This ppt consist of definition causes sign and symptoms care of breast and ways to improve female health

1. BREAST ENGORGEMENT
 Presented to: Mrs. Savita
Associate Professor
DMCH & CON,Malakpur
 Presented by: Anjali , o3
Anju, 04
Bsc.(N) 4th year

2. Definition
Breast engorgement occurs in the mammary glands due to expansion
and pressure exerted by the synthesis and storage of breast milk.
OR
Breast engorgement is a condition that occur due to ….
o Excessive production of milk
o Obstruction in the outflow of milk
o Poor removal of milk by baby( i.e decreased intake of milk from breast)

3. Causes
 Due to exaggerated normal venous and lymphatic engorgement of
the breast which precedes lactation.
 This, in turn, preventing the escape of milk from the lacteal system.
 The primiparous patient and the patient with the inelastic breasts
are likely to be involved.
 Starting breast feeding too late.
 Not giving enough feed to baby or poor removal of milk by baby.

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

5. Signs & Symptoms
 Both breast are
 Swollen
 warm
 Tender
 Painful breast
 Nipple becomes
 Hard areola
 Flushed
 Vein over breasts
 Prominent
 Engorged
 Low grade fever (100*F or 37.8*F )
 Generalized malaise
 Swollen and tender lymph nodes in
armpits
 Pain on feeding to baby

6. Prevention
i. To avoid pre lacteal feeds.
ii. To initiate breastfeeding early and feeding at frequent intervals.
iii. Exclusive breast feeding on demand.
iv. Feeding in correct position.
v. Correct latch on.

7. Cabbage therapy
 Cabbage leaf applied on the breast to reduce the fullness in the tissues and also
helps to reduce the pain in the engorgement and lengthens breastfeeding duration.
HOW TO APPLY CABBAGE LEAVES TO BREAST ?
 Wash cabbage leaves thoroughly and pat dry.
 Apply to breasts between feedings by inserting one or two leaves inside
bra directly against breast.

8. Treatment
 To support the breast with a binder or brassiere
 Frequent suckling
 Manual expression of any remaining milk after each feed
 Keeping the interval short between feed
 Administer analgesic for pain
 The baby should be put to the breast regularly at frequent interval
 In a severe cases, gentle use of a breast pump may be helpful. This will reduce the
tension in the breast without causing excess milk production.

9. Nursing Management
 Apply moist warm packs to the involved breast to 2 to 3 minutes before
each feeding
 Massage and manual expression of mil to relieve areola engorgement
before feeding
 Cold application after feeding
 A well fitting brassiere should be used to provide support and comfort
 Frequent, short feeding
 Breast feeding should be continued or pumped emptying the affected side
to relieve engorgement
 If feeding is too painful, maintained lactation through expression