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  • Subinvolution Breast Complications: Prepared by Ms. Annu Panchal Assistant Professor

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    1. Subinvolution occurs when the normal involution of the uterus after childbirth is impaired or delayed, with potential causes including multiparty, uterine issues, or infections. 2. Mastitis is an inflammation of breast tissue that commonly occurs in the first two weeks of lactation due to bacteria such as Staphylococcus aureus. Risk factors include poor nursing or cracked nipples. 3. Breast abscess is a localized collection of pus in the breast that can develop as a complication of untreated mastitis. Treatment involves draining the abscess surgically or with a needle, continuing breastfeeding on the unaffected side, and antibiotics.

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    1. Subinvolution occurs when the normal involution of the uterus after childbirth is impaired or delayed, with potential causes including multiparty, uterine issues, or infections. 2. Mastitis is an inflammation of breast tissue that commonly occurs in the first two weeks of lactation due to bacteria such as Staphylococcus aureus. Risk factors include poor nursing or cracked nipples. 3. Breast abscess is a localized collection of pus in the breast that can develop as a complication of untreated mastitis. Treatment involves draining the abscess surgically or with a needle, continuing breastfeeding on the unaffected side, and antibiotics.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    182 views19 pages

    Subinvolution Breast Complications: Prepared by Ms. Annu Panchal Assistant Professor

    Uploaded by

    annu panchal
    1. Subinvolution occurs when the normal involution of the uterus after childbirth is impaired or delayed, with potential causes including multiparty, uterine issues, or infections. 2. Mastitis is an inflammation of breast tissue that commonly occurs in the first two weeks of lactation due to bacteria such as Staphylococcus aureus. Risk factors include poor nursing or cracked nipples. 3. Breast abscess is a localized collection of pus in the breast that can develop as a complication of untreated mastitis. Treatment involves draining the abscess surgically or with a needle, continuing breastfeeding on the unaffected side, and antibiotics.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 19

    SUBINVOLUTION BREAST

    COMPLICATIONS
    PREPARED BY
    MS. ANNU PANCHAL
    ASSISTANT PROFESSOR
    SUBINVOLUTION
    DEFINITION:
    When the involution is
    impaired or retarded it is called Subinvolution.
    D.C.DUT
    TA
    CAUSES

    • Grand multiparty
    • Over distension of uterus as in twins and
    hydramnios
    • Maternal ill health
    • Caesarean section
    • Prolapse of the uterus
    • Retroversion after the uterus become pelvic
    organ
    • Uterine fibroid.
    AGGRAVATING FACTORS
    • Retained products of conception
    • Uterine sepsis(Endometritis)
    CLINICAL FEATURES SYMPTOMS

    • Abnormal lochial discharge either excessive


    or prolonged
    • Irregular or at times excessive uterine
    bleeding
    • Irregular cramp like pain in cases of retained
    products or rise of temperature in sepsis
    SIGNS
    • The uterine height is greater than the normal
    for the particular day of puerperium. It feels
    boggy and softer.

    • Presence of features responsible for


    Subinvolution may be evident.
    MANAGEMENT
    • Appropriate therapy is to be instituted only
    when Subinvolution is found to be a sign of
    some local pathology:
    • Antibiotics in Endometritis
    • Exploration of the uterus in retained products
    • Pessary in prolapse or retroversion.
    • Ergometrine Is prescribed to enhance the
    involution process by reducing the blood flow to
    the uterus
    MASTITIS

     DEFINITION:-

    Mastitis is inflammation of tissue in


    one or both mammary glands inside
    the breast.
    ONSET AND CAUSATIVE
    ORGANISMS
    The incidence of mastitis is 2.5% in
    lactating and less than 1% in non lactating
    women. The common organisms involved are
    Staphylococcus Aureus , S.Epidermidis and
    Streptococci.
    Acute mastitis usually occurs during

    late first week or by end of second week or even


    after several week after the delivery
    RISK FACTORS
     The risk factors for mastitis are poor nursing
    and cracked nipples
    CLINICAL FEATURES
    SYMPTOMS:
    • Generalized malaise and headache
    • Fever (102 F or more ) with chills
    • Severe pain and tender swelling in one quadrant of
    the breast
    SIGN:
    • Presence of toxic features
    • Presence of a wedge shaped swelling on the breast
    with its apex at the nipple
    • The overlying skin is red, hot and flushed and feels
    tense and tender.
    MODE OF INFECTIONS
    There are two different types of
    mastitis depending upon the site of infection
    1. Infection that involves the breast parenchymal
    tissues leading to cellutitis.The lacteal system
    remains unaffected.
    2. Infection gains access through the lactiferous
    duct leading to development of primary
    mammary adenitis.
    PREVENTION

    1. Through hand washing before each


    feed
    2. Cleaning the nipples before and
    after each feed
    3. Keeping them dry
    TREATMENT-NURSING CARE
    1. Breast support
    2. Consuming plenty of oral fluids
    3. Continuous breast feeding with good attachment
    4. Unaffected side is nursed first to establish let down
    5. Infected side is emptied manually with each feed
    6. Flucloxacillin is the drug of choice or Erythromycin is
    alternative drug for patients with allergy to Penicillin
    7. Antibiotic therapy is continued for 7days
    8. Analgesics(ibuprofen) are given for pain
    BREAST ABSCESS

    DEFINITION:-
    Localized collection of pus that forms in the breast
    is called breast abscess.
    CAUSES

     Most breast abscesses occur as a complication


    of mastitis, which is a bacterial infection that
    causes the breast to become red and inflamed
    CLINICAL FEATURES
    • Flushed breast not responding to
    antibiotics promptly
    • Brawny edema of the overlying skin
    • Marked tenderness with fluctuation
    • Swinging temperature
    TREATMENT
     Abscess is drained by radical incision done under
    general anesthesia
     Abscess can be also drained by using needle and
    syringe
     Breast feeding is continued in the uninvolved
    side
     The infected breast is mechanical pumped every
    two hours and with every let down
     Antibiotics given depending upon the culture and
    sensitivity report of pus
     Antibiotic therapy is given for 7 days

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