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Breast conditions
To recognize and manage these common
breast conditions: • flat and inverted nipples • engorgement • blocked duct and mastitis • sore nipples and nipple fissure 20/2 20/3 20/4 20/5
Management of flat and inverted
nipples • Antenatal treatment is not helpful • Build the mother’s confidence • Help the mother to position her baby • If a baby cannot suckle effectively in the first week or two help his mother to feed with expressed milk 20/6 Difference b/w full and engorged breasts.
Full Breasts Engorged
Hot Painful Heavy Oedematous Hard Tight,specially Nipples, shiny ,may look red Milk flowing Not flowing No fever Fever for 24 hours. Treatment of breast engorgement. It is essential to remove milk, if not mastitis and abscess may develop.So do not rest the breast and empty either through BF frequently or by EBM and then by suckling after the oxytocine reflex is stimulated.After a feed put cold compress to the breast to reduce oedema. Way to stimulate oxytocine reflex: Warm compress to breast. Massage her back and neck. Massage her breast lightly. Stimulate her breast and nipple skin. Warm showers. 20/7 20/8
• Tender Progresses to • Feels pain • Localised redness • Red area • No fever • Fever • Feels well • Feels ill 20/9
Causes of blocked duct and mastitis
Poor drainage of whole breast:
• infrequent feeds • short feeds
Poor drainage of part of breast:
• ineffective suckling • pressure from clothes • pressure from fingers during feeds 20/10
Treatment of blocked duct and
mastitis • Most important – improve drainage of milk • Look for cause and correct • Suggest: • frequent feeds • gentle massage towards nipple • warm compresses • Start feed on unaffected side; vary position • Antibiotics, analgesics, rest 20/11 20/12