Class 3 - Perinatal Breast Massage

Question 1

________ (aka. __________) ligaments are the support system of the breast that divide it into ___ to ___ lobes.

Answer 1

Cooper’s (Suspensory)
15-25 lobes

Question 2

_____________ space plays an important role in lymphatic drainage of the breast tissue and this is where implants are normally placed.

Answer 2

Retromammary

Question 3

__________ are the functional tissue of the mammary glands, which are designed to produce milk via glandular __________.

Answer 3

Parenchyma
Epithelium

Question 4

All alveoli drain into _______.
All ductules drain into a _____.
All ducts drain into a _________ _____ where the milk collects.

Answer 4

Ductules
Duct
Lactiferous Sinus

Question 5

Milk is not produced until __ to __ days postpartum. Immediately postpartum, ducts are filled with _________.

Answer 5

4-5 days
Colostrum

Question 6

__________ increases to the breast to deliver nutrients to make milk. Arterial supply comes from the large _________ artery.

Answer 6

Circulation
Subclavian

Question 7

______ breast tissue boundaries are:
- Upper = lower edge of clavicle
- Lower = approx. 1” below the breast contour, overlying upper fibres of rectus abdominus
- Medial = sternal midline
- Lateral = anterior edge of latissimus dorsi, variable amount of breast tissue continuing into axilla

Answer 7

Actual

Question 8

______ breast tissue boundaries are:
- Upper = 2-3rd rib
- Lower = 6-7th costal cartilage
- Medial = sternal edge
- Lateral = anterior axillary line

Answer 8

Typical

Question 9

Breast changes during the ___ trimester include:
- Growth of new ducts and lobules
- Increased size and heaviness
- Dilation of superficial veins
- Increased pigmentation of nipple/areola
- Increased congestion and soreness

Answer 9

1st Trimester

Question 10

By __ to __ weeks gestation during the 1st trimester, the breasts have increased in size.

Answer 10

5-8 weeks

Question 11

Breast changes during the ___ trimester include:
- Lobule formation and glandular cell activation
- Alveolar epithelium converts into more specialized secretory cells with surface microvilli
- Colostrum begins to form in the alveoli
- Hypertrophy of the myoepithelial cells occurs in preparation for the work of mobilizing milk through the duct passageways
- Increased connective tissue and fat

Answer 11

2nd Trimester

Question 12

Breast changes during the ___ trimester include:
- Increased glandular cells and development
- Ongoing addition and dilation of acini cells
- Increased production of colostrum
- 180% increase in mammary blood flow
- Achy and heavy breasts

Answer 12

3rd Trimester

Question 13

The smallest functional unit of the breast that produce milk in a terminal duct.

Answer 13

Acini Cells

Question 14

Breast changes during __________ include:
- Epithelial cells convert into a secretory state
- Breasts grow from birth to 4-5 days after
- Colostrum is initially produced then milk
- Increased nipple soreness

Answer 14

Postpartum

Question 15

At the beginning of breastfeeding, there is an increased risk of ________ as the nipples and areola crack and bacteria can enter.

Answer 15

Mastitis