Breast engorgement

BREAST ENGORGEMENT AND INFECTIONS

CAUSE:

ONSET:

SYMPTOMS:PainFeeling of tenderness or

heaviness in both breastsGeneralised malaiseTransient rise of temperaturePainful breastfeeding

PREVENTION

TREATMENTProper support of breastManual expressionAnalgesicsBreastfeedingGentle use of breastpump

ACUTE MASTITIS

ORGANISMS RESPONSIBLE:

Staphylococcus aureusS.epidermisS.streptococci

Mode of infection

Infection of the breast

parenchymal tissues

cellulitis

mastitis

Infection

Lactiferous ducts

Development of primary mammary adenitis

onset

CLINICAL FEATURESSymptoms

Malaise and haedacheFeverPain and tender swelling in one

quadrant of breast

Signs

Presence of toxic featuresWedge shaped swelling on the

breast Overlying skin is red hot and

flushed and feels tender and tense

complication

PROPHYLAXIS

MANAGEMENTBreast supportPlenty of oral fluidsBreastfeedingManual emptying of infected side

after feedFlucloxacillin 500mg Q6hanalgesics

Breast abcess

Features

Flushed breast not responding to antibiotics

Edema of overlying skinTendernessSwinging temperature

TREATMENTDrainage under GA by a deep

radial incisionPercutaneous needle aspiration

under USG guidanceBreastfeeding Mechanically pump every 2hours

BREAST PAINCandida albicans

treatmentMiconazole oral lotion or gel into

both nipples after each feed & into the infant mouth thrice daily for two weeks.

NURSING MANAGEMENT

SUMMARY

RECAPITULATION

ASSIGNMENT

CONCLUSION