Breastfeeding conditions

Question 1

Management of common breastfeeding conditions (candidia and mastitis)

Question 2

Nipple pain

Answer 2

Peak on day 3, check correct position and attachment.
Caused by incorrect attachment.

Question 3

Nipple pain treatment

Answer 3

Warm compress
Leave a little breast milk on nipples
Nipple shield
Changing breast pads frequently

Question 4

Nipple pain avoids

Answer 4

Nipple ointments
Powders
Soaps
Shampoos

Question 5

Breast engorgement

Answer 5

Distension and swelling- overfilling, discomfort, and pain

Early feeds and good breast drainage are recommended
Check up on nipple conditions

Question 6

Nipple thrush

Answer 6

Burning, stinging, itching, shooting, stabbing, aching, mild-severe.
Signs may be seen in baby’s mouth.
Mother treatment: antifungal cream or gel (miconazole or nystatin) to nipples after each feed, can leave on.
Baby can have antifungal gel or drops.

Question 7

Mastitis

Answer 7

Acute is associated w/ breastfeeding and can occur from poor attachment, milk stasis (obstruction of flow), or cracked nipples.

Infectious is from Staph aureus. Continue breastfeeding to prevent progression and resolve infection w/ no antibiotics.

Early antibiotics for non-resolve within 24-48 hrs of increased (dicloxacillin/flucox or cef) (use clinda for severe allerg)