This is a topic Breast engorgement which helps in your studies and very precise and understandable.

1. DEFINITION :-
Breast engorgement in a condition which occur
due to
 Excessive production of milk
 Obstruction in the outflow of milk
 Poor removal of milk by baby (i.e decreased intake
of milk from breast )
or
 Breast engorgement occur in the mammary gland due
to expansion & pressure exerted by synthesis &
storage of breast milk .

3.  Due to exaggerated normal venous.
 Lymphatic engorgement of the breast which precedes lactation
.
 The primiparous patient & the patient with inelastic breast
are likely to be involved .
 Starting breast feeding too late
 Not giving enough feed to baby or poor removal of milk by
the baby

4. It usually manifest after the milk
secretion start (3 or 4 day postpartum )

5. 1. Both breast are-
 Swollen
 Warm
 Tender
 Painful breast
2. Nipple becomes –
 Edematous
 Hard areola
 Flushed

6. 3.Vein over breast-
 Prominent
 Engorged
4. Low grade fever(100*F or 37.8*C)
5. Generalized malaise
6.Swollen &tender lymph nodes in armpits
7.Pain on feeding to baby

8.  To avoid prelacteal feeds.
 Initiate the breast feeding early.
 Feed the baby at frequent interval.
 When breast are hard & over filled let out (express)
milk enough to soften nipples before putting the baby
to the breast.
 Feed the baby in correct position & make sure the baby
is latching on & feeding well.

9. For breast engorgement ,as such there in no medical
treatment. But in case of relief from pain –
 Give ibuprofen
 Cold /hot compress

10.  To support the breast with a binder or brassiere
 Manual expression of any remaining milk after each feed &
keeping the interval short between feeds
 Administer analgesic for pain
 The baby should be put to the breast regularly at frequent
internal
 In a severe cases gentle use of abreast pump may be helpful
.This will reduce the tension in the breast without causing
excess milk production.
 To administer tab. Bromocriptine 2.5 mg daily for 2.3 days in
obstinate cases where the breast remain tight in spite of
sucking & expression .

12.  Apply moist warm packs to the involved breast to 2 to 3 min before each
feeding
 Massage and manual expression of milk to relieve areola engorgement
before feeding .
 Cold application after feeding .
 A well fitting bra should be used to provide support and comfort .
 Mild analgesic may be ordered.
 Frequent ,short feeding .
 Breast feeding should be continued or pumped emptying the affected
side to relive engorgement .
 If feeding is too painful , maintained lactation through expression .