This document discusses common causes of breast tenderness during pregnancy and after delivery. Mild breast pain is quite common during pregnancy due to changes like hyperplasia, hyperemia, and duct formation. More severe tenderness can be caused by mastitis, breast abscess, or engorgement after delivery. Mastitis is marked by redness, swelling, tenderness and fever, and is usually treated with hot compresses, antibiotics and postponing breastfeeding from the affected breast until the inflammation subsides. Breast abscesses require incision and drainage in addition to antibiotic treatment.

1. BREAST TENDERNESS IN PREGNANCY
AND THE PUERPERIUM
Prof. M.C. Bansal.
MBBS .,MS., FICOG . MICOG.
Ex Principal & controller .
Jhalawar Medical College And Hospital,
Jhalawar.
MGMC & hospital sitapuira , Jaipur.

2. BREAST TENDERNESS IN PREGNANCY AND
PUERPERIUM
 Breast pain of mild degree is quite common,
due to hyperplasia, hyperemia , adenosis
and neo duct formation.
 Breast surgeon usually label such cases as
Benign Breast change Syndrome ( BBC ) .
 Assurance, appropriate sized bra to support
enlarging breast will suffice.

3. COMMON CAUSES OF BREAST TENDERNESS
 Mastitis, breast abscess.
 Engorgement of breast in puerperium.
 Carcinoma mastitis.

4. MASTITIS OR ABSCESS
 It is marked by redness, swelling ,oedma, local
tenderness and raised temperature.
 Pt may even have fever, tachycardia and neutrophyll
leucocytosis.
 Hot fomentation .Sumac application , Naiads, broad
spectrum antibiotic therapy is needed for mastitis,
breast feeding from affected breast should be
postponed till active inflammation is treated
completely.
 Abscess is associated with throbbing pain and
fluctuation may be present .,Incision and drainage
under the umbrella of antibiotics is needed.