kannaki( BREAST CARE).docx

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BREAST CARE

(During And After

Pregnancy)BREAST CARE DURING PREGNANCY

Why it is necessary:-

Proper education of mother and relatives is possible

and mandatory during pregnancy. Flat or inverted nipples

can lead to difficulties in breastfeeding for the child.

Hence, during pregnancy women can become aware of it

and take necessary steps.

Care of Flat and Inverted Nipples:-

Nipples can be flat, normal, long or inverted. Flat

nipples cannot be gripped easily.

Inverted nipples cannot be held by fingers. Both can

cause feeding difficulties and get injured while giving

breastfeeding.


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Steps of care:-

Following tip also can help:-

1)Try gentle pulling of nipples for flat nipples byfingers.


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2)Cut a 10ml syringe at the front-end, remove theplunger from hind end and insert it from the cut front

end.

Then press open hind end of the syringe lightlyover the areola covering the nipple and withdraw the

plunger (which is now at the front cut end) so that the

nipple is pulled into the syringe.

Maintain pull for 20 to 30 seconds and then

release. Gently remove the syringe. Nipple will

remain protruded. Then put the child for breast

feeding.


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3) Use Nipple Shell chard plastic shell c holes

worn over nipples) for flat and inverted nipples.

If not available in the market. Make it at homefrom wood, plastic or cape of feeding bottle.

Remember, to make it with smooth margins do

file all sharp margins, as there can be injurious.

Breast discharging during pregnancy:-

From fourth to sixth month of pregnancy, thick,

yellow fluid begin to form inside the breast. This may

be or may not be expressed out. There is no definite

advantage or disadvantage of expressing this milk.

Take care, while expressing this milk, to avoid injury

to the nipples.

Changes in breast during pregnancy;-

Pregnancy hormones play vital role here and

bring a number of changes in the breast during

pregnancy. These changes include,

The breast get bigger and tender when touched.


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Due to increased blood flow in the breasts. Theymay feel swollen, sore and tingly.

Darkening of nipples and areoles occur (the skinaround your nipples).

Darkened veins may appear along your breasts(due to increased blood supply to your breasts).

The nipples will change in shapes and size. Theywill change and stick out more.

As the breast start preparing themselves for

lactation, the breast may start leaking a yellowish,

thick substance known as Colostrum.

Points to Remembered During Pregnancy:-

Put the baby to breast immediately after delivery

and allow it to suck for 10 to 15minutes.

Colostrum (initial breast milk), should be given tothe baby as it is nutritious and protects against

diseases.

Give nothing except breastfeeding.Allow child to suck for 8 to 10 times a day even ifbreast milk is loss.

Breastfeeding decreases from uterus and help todecrease its size faster.

Do not use pacifiers or artificial nipples.Breast milk is the best food for the new born itsquality remain high unless mother is talking certain

drugs for her serious disease.


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Ability to breast feed does not depend on size of thebreast.

Mother should always keep confidence inbreastfeeding. It solves all the problems.

There is no other milk as a complete substitute tobreast milk.

Do not start feeding as it causes nipple confusionand the baby thereby get used bottle as it requires no

effort in comparison to breastfeeding.

BREAST CARE:-

It is the important to begin preparing the breast

for breastfeeding during the prenatal period.

1) A well-fitting support bra should be worn at

all times. This will provide good support for the

enlarging the breast. As the breast enlarge, an

increase in bra and cup size should be worn.

2) Pads may be worn inside the bra cups to

absorb possible Colostrum leakage from the nipples.

The pads should be changed if they become wet from

leakage. Prolonged moisture against the nipples my

lead to tenderness and cracking once the new born

infant begins nursing.

3) The breast should be washed daily to remove

dried Colostrum and to prevent irritation to the

nipples. Landin may be applied to the nipples.


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Wet tea bags may be placed on the nipples, asthe tea will release tannic acid, which will tougher the

skin.The nipples should be air dried or blow driedafter washing to help tougher them, especially if the

patient plans to breastfeed.

BREAST CARE AFTER DELIVERY

SORE NIPPLES:-


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Nipples can crack due to improper-latch on. Itcan also happen if the nipples are too dry, too wet or

undergo too much friction.Ensure that the baby latches-on to the breastproperly and most part of the areola is in the childs

mouth.

BREAST ENGORGEMENT:-

Immediately after delivery, the hormonesreleased in the body start producing milk for lactation,

whether you are breastfeeding or not. If unable to food

well. The breasts may feed uncomfortably full.

To minimize the engorgement try to nursefrequently or express out the extra amount of milk.

Warm compresses or the expressing milk in awarm shower prove helpful.

BREAST MILK LEAKAGE:-

Breast milk leakage can prolong for a few to acouple of months depending upon the milk production

and the sucking capacity of the child.

Wear breast pad whenever necessary andchange it often. Also, keep the nipples and surrounding

area clean and dry.

SAGGING OF BREAST:-

Breast starts sagging and loosing their tautnessafter the delivery or during the period of breastfeeding

when the breasts become larger.


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Irregular menstruation is also cause for breastsagging.

Features;-

Red irregular marks then show up on thebreast

skins surface.

These marks are worse to some womenbecause the elasticity of skin varies from person toperson.

For most women after delivering their breastsreturn slowly to something close to their previous shape

and size, but in some breasts become more slack and

pendulous.

*There are one or two things to offset this

tendency of sagging during pregnancy.

1) Give your breasts maximum support with

a good bra wearing it day and night.

2) A few minutes everyday to exercise your

breasts muscles.

FIRM UP AND ENHANCEMENT OF BREAST:-

Should eat healthy amount of food.


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Eating at least three healthy and well-

balanced meals per day is the first step to healthy

breast cellular growth.

Avoid caffeine.Caffeine creates physiological effects on the

body including the blood vessels in the head and

brain.

When you quit or lessen consuming coffee,

the body goes through withdrawal, resulting

symptoms such as headaches. This will only last

for a few days and then the headaches will

subside.

Avoid any carbonated drinks:-Such as beer, champangne or fizzy urine

coolers. Also avoid any other soft drinks

containing 7up, coke or any other soft drinks.

Get Enough sleep:-Sleep at least seven hours per night and

avoid extreme stress.

Exercises:-


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Swimming is the best exercise for bustshape. It exercises the breast muscles considerably

against resistance of water and breast requires

maximum attention especially after delivery.

Kneel down and press your palms in posein the center of chest so that the tissues around the

breasts are under full pressure exhale slowly and

release the pressure.

BREAST CARE FOR BREASTFEEDING

MOTHER

Care of breast while breastfeeding:-

Avoid pressure on your breasts:-

Sleeping in a face down position may

squeeze your breasts and block milk ducts. Do not


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wear under wise bras and avoid wearing bras, too

tight and clothes that are tight over your breasts.

Avoid wearing or carrying items that can squeeze

or press on your breasts, baby carriers and slings

and diaper bags.

Breast Support:-

Wear a supportive bra. This can be a

regular that you take off when u breastfeed or a

nursing bra with breast flaps. Cotton bras are

best.

Cleaning the Breasts:-

Wash your breasts with warm water onceevery day. Do not use soap or other cleansing

agents. This can irritate your nipples. Always

wash your hands thoroughly for 15seconds before

breastfeeding, expressing or pumping. Then dry

them completely and always use a clean paper

towel after every washing.

Keep your nipples dry:-

Do not wear plastic nipples shells or plastic

lined nursing pads. These can trap moisture and

do not allow air flow to the nipples. Placing fabric


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Nipple Pains:-Sore, cracked or bleeding nipples if

baby is not latched on in a good position. To

prevent this, need to be careful when,

positioning your baby to feed. Make sure that

baby has a mouthful of breasts when baby

feeds.

Plugged milk ducts:-*Milk ducts are pathways where milk flows

from milk producing areas in your breast

down to your nipple. It can block the milk

ducts include milk that get thicker, scartissue on them.

*The blockage can decrease or stop the flow

of breast milk in one part of breast. I can

make milk build up inside and cause breast

to swell.

*Plugged ducts can lead to getting a breast

abscess or mastitis.

*Always empty the breasts completely and

do not let long periods of time pass between

breastfeeding.


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*Breastfeeding will help prevent from

plugged ducts again or getting a breast infection.

PREVENTION OF PROBLEMS:-

Breastfeeding the suction from your babyssucking before taking him off your breast.

Breastfeed or pump at least eight times a dayand breastfeeds whenever the baby wants.

Provide a comfortable position duringbreastfeeding.

Learn how to get the baby to latch-on well.(tolatch on means that the baby has taken all of the

nipple and part of areola far into the mouth.

Baby is latched-on well if*Breast or nipples does not hurt while feeding.

*Baby is able to suckle milk right away after he

latches on. Suckling should change from quick

short sucks to slow deep sucks should be able to

hear swallowing and see jaw move downward with

each suck.

Make sure you are relaxed duringBreastfeeding.


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*Put a warm wet cloth on your breast or take a

warm shower to increase milk flow.

Make sure your baby is relaxed duringbreastfeeding.

Use devices for breastfeeding correctly.

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kannaki( BREAST CARE).docx