BREAST ENGORGEMENT

AND INFECTIONS
CAUSE:
ONSET:
SYMPTOMS:
 Pain
 Feeling of tenderness or heaviness in
both breasts
 Generalised malaise
 Transient rise of temperature
 Painful breastfeeding
PREVENTION
TREATMENT
 Proper support of breast
 Manual expression
 Analgesics
 Breastfeeding
 Gentle use of breastpump
ACUTE MASTITIS
ORGANISMS RESPONSIBLE:

 Staphylococcus aureus
 S.epidermis
 S.streptococci
Mode of infection
Infection of the
breast
parenchymal
tissues

cellulitis

mastitis
 Development
Infectio Lactiferou of primary
n s ducts mammary
adenitis
onset
CLINICAL FEATURES
 Symptoms

 Malaise and haedache

 Fever
 Pain and tender swelling in one
quadrant of breast
 Signs

 Presence of toxic features

 Wedge shaped swelling on the breast
 Overlying skin is red hot and flushed
and feels tender and tense
complication
PROPHYLAXIS
MANAGEMENT
 Breast support
 Plenty of oral fluids
 Breastfeeding
 Manual emptying of infected side after
feed
 Flucloxacillin 500mg Q6h
 analgesics
Breast abcess

 Features

 Flushed breast not responding to

antibiotics
 Edema of overlying skin
 Tenderness
 Swinging temperature
TREATMENT
 Drainage under GA by a deep radial
incision
 Percutaneous needle aspiration under
USG guidance
 Breastfeeding
 Mechanically pump every 2hours
BREAST PAIN
 Candida albicans
treatment
 Miconazole 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