Health-and-Nutrition/C2/Breast-conditions/English-timed - Revision history

Debosmita at 08:56, 4 July 2020

2020-07-04T08:56:54Z

Debosmita at 06:02, 7 March 2020

2020-03-07T06:02:54Z

PoojaMoolya at 06:35, 20 February 2019

2019-02-20T06:35:38Z

Sandhya.np14 at 15:05, 28 August 2018

2018-08-28T15:05:24Z

Sandhya.np14 at 14:30, 28 August 2018

2018-08-28T14:30:02Z

PoojaMoolya: Created page with "{|border=1 | '''Time''' | '''Narration''' |- | 00:00 | Welcome to this '''Spoken Tutorial''' on Breast conditions in lactating mothers...."

2018-06-27T09:42:05Z

Created page with "{|border=1 | <center> '''Time''' </center> | <center> '''Narration''' </center> |- | 00:00 | Welcome to this '''Spoken Tutorial''' on Breast conditions in lactating mothers...."

New page

{|border=1
| <center> '''Time''' </center>
| <center> '''Narration''' </center>

|-
| 00:00
| Welcome to this '''Spoken Tutorial''' on Breast conditions in lactating mothers.

|-
| 00:06
| In this tutorial, we will learn about- Breast engorgement and Mastitis

|-
|00:13
| Let us begin with Breast engorgement

|-
| 00:17
| Engorgement occurs most commonly between 3 to 5 days after delivery.

|-
| 00:23
| It occurs in both breasts simultaneously

|-
|00:28
| Mother should not confuse breast engorgement with breast fullness.

|-
| 00:33
| Thus, now we will discuss the difference between breast engorgement and full breasts.

|-
| 00:40
| In engorgement- breast become firm, swollen and painfully full of milk.

|-
| 00:46
| It gives shiny appearance and shows dilated veins on the surface.

|-
| 00:52
| Mother may suffer from fever that lasts for more than 24 hours and latching becomes hard for the baby.

|-
|01:01
| Whereas, full breasts are normal.

|-
| 01:04
| Full breasts appear big but they do not give shiny appearance,

|-
| 01:10
| Full breasts are not painful and fever is absent during breast fullness.

|-
| 01:17
| Now let’s discuss the causes of breast engorgement in lactating mothers.

|-
| 01:23
| Breast engorgement can occur in the following conditions-

|-
| 01:27
| If mother has not fed the baby soon after delivery.

|-
| 01:32
| Mother is not feeding the baby frequently.

|-
| 01:36
| Baby has poorly latched on mother’s breast during breastfeeding and

|-
| 01:42
| Mother has stopped breastfeeding suddenly.

|-
| 01:47
| Now let’s discuss how engorgement can be treated.

|-
| 01:51
| First- Ask the mother to wash her hands with the clean water

|-
| 01:56
| Then, bring the baby closer to the mother so she can- see, smell and touch the baby.

|-
| 02:03
| If baby is too fussy, mother can smell the baby’s towel.

|-
| 02:08
| After that, mother should drink a glass of water.

|-
| 02:12
| Then, keep wet warm cloth on the breast for 5 to 10 minutes or

|-
| 02:18
| Mother can also take a warm shower.

|-
| 02:21
| It will help the breast milk to come out.

|-
| 02:24
| After that, health worker should tell the mother to relax- as excess of stress will affect the let-down reflex and

|-
| 02:33
| milk will not come out.

|-
| 02:36
| Now, either health worker or any family member should massage on the mother’s neck and upper back.

|-
| 02:43
| It will help the breast milk to come out.

|-
| 02:46
| Since, nerve supply towards upper back and breast is same.

|-
| 02:52
| Then, mother should start gently massaging her breast in circular motion.

|-
| 02:57
| Massaging will make her relax and will improve the let-down reflex.

|-
| 03:03
| All these things will help in releasing of Oxytocin.

|-
| 03:07
| It is known as Oxytocin reflex or let-down reflex.

|-
| 03:12
| Oxytocin is a hormone which helps the breast milk to come out.

|-
| 03:17
| Then, mother should manually express some amount of milk to soften the areola.

|-
| 03:23
| It will help the baby to latch on the breast correctly.

|-
| 03:27
| During expressing the breast milk- mother should apply pressure around the areola.

|-
| 03:33
| After expressing-mother should guide the areola in the baby’s mouth, as it would be difficult for a baby to self-attach.

|-
| 03:43
| Try to breastfeed on both sides.

|-
| 03:46
| Between the feeds mother should keep wet cold cloth on breasts for 5- 10 minutes.
Or

|-
| 03:54
| Mother can keep cold cabbage leaves on breasts.

|-
| 03:58
| She can store these cabbage leaves either in refrigerator or in earthen pot.

|-
| 04:04
| It helps in reducing the tenderness and edema in the breast.

|-
| 04:09
| Then mother should breastfeed frequently.

|-
| 04:13
| Now let’s learn how can we prevent breast engorgement

|-
| 04:17
| First, try to understand the hunger signals of a baby such as- squirming

|-
| 04:25
| Increasing rooting reflex

|-
| 04:28
| In rooting reflex- baby turns her head towards anything which touches her cheek or mouth.

|-
| 04:36
| Sucking on fingers

|-
| 04:39
| In late stage, the baby starts crying.

|-
| 04:43
| Breastfeed the baby whenever she shows early hunger signals, and not wait for the baby to cry.

|-
| 04:50
| Make sure that the baby is latched on properly and feeding well.

|-
| 04:55
| Remember, Empty one breast completely before you switch to the other side.

|-
| 05:02
| Next, let’s learn another breast condition called Mastitis-

|-
| 05:08
| It is a condition where part of breast becomes red, swollen and hard.

|-
| 05:14
| Mother feels severe pain, fever and ill.

|-
| 05:18
| Many mothers goes through mastitis in first 6 weeks,

|-
| 05:22
| But it can occur at any time during lactation.

|-
| 05:27
| It is sometimes confused with breast engorgement.

|-
| 05:31
| However engorgement affects whole breast and often both breasts.

|-
| 05:37
| Whereas mastitis affects part of the breast and usually only one breast.

|-
| 05:44
| Mastitis may develop in an engorged breast or follow condition of blocked ducts,

|-
| 05:51
| Now, we will discuss how blocked duct develops into mastitis if untreated.

|-
| 05:59
| Blocked duct is a condition where milk is not removed from the part of a breast.

|-
| 06:04
| Usually this duct is the part of breast blocked by thickened milk.

|-
| 06:11
|It leads to lump formation. This lump is tender and often present with redness of the skin over the lump.

|-
| 06:20
| Blocked duct and breast engorgement causes milk stasis.

|-
| 06:24
|When milk stays in part of a breast in blocked ducts and breast engorgement, It is called stasis.

|-
| 06:32
|If this stasis is not removed, it could lead to inflammation of breast tissue. It is called non-infective mastitis.

|-
| 06:42
| Whereas, Sometimes breast becomes infected with the bacteria and this is called infective mastitis.

|-
| 06:51
| In following conditions, bacteria will easily enter through fissure:

|-
| 06:56
| If fissure is present on the breast, Mastitis remains untreated and delayed treatment

|-
|07:06
|Note that: Breast abscess is a progression of untreated mastitis.

|-
| 07:11
| Now let’s discuss the causes of mastitis-

|-
| 07:15
| The first and foremost cause of mastitis is infrequent feedings.

|-
| 07:21
| If lactating mother is a working woman then frequent breastfeeding becomes challenging.

|-
| 07:27
| Other reason for infrequent feedings could be illness in mother or a baby.

|-
| 07:33
| Second, is nipple feeding in nipple feeding baby will not empty the breast completely.

|-
| 07:40
| Third, is oversupply of milk.

|-
| 07:43
| Fourth, is rapid weaning- where baby eats other foods apart from breast milk.

|-
| 07:59
| Fifth, is tight clothes- if mother use tight clothes, especially in night if mother wears a tight bra, it brings pressure on the breast and can block the milk ducts.

|-
| 08:03
| Sixth is maternal stress - if mother is going through any stressful conditions, it will affect the let-down reflex.

|-
| 08:12
| Seventh is nipple fissure- it provides a way for bacteria to enter the breast tissue and may lead to mastitis.

|-
| 08:22
| Let’s look at the treatment for mastitis

|-
| 08:26
| First try to identify the cause and then start the treatment.

|-
| 08:31
| Mother should use warm compresses before breastfeeding,

|-
| 08:35
| Or should take a warm shower.

|-
| 08:37
| She should start breastfeeding from affected breast first

|-
| 08:42
| If it is increasing the pain or affecting the let-down reflex then start with the unaffected breast.

|-
|08:50
| Remember, frequent breastfeeding is necessary.

|-
| 08:55
| If the open wound is not on the nipple or on the areola then mother can breastfeed on the affected side.

|-
|09:04
|Remember, Whenever a mother is feeding to a baby from mastitis breast-

|-
| 09:09
| she should monitor the baby for signs of infection as there will be a risk of infection to a baby.

|-
| 09:17
| Since, Breast milk from affected side will have many harmful bacterias.

|-
| 09:24
| Massaging the breast may improve the milk supply,

|-
| 09:28
| It should be a gentle massaging from affected area towards the nipple.

|-
| 09:34
| And mother should take enough rest.

|-
| 09:37
| If symptoms are severe then she should refer to the doctor.

|-
| 09:40
| Breast abscess will require surgical drainage of abscess and antibiotics.

|-
| 09:47
| Apart from these-Mother should make a special effort to relax her body and breathe deeply and evenly.

|-
| 09:55
| Listen to the soothing music and Think about your baby to help in starting the let-down reflex.

|-
| 10:04
| Remember, For preventing mastitis, correct latching is necessary.

|-
| 10:09
| It will avoid blocked duct and baby will get enough milk.

|-
| 10:14
| Keys to prevent all these breast conditions are- Proper attachment and positioning of a baby and Frequent breastfeeding.

|-
| 10:24
| This brings us to the end of this tutorial on breast conditions in lactating mothers.

|-
| 10:31
|In this tutorial, we learnt about Breast engorgement and Mastitis

|-
| 10:37
| This tutorial has been contributed by the '''Spoken Tutorial '''Project, '''IIT Bombay '''

|-
| 10:43
| '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''
More information on this mission is available at this link.

|-
| 10:56
| This tutorial is partly funded by a generous contribution from '''WHEELS Global Foundation.'''

|-
| 11:03
| This tutorial is a part of “'''Maa aur Shishu Poshan Project”.'''

|-
| 11:07
| The domain reviewers for this tutorial are - '''Dr. Rupal Dalal,''' MD Pediatrics and '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.

|-
| 11:20
| This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.
Thanks for joining.
|}

@@ Line 401: / Line 401: @@
 |-
-| 09:34
+| 09:33
 |  And, mother should take enough  rest.

@@ Line 80: / Line 80: @@
 |-
-| 01:47
+| 01:46
 |  Now let’s discuss how engorgement can be treated.
@@ Line 88: / Line 88: @@
 |-
-| 01:56
+| 01:55
-|   Then, bring the baby closer to the mother so she can see, smell and  touch the baby.
+|   Then, bring the baby closer to the mother so she can see, smell and touch the baby.
 |-
@@ Line 149: / Line 149: @@
 |-
 | 03:12
-|  Oxytocin is a hormone which helps the breast milk to come out.
+|  Oxytocin is a hormone which helps a breast milk to come out.
 |-
@@ Line 168: / Line 168: @@
 |-
-| 03:43
+| 03:42
 | Try to breastfeed on both sides.
@@ Line 177: / Line 177: @@
 |-
-| 03:54
+| 03:53
 |   mother can keep cold cabbage leaves on breasts.
@@ Line 189: / Line 189: @@
 |-
-| 04:09
+| 04:08
 |  Then mother should breastfeed frequently.
@@ Line 205: / Line 205: @@
 |-
-| 04:28
+| 04:27
 |  in rooting reflex, baby turns her head towards anything which touches her cheek or mouth.
@@ Line 213: / Line 213: @@
 |-
-| 04:39
+| 04:38
 | In late stage, the baby starts crying.
 |-
-| 04:43
+| 04:42
 | Breastfeed the baby whenever she shows early hunger signals and not wait for the baby to cry.
@@ Line 233: / Line 233: @@
 |-
-| 05:08
+| 05:07
 |   It is a condition where part of breast becomes red, swollen and hard.
@@ Line 269: / Line 269: @@
 |-
-| 05:59
+| 05:58
 | Blocked duct is a condition where milk is not removed from the part of a breast.
@@ Line 337: / Line 337: @@
 |-
-| 07:50
+| 07:49
 |   Fifth is tight clothes-  if mother uses tight clothes, especially in night if mother wears a tight bra, it brings pressure on the breast and can block the milk ducts.
 |-
-| 08:03
+| 08:02
 | Sixth is maternal stress - if mother is going through any stressful conditions,  it will affect the let-down reflex.
@@ Line 361: / Line 361: @@
 |-
-| 08:35
+| 08:34
 |   or should take a warm shower.
@@ Line 381: / Line 381: @@
 |-
-|09:04
+|09:03
 |Remember,  whenever a mother is feeding to a baby from mastitis breast-
@@ Line 405: / Line 405: @@
 |-
-| 09:37
+| 09:36
 |  If symptoms are severe then she should refer to the doctor.
@@ Line 421: / Line 421: @@
 |-
-| 10:04
+| 10:03
 |  Remember,  for preventing mastitis, correct latching is necessary.
@@ Line 434: / Line 434: @@
 |-
 | 10:24
-| This brings us to the end of this tutorial on breast conditions in lactating mothers.
+| This brings us to the end of this tutorial.
 |-
 |}

@@ Line 337: / Line 337: @@
 |-
-| 07:59
+| 07:50
 |   Fifth is tight clothes-  if mother uses tight clothes, especially in night if mother wears a tight bra, it brings pressure on the breast and can block the milk ducts.

@@ Line 286: / Line 286: @@
 |-
 | 06:24
-|When milk stays in part of a breast in blocked ducts and breast engorgement,  It is called stasis.
+|When milk stays in part of a breast in blocked ducts and breast engorgement, it is called '''stasis'''.
 |-
@@ Line 294: / Line 294: @@
 |-
 | 06:42
-|  Whereas, Sometimes breast becomes infected with the bacteria and this is called infective mastitis.
+|  Whereas, sometimes breast becomes infected with the bacteria and this is called infective mastitis.
 |-
@@ Line 302: / Line 302: @@
 |-
 | 06:56
-|   If fissure is present on the breast, Mastitis remains untreated and delayed treatment
+|   if fissure is present on the breast, Mastitis remains untreated and delayed treatment.
 |-
 |07:06
-|Note that: Breast abscess is a progression of untreated mastitis.
+|Note that breast abscess is a progression of untreated mastitis.
 |-
 | 07:11
-|  Now let’s discuss the causes of mastitis-
+|  Now, let’s discuss the causes of mastitis.
 |-
@@ Line 326: / Line 326: @@
 |-
 | 07:33
-|   Second, is nipple feeding  in nipple feeding baby will not empty the breast completely.
+|   Second is nipple feeding. In nipple feeding, baby will not empty the breast completely.
 |-
 | 07:40
-|   Third, is oversupply of milk.
+|   Third is oversupply of milk.
 |-
 | 07:43
-|   Fourth, is rapid weaning- where baby eats other foods apart from breast milk.
+|   Fourth is rapid weaning where baby eats other foods apart from breast milk.
 |-
 | 07:59
-|   Fifth, is tight clothes-  if mother use tight clothes, especially in night if mother wears a tight bra, it brings pressure on the breast and can block the milk ducts.
+|   Fifth is tight clothes-  if mother uses tight clothes, especially in night if mother wears a tight bra, it brings pressure on the breast and can block the milk ducts.
 |-
@@ Line 350: / Line 350: @@
 |-
 | 08:22
-| Let’s look at the treatment for mastitis
+| Let’s look at the treatment for mastitis.
 |-
@@ Line 358: / Line 358: @@
 |-
 | 08:31
-|   Mother should use warm compresses before breastfeeding,
+|   Mother should use warm compresses before breastfeeding
 |-
 | 08:35
-|   Or should take a warm shower.
+|   or should take a warm shower.
 |-
 | 08:37
-|  She should start breastfeeding from affected breast first
+|  She should start breastfeeding from affected breast first.
 |-
@@ Line 382: / Line 382: @@
 |-
 |09:04
-|Remember,  Whenever a mother is feeding to a baby from mastitis breast-
+|Remember,  whenever a mother is feeding to a baby from mastitis breast-
 |-
 | 09:09
-|   she should monitor the baby for signs of infection as there will be a risk of infection to a baby.
+|   she should monitor the baby for signs of infection as there will be a risk of infection to a baby
 |-
 | 09:17
-|  Since, Breast milk from affected side will have many harmful bacterias.
+|  since breast milk from affected side will have many harmful bacteria.
 |-
 | 09:24
-|  Massaging the breast may improve the milk supply,
+|  Massaging the breast may improve the milk supply.
 |-
@@ Line 402: / Line 402: @@
 |-
 | 09:34
-|  And mother should take enough  rest.
+|  And, mother should take enough  rest.
 |-
@@ Line 410: / Line 410: @@
 |-
 | 09:40
-|  Breast abscess will require surgical drainage of abscess and antibiotics.
+|  '''Breast abscess''' will require surgical drainage of abscess and '''antibiotic'''s.
 |-
 | 09:47
-| Apart from these-Mother should make a special effort to relax her body and breathe deeply and evenly.
+| Apart from these, mother should make a special effort to relax her body and breathe deeply and evenly.
 |-
 | 09:55
-|  Listen to the soothing music and  Think about your baby to help in starting the let-down reflex.
+|  Listen to the soothing music and  think about her baby to help in starting the let-down reflex.
 |-
 | 10:04
-|  Remember,  For preventing mastitis, correct latching is necessary.
+|  Remember,  for preventing mastitis, correct latching is necessary.
 |-
@@ Line 430: / Line 430: @@
 |-
 | 10:14
-| Keys to prevent all these breast conditions are- Proper attachment and positioning of a baby and Frequent breastfeeding.
+| Keys to prevent all these breast conditions are- proper attachment and positioning of a baby and frequent breastfeeding.
 |-
@@ Line 438: / Line 438: @@
 |-
 | 10:31
-|In this tutorial, we learnt about  Breast engorgement and Mastitis
+|In this tutorial, we learnt about  '''breast engorgement''' and '''Mastitis'''.
 |-
 | 10:37
-| This tutorial has been contributed by  the '''Spoken Tutorial '''Project, '''IIT Bombay '''
+| This tutorial has been contributed by  the '''Spoken Tutorial '''Project, '''IIT Bombay. '''
 |-
 | 10:43
-|  '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''
+|  Spoken Tutorial Project is funded by''' NMEICT, MHRD''', Government of India.
 More information on this mission is available at this link.
@@ Line 459: / Line 459: @@
 |-
 | 11:07
-|   The domain reviewers for this tutorial are -  '''Dr. Rupal Dalal,''' MD Pediatrics and  '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.
+|   The domain reviewers for this tutorial are - Dr. Rupal Dalal, MD Pediatrics and  Dr. Taru Jindal, MS Obstetrics and Gynecology.
 |-
 | 11:20
-|  This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.
+|  This is Nutritionist Rajani Sawant along with animator Arthi Anbalagan from''' IIT Bombay, '''signing off.
 Thanks for joining.
 |}

@@ Line 5: / Line 5: @@
 |-
 | 00:00
-| Welcome to this '''Spoken Tutorial''' on Breast conditions in lactating mothers.
+| Welcome to this '''Spoken Tutorial''' on '''Breast conditions''' in lactating mothers.
 |-
 | 00:06
-| In this tutorial, we will learn about-  Breast engorgement and Mastitis
+| In this tutorial, we will learn about-  '''Breast engorgement''' and '''Mastitis'''.
 |-
 |00:13
-| Let us begin with Breast engorgement
+| Let us begin with '''Breast engorgement'''.
 |-
 | 00:17
-| Engorgement occurs most commonly between 3 to 5 days after delivery.
+| '''Engorgement''' occurs most commonly between 3 to 5 days after delivery.
 |-
 | 00:23
-|  It occurs in both breasts simultaneously
+|  It occurs in both breasts simultaneously.
 |-
@@ Line 33: / Line 33: @@
 |-
 | 00:40
-| In engorgement- breast become firm, swollen and painfully full of milk.
+| In engorgement, breast becomes firm, swollen and painfully full of milk.
 |-
@@ Line 49: / Line 49: @@
 |-
 | 01:04
-| Full breasts appear big but they do not give shiny appearance,
+| Full breasts appear big but they do not give shiny appearance.
 |-
@@ Line 57: / Line 57: @@
 |-
 | 01:17
-| Now let’s discuss the causes of breast engorgement in lactating mothers.
+| Now, let’s discuss the causes of breast engorgement in lactating mothers.
 |-
@@ Line 89: / Line 89: @@
 |-
 | 01:56
-|   Then, bring the baby closer to the mother so she can-  see,  smell and  touch the baby.
+|   Then, bring the baby closer to the mother so she can see, smell and  touch the baby.
 |-
@@ Line 105: / Line 105: @@
 |-
 | 02:18
-|   Mother can also take a warm shower.
+|   mother can also take a warm shower.
 |-
@@ Line 113: / Line 113: @@
 |-
 | 02:24
-| After that, health worker should tell the mother to relax-  as excess of stress will affect the let-down reflex and
+| After that, health worker should tell the mother to relax as excess of stress will affect the let-down reflex and
 |-
@@ Line 153: / Line 153: @@
 |-
 | 03:17
-|   Then, mother should manually express some amount of milk to soften the areola.
+|   Then, mother should manually express some amount of milk to soften the '''areola'''.
 |-
@@ Line 161: / Line 161: @@
 |-
 | 03:27
-|  During expressing the breast milk- mother should apply pressure around the areola.
+|  During expressing the breast milk, mother should apply pressure around the '''areola'''.
 |-
 | 03:33
-| After expressing-mother should guide the areola in the baby’s mouth,  as it would be difficult for a baby to self-attach.
+| After expressing, mother should guide the areola in the baby’s mouth,  as it would be difficult for a baby to self-attach.
 |-
@@ Line 173: / Line 173: @@
 |-
 | 03:46
-|  Between the feeds mother should keep wet cold cloth on breasts for 5- 10 minutes.
+|  Between the feeds, mother should keep wet cold cloth on breasts for 5- 10 minutes. Or,
 Or
 |-
 | 03:54
-|   Mother can keep cold cabbage leaves on breasts.
+|   mother can keep cold cabbage leaves on breasts.
 |-
@@ Line 194: / Line 194: @@
 |-
 | 04:13
-|  Now let’s learn how can we prevent breast engorgement
+|  Now, let’s learn how can we prevent breast '''engorgement'''.
 |-
 | 04:17
-|   First, try to understand the hunger signals of a baby such as-  squirming
+|   First, try to understand the hunger signals of a baby such as  squirming,
 |-
 | 04:25
-|  Increasing rooting reflex
+|  increasing rooting reflex-
 |-
 | 04:28
-|  In rooting reflex- baby turns her head towards anything which touches her cheek or mouth.
+|  in rooting reflex, baby turns her head towards anything which touches her cheek or mouth.
 |-
 | 04:36
-|  Sucking on fingers
+|  sucking on fingers.
 |-
@@ Line 218: / Line 218: @@
 |-
 | 04:43
-| Breastfeed the baby whenever she shows early hunger signals, and not wait for the baby to cry.
+| Breastfeed the baby whenever she shows early hunger signals and not wait for the baby to cry.
 |-
@@ Line 226: / Line 226: @@
 |-
 | 04:55
-|  Remember, Empty one breast completely before you switch to the other side.
+|  Remember, empty one breast completely before you switch to the other side.
 |-
 | 05:02
-|  Next, let’s learn another breast condition called Mastitis-
+|  Next, let’s learn another breast condition called '''Mastitis'''.
 |-
@@ Line 242: / Line 242: @@
 |-
 | 05:18
-| Many mothers goes through mastitis in first 6 weeks,
+| Many mothers go through mastitis in first 6 weeks.
 |-
 | 05:22
-|   But it can occur at any time during lactation.
+|   But, it can occur at any time during lactation.
 |-
@@ Line 254: / Line 254: @@
 |-
 | 05:31
-|   However engorgement affects whole breast and often both breasts.
+|   However, engorgement affects whole breast and often both breasts.
 |-
 | 05:37
-|   Whereas mastitis affects part of the breast and usually only one breast.
+|   Whereas '''mastitis''' affects part of the breast and usually only one breast.
 |-
 | 05:44
-|  Mastitis may develop in an engorged breast or follow condition of blocked ducts,
+|  Mastitis may develop in an engorged breast or follow condition of blocked ducts.
 |-