breast engorgement

1. BREAST ENGORGEMENT
AND INFECTIONS

4. CAUSE:

5. ONSET:

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

7. PREVENTION

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

11. ACUTE MASTITIS

13. ORGANISMS RESPONSIBLE:
 Staphylococcus aureus
 S.epidermis
 S.streptococci

14. Mode of infection
Infection of the
breast
parenchymal
tissues
cellulitis
mastitis

15. Infectio
n
Lactiferou
s ducts
Development
of primary
mammary
adenitis

16. onset

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

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

20. complication

21. PROPHYLAXIS

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

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

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

25. BREAST PAIN
 Candida albicans

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

27. NURSING MANAGEMENT

28. SUMMARY

29. RECAPITULATION

30. ASSIGNMENT

31. CONCLUSION