20 Slides Breast condition.ppt

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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7. Difference b/w full and engorged breasts.
FullBreasts Engorged
Hot Painful
Heavy Oedematous
Hard Tight,specially
Nipples,
shiny ,may
lookred
Milkflowing Notflowing
Nofever Feverfor24
hours.

8. Treatment of breast engorgement.
Itisessentialtoremovemilk,ifnotmastitisandabscess
maydevelop.Sodonotrestthebreastandemptyeither
throughBFfrequentlyorbyEBMandthenbysuckling
aftertheoxytocinereflexisstimulated.Afterafeedput
coldcompresstothebreasttoreduceoedema.
Waytostimulateoxytocinereflex:
Warmcompresstobreast.
Massageherbackandneck.
Massageherbreastlightly.
Stimulateherbreastandnippleskin.
Warmshowers.

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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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