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    Breast and Nipple Conditions

    Uploaded by

    dave
    The document discusses examining a mother's breasts and nipples, causes and management of engorgement and mastitis, causes and management of sore nipples, and demonstrates assisting a mother with breast or nipple conditions through role-playing.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Breast and Nipple Conditions

    Uploaded by

    dave
    64 views23 pages
    The document discusses examining a mother's breasts and nipples, causes and management of engorgement and mastitis, causes and management of sore nipples, and demonstrates assisting a mother with breast or nipple conditions through role-playing.

    Original Description:

    Breast condition

    Original Title

    sess 12 breast conditions

    Copyright

    © © All Rights Reserved

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    The document discusses examining a mother's breasts and nipples, causes and management of engorgement and mastitis, causes and management of sore nipples, and demonstrates assisting a mother with breast or nipple conditions through role-playing.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    64 views23 pages

    Breast and Nipple Conditions

    Uploaded by

    dave
    The document discusses examining a mother's breasts and nipples, causes and management of engorgement and mastitis, causes and management of sore nipples, and demonstrates assisting a mother with breast or nipple conditions through role-playing.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 23

    Breast and

    Nipple
    Conditions
    1. List
    the points to look for when
    examining a mother’s breasts and
    nipples;

    2. Describe causes, prevention and


    management of engorgement and
    mastitis;

    3. Describe
    causes, prevention and
    management of sore nipples;

    4. Demonstrate through role-play assisting


    a mother with breast or nipple
    conditions.
     Ante-natal – reassure that most breast
    produce milk regardless of shape and
    size.
     After delivery – examine only if mother
    has pain/ difficulty.
     Observe privacy / make her comfortable
     Ask permission to expose breast / No
    touch.
     Highlight positive signs / Build confidence.
    12/1

    There are
    many different
    shapes and sizes of
    breast and nipple.
    Babies can
    breastfeed from
    almost all of them.

    Breastfeeding Counselling: a training course


    WHO/CHD/93.4, UNICEF/NUT/93.2
    Nipples change shape
    increases
    Protractility
    *Inverted Nipples
    *Long or big nipple

    Babies attach to breast, not to


    nipple.
    12/7

    Breastfeeding Counselling: a training course,


    WHO/CHD/93.4, UNICEF/NUT/93.2
    UNICEF C-107-19
    Full Breast

    What do you see ? Normal breast changes


    Slide 12/3
    Causes :
    Feedback
    Inhibitor of -Delayed
    lactation initiation
    activated

    -Poor
    attachment
    reduce -Infrequent
    milk production feeding
    Step 4 - Skin to skin, initiate BF
    within 1 hr
    Step 5 – Offer help early show
    how to express milk
    Step 7 - Keep together 24 hrs a
    day
    Step 8 - Breastfeed on demand
    Step 9 - No pacifiers, teats
    Relievediscomfort
    Prevent further
    complications
    Ensure continuous milk
    production
    Enable baby to receive
    breastmilk
     Check attachment
     Express between feeds

     Encourage frequent feeds

     Apply warm compress

     Massage

     Help mother to be comfortable

     Provide supportive atmosphere

     Cold compress
    Milk remains in a Causes :
    part of the
    breast Infrequent
    feedings

    Non-infective Inadequate
    mastitis removal

     Local pressure
    Infective
    mastitis
    12/4

    ©UNICEF C107-39
     Frequent emptying of breast
     Check attachment
     Offer affected breast first
     Help milk to flow
     Gentle massage
     Warm compress
     check clothing
     Rest with baby
     Anti-inflammatory
    –Ibuprofen(Mild analgesic)
     Antibiotic
    –if indicated, 10-14 days
     Generally oral antibiotic
    (erythromycin, flucloxacillin,
    dicloxacillin, amoxicillin,
    cephalexin.)
    o Increase the risk of transmission
    -Give antibiotics
    o Discontinue breastfeeding on the
    affected breast
    o Express milk from affected breast
    effectively
    o Breastfeed from unaffected side
    -AFASS
    12/6

    12/5

    ©UNICEF C107-31
    12/8

    ©UNICEF C107- 33
    ©UNICEF C107-34
    12/10

    ©UNICEF C107-35
    -Check how baby goes to breast
    -How BF ends
    -What nipple looks like after a
    feed
    -Check mouth
    -Check breast pump (if used)
    -Decide the cause of sore nipple
     Reassurance

     Treat cause/s :
     - Improve attachment &
    positioning
     -Treat source of irritation
    Candida? Short Frenulum ?
     Comfort measure
    DO NOT stop breastfeeding
    DO NOT limit breastfeeding
    DO NOT apply any
    substance
    DO NOT use nipple shield

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