Breast engorgement

breast engorgement

1. BREAST ENGORGEMENT AND INFECTIONS

2. CAUSE:

3. ONSET:

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

5. PREVENTION

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

7. ACUTE MASTITIS

8. ORGANISMS RESPONSIBLE: Staphylococcus aureus S.epidermis S.streptococci

9. Mode of infection

10. onset

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

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

13. complication

14. PROPHYLAXIS

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

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

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

18. BREAST PAIN Candida albicans

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

20. NURSING MANAGEMENT

21. SUMMARY

22. RECAPITULATION

23. ASSIGNMENT

24. CONCLUSION