Breast Engorement

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BREAST ENGORGEMENT

DEFINITION
Breast engorgement occurs in the mammary glands du
e to expansion and pressure exerted by the synthesis a
nd storage of breast milk
 It is also a main factor in altering the ability of the infa
nt to latch-on.
NORMAL/ENGORGED BREAST
 Engorgement changes the shape and curvature of the
nipple region by making the breast inflexible, flat, har
d, and swollen.
The nipples on an engorged breast are flat or inverted.
Sometimes it may lead to striae on nipples, mainly a pr
eceding symptom of septation mastitis
CAUSES
 Breast engorgement is due to exaggerated normal ven
ous and lymphatic engorgement of the breasts which p
recedes lactation. This in turn prevents escape of milk
from the lacteal system.
Conti....
The primiparous mother and the patient with inelastic
breasts are likely to be involved
 Engorgement usually happens when the breasts switc
h from colostrum to mature milk (often referred to as
when the milk "comes in")
Conti...
However, engorgement can also happen later if lactati
ng women miss several nursings and not enough milk
is expressed from the breasts.
 It can be exacerbated by insufficient breastfeeding an
d/or blocked milk ducts
 When engorged the breasts may swell, throb, and cau
se mild to extreme pain
ONSET
It usually manifests after the milk secretion starts ( 3rd
or 4th day postpartum)
 Engorgement may lead to mastitis (inflammation of t
he breast) and untreated engorgement puts pressure o
n the milk ducts, often causing a plugged duct
Conti...
The woman will often feel a lump in one part of the br
east and the skin in that area may be red and/or warm
 If it continues unchecked, the plugged duct can beco
me a breast infection, at which point she may have a fe
ver or flu-like symptoms
SYMPTOMS
 Considerable pain and feeling of tenderness or heavin
ess in both the breasts
Generalized malaise or even transient rise of temperat
ure
 Painful breast feeding
Conti...
Breasts are swollen and oedematous, and the skin app
earing shiny and diffusely red The woman may have a f
ever that usually subsides in 24 hours.
 The nipples may become stretched tight and flat whic
h makes it difficult for the baby to attach and remove t
he milk.
PREVENTION
 To avoid pre lacteal feeds
 To initiate breastfeeding early and feeding at frequent
intervals

Exclusive breast feeding on demand


 Feeding in correct position
TREATMENT
 The treatment for breast engorgement can be divided
into non-medical and medical methods
 NON MEDICAL TREATMENT
 The non-medical methods include hot/cold packs
Warm compress may be applied to the breast or a war
m shower before expressing, helps the milk to flow
 The mother can use cold compresses after feeding or e
xpressing, which helps to reduce the oedema
Conti....
The baby should be put to the breast regularly after m
anual expression of milk
 To support the breasts with a binder or brassiere
Manual expression of any remaining milk after each fe
ed and keeping the interval short between feeds
SUPPORT WITH BRASSIERE
Regular breastfeeding can and should be co
ntinued
THANK YOU

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