various conditions, ensuring proper attachment during breastfeeding, and demonstrating assistance to mothers experiencing issues.

    Original Description:

    breast

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses breast and nipple conditions that mothers may experience such as engorgement, mastitis, sore nipples, and inverted or large nipples. It provides information on examining mothers' breasts, causes and treatments for various conditions, ensuring proper attachment during breastfeeding, and demonstrating assistance to mothers experiencing issues.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    116 views23 pages

    XII Breast and Nipple Conditions

    Uploaded by

    teabagman
    The document discusses breast and nipple conditions that mothers may experience such as engorgement, mastitis, sore nipples, and inverted or large nipples. It provides information on examining mothers' breasts, causes and treatments for various conditions, ensuring proper attachment during breastfeeding, and demonstrating assistance to mothers experiencing issues.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 23

    SESSION 12

    Breast and Nipple


    Conditions
    SESSION OBJECTIVES

    1. List the points to look for when examining a


    mothers breasts and nipples;

    2. Describe causes, prevention and


    management of engorgement and mastitis;

    3. Describe causes, prevention and


    management of sore nipples;

    4. Demonstrate through role-play assisting a


    mother with breast or nipple conditions.
    EXAMINATION OF MOTHERS BREAST AND NIPPLE

    Ante-natal reassure that most breast


    produce milk regardless of shape and
    size.
    After delivery examine only if mother
    has pain/ difficulty.
    Observe privacy / make her comfortable
    Ask permission to expose breast / No
    touch.
    Highlight positive signs / Build confidence.
    SIZE AND SHAPE 12/1

    There are
    many different
    shapes and sizes
    of breast and
    nipple.
    Babies can
    breastfeed from
    almost all of
    them.
    Breastfeeding Counselling: a training course,
    WHO/CHD/93.4, UNICEF/NUT/93.2
    NIPPLE SIZE AND SHAPE

    Nipples change shape


    increases Protractility
    *Inverted Nipples
    *Long or big nipple

    Babies attach to breast, not to


    nipple.
    12/7

    SYRINGE METHOD
    FOR INVERTED
    NIPPLES

    Breastfeeding Counselling: a training course,


    WHO/ CHD/ 93.4, UNICEF/ NUT/ 93.2
    UNICEF C-107-19
    Full Breast

    What do you see ? Normal breast changes ?


    Slide 12/3
    ENGORGEMENT

    Causes :
    Feedback Inhibitor of
    lactation activated
    -Delayed initiation

    -Poor attachment
    reduce
    -Infrequent feeding
    milk production
    PRACTICES TO AVOID ENGORGEMENT

    Step 4 - Skin to skin, initiate BF within


    1 hr
    Step 5 Offer help early show how to
    express milk
    Step 7 - Keep together 24 hrs a day
    Step 8 - Breastfeed on demand
    Step 9 - No pacifiers, teats
    WHY HELP RELIEVE ENGORGEMENT ?

    Relievediscomfort
    Prevent further complications

    Ensure continuous milk


    production
    Enable baby to receive
    breastmilk
    HOW TO RELIEVE ENGORGEMENT

    Check attachment
    Express between feeds

    Encourage frequent feeds

    Apply warm compress

    Massage

    Help mother to be comfortable

    Provide supportive atmosphere

    Cold compress
    BLOCKED DUCT & MASTITIS

    Milk remains in a Causes :


    part of the breast
    Infrequent feedings
    Non-infective mastitis Inadequate removal

    Infective mastitis Local pressure


    12/4

    UNICEF C107-39
    TREATMENT OF MASTITIS

    Frequent emptying of breast


    Check attachment
    Offer affected breast first
    Help milk to flow
    Gentle massage
    Warm compress
    check clothing
    Rest with baby
    DRUG TREATMENT FOR MASTITIS

    Anti-inflamatory
    Ibuprofen(Mild analgesic)
    Antibiotic
    if indicated, 10-14 days
    Generally oral antibiotic (erythromycin,
    flucloxacillin, dicloxacillin, amoxacillin,
    cephalexin.)
    MASTITIS IN THE WOMAN WHO IS
    HIV-POSITIVE
    o Increase the risk of transmission
    -Give antibiotics
    o Discontinue breastfeeding on the affected
    breast
    o Express milk from affected breast
    effectively
    o Breastfeed from unaffected side
    -AFASS
    SORE 12/6

    NIPPLE
    12/5

    UNICEF C107-31
    CANDIDA ON THE NIPPLE
    12/8

    UNICEF C107- 33
    UNICEF C107-34
    TONGUE-TIE
    12/10

    UNICEF C107-35
    OBSERVE A FEED

    -Check how baby goes to breast


    -How BF ends
    -What nipple looks like after a feed
    -Check mouth
    -Check breast pump (if used)
    -Decide the cause of sore nipple
    MANAGEMENT OF SORE NIPPLE

    Reassurance

    Treat cause/s :
    - Improve attachment & positioning

    -Treat source of irritation Candida?


    Short Frenulum ?
    Comfort measure
    WHAT DOES NOT HELP SORE NIPPLE?

    DO NOT stop breastfeeding


    DO NOT limit breastfeeding
    DO NOT apply any substance
    DO NOT use nipple shield

    You might also like