cz

1. Breast conditions
To recognize and manage these common
breast conditions:
• flat and inverted nipples
• engorgement
• blocked duct and mastitis
• sore nipples and nipple fissure
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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
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6. 20/6

7. 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.

8. 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.

9. 20/7

10. Symptoms of blocked duct and
mastitis
blocked duct milk stasis
non-infective
mastitis
infective
mastitis
• Lump
• Tender
• Localised redness
• No fever
• Feels well
• Hard area
• Feels pain
• Red area
• Fever
• Feels ill
Progresses to
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11. 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
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12. 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
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