REPRO 6.5 Flashcards
cause of sore cracked nipples 4
poor positioning and attachment
mechanical pumping
tearing nipple/alveolar junction
detaching baby or pump from breast incorrectly
symptoms of sore/cracked nipple 6
pain around nipple worse at start of feeding wedge shaped nipple after feed breasts may be engorged red/blister/bleeding/scabs baby may nom blood
treatment of sore/cracked nipples 2
for scabs
teach breast feeding
express milk
scabs-lansicon cream
causes for engorgement 5
delay in first feed incorrect positioning restrictive feeding ineffective emptying supplementation
symp of engorgement 5
shiny breasts from oedema pain milk doesn't flow very well red fever
treatment for engorgement
express before feeing warm baths/press before feeding cold compress between feeds good attachment and emptying mild analgesia
complication of engorgement
mastitis
what are the causes of mastitis
blocked milk duct breast infection poor attachment infrequent feeds consistent breast pressure e- bra dummies supplementation trauma
symp of mastitis blocked duct
tender spot/lump
red
no fever
symp of mastitis infection
tender spot/lump and fever
other symptoms of mastitis
nausea/vom
pus/blood in milk - infective mastitis
red streak on breast
treatment of mastitis
continue BF, anti inflam
if no improvement or worse after 24 h ABs
fluclox 1g QDS 7-10d
PA clindamycin 450mcg TDS
breast abscess causes by what
ix
rx
untreated mastitis
send pus for culture
drain. same as mastitis
breast thrush caused by what
rare when
candida albicans
<6w
symptoms in mum of thrush
pain in both breasts especially after feeding
symptoms of thrush in baby
nappy rash, oral thrush, pulling off breast whilst feeding, windy, fretful, difficult to settle
treatment of superficial thrush i mum
miconazole cream 2% 7d
treatment of deep thrush in mum
fluconazole 300mg loading dose then 150mg daily for at least 10 days
infants under 4 months thrush
nyastatin suspension for 1 week
infants over 4 months thrush
miconazole oral gel 24mg/ml QDS for 1 week
