Breastengorgement 130621100349-phpapp02

breast engorgement and breast infection class teaching

1. Class Teaching Ms Shalini Joshi M.S.c . Nursing Ist year S.C.O.N. Dehradun

2. NAME OF THE ACCESORY FEMALE REPRODUCTIVE ORGAN?

3. FUNCTION OF THE BREAST? PRODUCE MILK FOR FEEDING THE BABY.

4. BREAST ENGORGEMENT AND INFECTIONS

5. OBJECTIVES:- To define the breast engorgement To describe the causes, onset and symptoms of breast engorgement To discuss the prevention and treatment of breast engorgement. To define mastitis. To explain the onset and causative organism of mastitis To enlist the risk factor and clinical features of mastitis. To describe mode of infection, prevention and treatment of mastitis.

6. Definition Breast engorgement  swelling of the breast due to an increase in blood and lymph supply as a precursor to lactation. Or Breast engorgement  occurs in the  mammary glands  due to expansion and pressure exerted by the synthesis and storage of breast milk .

7. CAUSE of

8. ONSET: It usually manifests after the milk secretion started (3 rd or 4 th day post partum

9. SYMPTOMS: Pain Feeling of tenderness Heaviness in both breasts Generalized malaise Transient rise of temperature Painful breastfeeding

10. PREVENTION

11. TREATMENT Proper support of breast Manual expression Analgesics

12. Breastfeeding Gentle use of breast pump

13. Step 1:- Nurse baby if mother is breast feeding Breast engorgement results from over-production of milk or under-feeding by the baby. The easiest, and quickest, way to alleviate breast engorgement is feeding baby from the breast that is engorged. Advise a new mother to nurse her baby every 2-to-3 hours. Breast engorgement can be prevented if you follow this schedule.

14. Manually remove milk from breasts. There may be several days when breasts are going to be engorged if mother has decided not to breastfeed her baby. Use hands or a breast pump to manually remove milk from breasts. Make sure only remove enough milk to alleviate the pain and firmness if ultimate goal is to let milk dry up.

15. Take a warm shower. Allow the spray to start at the top of the breasts and adjust body so it works its way down. Mother can also massage them at the same time. This will be a bit painful at first, but it will ease the tenderness and hardness in the breasts .

16. Use cold compresses between feedings or breast pumping. Try cold compresses to help reduce swelling and ease the pain if breasts still feel painful and are hard to the touch, even after nursing or pumping milk. Apply the compress several times for 5 minutes on, 5 minutes off. Bags of frozen vegetables work well for this method .

17. Wear a loose-fitting bra. Tight-fitting bras can compress the lower part of the breast to the rib cage. This has the effect of trapping milk in the lower milk ducts and will aggravate the problem.

18. Chill cabbage leaves and place them inside your bra. This is a remedy that goes back to ancient times. Chill clean cabbage leaves for 30 minutes. Poke a hole in the center of a leaf for the nipple. Lay them on and around the breast and put on cloth. Do this for 20-to-30 minutes 3 times a day until the engorgement eases.

19. mastitis

20. ACUTE MASTITIS Mastitis  is   inflammation  of tissue in one or both mammary glands inside the breast. Mastitis usually affects lactating women - women who are breastfeeding, producing milk. 

21. incidence The incidence of mastitis is 2-5 % in lactating 1% in non lactating women

22. ORGANISMS RESPONSIBLE: Staphylococcus aureus Staphylococcus epidermis Streptococci viridance

23. Risk factor Poor nursing Maternal fatigue Cracked nipple

24. First type of infection

25. onset In superficial cellulitis the onset is acute during first 2 – 4 weeks postpartum Acute mastitis may occur even several weeks after the delivery

26. CLINICAL FEATURES Symptoms Malaise and headache Fever Pain and tender swelling in one quadrant of breast

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

28. Complication Due to destruction of breast tissue Breast abscess

29. PROPHYLAXIS Thorough hand washing before each feed Cleaning the nipple before and after each feed and keeping them dry

30. MANAGEMENT Breast support Plenty of oral fluids Breastfeeding Manual emptying of infected side after feed Dicloxacillin 500mg Q6h Analgesics (ibuprofen)