Breast Flashcards
What can cause nipple pain with no pathology in breast feeding?
Poor latch
What is a milk bleb?
Blocked duct
Nipple pain whilst breastfeeding - advice re position of baby and breast massage
Treatment of nipple candidiasis when breastfeeding?
Miconazole cream for mother and nystatin suspension for baby
When should Rx be given for mastitis? (4)
First line Rx?
Continue breastfeeding?
Complications?
- systemically unwell
- fissure present
- symptoms do not improve within 24 hours of effective milk removal
- culture positive
Flucloxacillin 10-14 days
Yes continue breastfeeding
Breast abscess may develop if untreated - usually requires incision and drainage
What is engorgement?
Symptoms?
Complications?
Rx?
Milk build up usually in first few days after birth and always affects both breasts
Pain worse just before feed
Poor milk flow and difficulty in latching and suckling
Breasts may appear red
Complications include blockage, mastitis and difficulties in feeding and milk supply
Although painful, hand expression of milk relieves pain
Symptoms of Raynaud’s of the nipple?
Treatment?
Nipple pain during and after feeding, followed by cyanosis and/or erythema. Pain resolves when colour returns to normal
Heat packs to nipple following feed, avoid cold exposure, avoid caffeine and smoking
Nifedipine can be used off license
Galactocele?
Usually in women who have recently stopped breastfeeding due to blockage of lactiferous duct
Grape-sized cystic lesion, painless, firm
Aspiration = yellow fluid
