(B)- Lactational Mastitis Flashcards

1
Q

What can mastitis be caused by?

A

Obstruction
Regular expression can help prevent this

Infection
Most common cause is Staphylococcus aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does mastitis present?

A
  • Breast pain and tenderness (unilateral)
  • Erythema in focal area of breast tissue
  • Local warm and inflammation
  • Nipple discharge
  • Fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is mastitis managed?

A

Conservative
If due to blockage
- Continued breastfeeding
- Expressing milk
- Breast massage
- Heat packs and warm showers
- Analgesia

Antibiotics
If conservative not effective
- Flucloxacillin, erythromycin if allergic to penicillin
- Fluconazole for suspected candida infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Should breastfeeding be continued in mastitis?

A

Yes

Infection will not harm the baby and will help to clear by encouraging flow

Where breastfeeding is difficult, they can express milk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can occur if mastitis is not treated adequately?

A

Breast abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can cause of candida of the nipple?

A

Often after antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does candida of the nipple lead to?

A

Recurrent mastitis

Causes cracked skin on nipple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is candida of the nipple associated with?

A

In the infant

Oral thrush
Candida nappy rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does candida infection of the nipple present?

A
  • Sore nipples bilaterally, especially after feeding
  • Nipple tenderness and itching
  • Cracked, flaky or shiny areola
  • Symptoms in baby
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is candida of the nipple treated?

A

Both mother and baby need treatment or it will reoccur

  • Topical miconazole 2% to nipple after each breastfeed
  • Oral miconazole gel or nystatin for baby
How well did you know this?
1
Not at all
2
3
4
5
Perfectly