This document discusses breast engorgement, infections, and mastitis during breastfeeding. It notes that engorgement and infections can cause pain, tenderness, and fever. Mastitis is caused by bacterial infections like Staphylococcus and Streptococcus and presents with localized swelling, redness, and pain in one breast quadrant. Treatment involves breast support, feeding or pumping, antibiotics if infected, and draining any abscesses that form.

1. BREAST ENGORGEMENT
AND INFECTIONS

4. CAUSE:

5. ONSET:

6. SYMPTOMS:
 Pain
 Feeling of tenderness or heaviness in
both breasts
 Generalised malaise
 Transient rise of temperature
 Painful breastfeeding

7. PREVENTION

8. TREATMENT
 Proper support of breast
 Manual expression
 Analgesics
 Breastfeeding
 Gentle use of breastpump

11. ACUTE MASTITIS

13. ORGANISMS RESPONSIBLE:
 Staphylococcus aureus
 S.epidermis
 S.streptococci

14. Mode of infection
Infection of the
breast
parenchymal
tissues
cellulitis
mastitis

15. Infectio
n
Lactiferou
s ducts
Development
of primary
mammary
adenitis

16. onset

17. CLINICAL FEATURES
 Symptoms
 Malaise and haedache
 Fever
 Pain and tender swelling in one
quadrant of breast

18.  Signs
 Presence of toxic features
 Wedge shaped swelling on the breast
 Overlying skin is red hot and flushed
and feels tender and tense

20. complication

21. PROPHYLAXIS

22. MANAGEMENT
 Breast support
 Plenty of oral fluids
 Breastfeeding
 Manual emptying of infected side after
feed
 Flucloxacillin 500mg Q6h
 analgesics

23. Breast abcess
 Features
 Flushed breast not responding to
antibiotics
 Edema of overlying skin
 Tenderness
 Swinging temperature

24. TREATMENT
 Drainage under GA by a deep radial
incision
 Percutaneous needle aspiration under
USG guidance
 Breastfeeding
 Mechanically pump every 2hours

25. BREAST PAIN
 Candida albicans

26. treatment
 Miconazole oral lotion or gel into both
nipples after each feed & into the
infant mouth thrice daily for two
weeks.

27. NURSING MANAGEMENT

28. SUMMARY

29. RECAPITULATION

30. ASSIGNMENT

31. CONCLUSION