Breastengorgement 130621100349-phpapp02


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breast engorgement and breast infection class teaching

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Breastengorgement 130621100349-phpapp02

  1. 1. Ms Shalini Joshi M.S.c. Nursing Ist year S.C.O.N. Dehradun
  4. 4. OBJECTIVES:•To define the breast engorgement •To describe the causes, onset and symptoms of breast engorgement •To discuss the prevention and treatment of breast engorgement. •To define mastitis. •To explain the onset and causative organism of mastitis •To enlist the risk factor and clinical features of mastitis. •To describe mode of infection, prevention and treatment of mastitis.
  5. 5. Definition  Breast engorgement swelling of the breast due to an increase in blood and lymph supply as a precursor to lactation. Or  Breast engorgement occurs in the mammary glands due to expansion and pressure exerted by the synthesis and storage of breast milk.
  6. 6. ONSET:  It usually manifests after the milk secretion started (3rd or 4th day post partum
  7. 7. SYMPTOMS: Pain  Feeling of tenderness  Heaviness in both breasts  Generalized malaise  Transient rise of temperature  Painful breastfeeding 
  9. 9. TREATMENT Proper support of breast Manual expression Analgesics
  10. 10.  Breastfeeding  Gentle use of breast pump
  11. 11. Step 1:Nurse baby if mother is breast feeding Breast engorgement results from overproduction of milk or under-feeding by the baby. The easiest, and quickest, way to alleviate breast engorgement is feeding baby from the breast that is engorged. Advise a new mother to nurse her baby every 2-to-3 hours. Breast engorgement can be prevented if you follow this schedule.
  12. 12. Manually remove milk from breasts. There may be several days when breasts are going to be engorged if mother has decided not to breastfeed her baby. Use hands or a breast pump to manually remove milk from breasts. Make sure only remove enough milk to alleviate the pain and firmness if ultimate goal is to let milk dry up.
  13. 13. Take a warm shower. Allow the spray to start at the top of the breasts and adjust body so it works its way down. Mother can also massage them at the same time. This will be a bit painful at first, but it will ease the tenderness and hardness in the breasts.
  14. 14. Use cold compresses between feedings or breast pumping. Try cold compresses to help reduce swelling and ease the pain if breasts still feel painful and are hard to the touch, even after nursing or pumping milk. Apply the compress several times for 5 minutes on, 5 minutes off. Bags of frozen vegetables work well for this method.
  15. 15. Wear a loose-fitting bra. Tight-fitting bras can compress the lower part of the breast to the rib cage. This has the effect of trapping milk in the lower milk ducts and will aggravate the problem.
  16. 16. Chill cabbage leaves and place them inside your bra. This is a remedy that goes back to ancient times. Chill clean cabbage leaves for 30 minutes. Poke a hole in the center of a leaf for the nipple. Lay them on and around the breast and put on cloth. Do this for 20-to30 minutes 3 times a day until the engorgement eases.
  17. 17.  Mastitis is inflammation of tissue in one or both mammary glands inside the breast. Mastitis usually affects lactating women - women who are breastfeeding, producing milk.
  18. 18. The incidence of mastitis is 2-5 % in lactating  1% in non lactating women 
  19. 19. ORGANISMS RESPONSIBLE: Staphylococcus aureus  Staphylococcus epidermis  Streptococci viridance 
  20. 20. Poor nursing  Maternal fatigue  Cracked nipple 
  21. 21. Infection of the breast parenchymal tissues cellulitis mastitis
  22. 22. Infection Lactiferous ducts Development of primary mammary adenitis
  23. 23. In superficial cellulitis the onset is acute during first 2 – 4 weeks postpartum  Acute mastitis may occur even several weeks after the delivery 
  24. 24. CLINICAL FEATURES Symptoms  Malaise and headache  Fever  Pain and tender swelling in one quadrant of breast
  25. 25. Signs Presence of toxic features  Wedge shaped swelling on the breast  Overlying skin is red hot and flushed and feels tender and tense 
  26. 26.  Due to destruction of breast tissue Breast abscess
  27. 27. Thorough hand washing before each feed  Cleaning the nipple before and after each feed and keeping them dry 
  28. 28. Breast support  Plenty of oral fluids  Breastfeeding  Manual emptying of infected side after feed  Dicloxacillin 500mg Q6h  Analgesics (ibuprofen) 