Ppt of problems and complication of breast feeding ppt (madam kalyani)

working as an Associate Professor in Kalinga Institute of Nursing Sciences,KIIT,BBSR.

1. PROBLEMS AND COMPLICATIONS OF BREAST FEEDING MRS KALYANI RATH ASSO.PROFESSOR, KINS

2. “A newborn has only three demands. They are warmth in the arms of its mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three” . ( Grantly Dick Read)

3. Why emphaSiZe on breast feeding??? When Indian women breast feed without exception

4. Cont... 25% do not initiate within 24 hrs 50% discard colostrums 75% give prelacteal feeding Many women believe they do not have sufficient milk & indulge in top milk feeding

5. Breastfeeding problems DUE TO MOTHER Reluctance or dislike to breast feeding Infant’s attachment to breast Anxiety and stress Following operative delivery Milk secretion is inadequate Breast ailments

6. Due to infant Low birth weight baby Temporary illness Over-distension of the stomach with swallowed air Congenital malformation

7. Breast feeding Complications Breast Engorgement Cracked and sore nipple Plugged Duct Mastitis Breast abscess

8. Breast Engorgement Breast engorgement is due to exaggerated normal venous and lymphatic engorgement of the breast which precedes lactation.

9. Prevention Avoid prelacteal feeds Initiate breast feeding early and unrestricted Exclusive breastfeeding on demand Feeding in correct position

10. Management Manual expression of any remaining milk after each feed. Administer analgesics for pain The baby should be put to the breast regularly at frequent interval. In sever case gentle use of breast pump , may be helpful.

11. Plugged Duct A Plugged duct is where an occlusion or plug has occurred in the milk passageways. This plug prevents milk from passing through or the milk passage may be slower than usual.

12. Management Learn how to position your baby so that the baby can latch on properly Try using warm compresses Take a mild pain reliever, such as ibuprofen.

13. Cracked nipple Loss of surface epithelium with the formation of raw area on the nipple Fissure either at the tip or the base of the nipple.

14. MANAGEMENT Correct attachment Application of fresh human milk Application of lotion ( miconazole ) Rest to the affected nipple. Use of nipple shields.

15. Sore nipples Sore nipples are any persistent pain in the nipples that lasts throughout the entire breastfeeding or hurts between feedings.

16. PREVENTION use a proper breastfeeding technique keep the nipples dry by exposing them to air or sunlight  avoid products that remove the natural protection of nipples, such as soaps, alcohol. breastfeed on demand   avoid the use of nipple shields.

17. MANAGENENT Offer the least affected breast first; Express enough milk before breastfeeding to stimulate the let-down reflex, thus preventing the infant from sucking too vigorously on the breast; Alternate between different positions, reducing the pressure on sore areas or on damaged tissues; Use "breast shells" Use oral systemic analgesics, if necessary.

18. Mastitis One of the more serious complications of breast feeding includes a breast infection, otherwise known as mastitis. Mastitis can be caused by an improperly or untreated plugged duct or cracked nipple

19. Management Breast support Plenty of oral fluid Breast feeding is continued with good attachment. The infected side is emptied manually with each feed Antibiotic therapy to be continued for 7 days. Analgesics- Ibuprofen are given.

20. Breast abscess Breast abscess is caused by untreated mastitis or results from late or inefficient treatment. It affects 5 to 10% of women with mastitis.

21. management Treatment is done with analgesic & antibiotic. Abscess may need incision & drainage. Breast feeding must be continued in the uninvolved side. The infected breast is mechanically pumped every two hours. Once cellulitis has resolved breast feeding from the involved side may be resumed.

22. inadequate milk production  infrequent suckling. Anxiety state in puerperium . Ill development of nipple Painful breast lesion. Prolactine inhibition.

23. MANAGEMENT Counseling mother regarding advantage of breast feeding. Treatment of abnormalities. Encourage adequate fluid intake. Treatment of painful local lesion.

24. THE BABY WHO DOES NOT SUCKLES Avoid artificial food or water. Expressed milk to be given. Nipple should be placed slightly upward towards the roof of the baby mouth. Keep the baby nose free during breast feeding.