Difference between revisions of "Health-and-Nutrition/C2/Breast-conditions/English-timed"

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

| In this tutorial, we will learn about-  '''Breast engorgement''' and '''Mastitis'''.

| Let us begin with '''Breast engorgement'''.

| '''Engorgement''' occurs most commonly between 3 to 5 days after delivery.

|  It occurs in both breasts simultaneously.

| In engorgement, breast becomes firm, swollen and painfully full of milk.

| Full breasts appear big but they do not give shiny appearance.

| Now, let’s discuss the causes of breast engorgement in lactating mothers.

| 01:46

| 01:55

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

|  mother can also take a warm shower.   

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

|  Oxytocin is a hormone which helps a breast milk to come out.  

|  Then, mother should manually express some amount of milk to soften the '''areola'''.  

|  During expressing the breast milk, mother should apply pressure around the '''areola'''.

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

| 03:42

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

| 03:53

|  mother can keep cold cabbage leaves on breasts.  

| 04:08

|  Now, let’s learn how can we prevent breast '''engorgement'''.

|  First, try to understand the hunger signals of a baby such as  squirming,

|  increasing rooting reflex-

| 04:27

|  in rooting reflex, baby turns her head towards anything which touches her cheek or mouth.

|  sucking on fingers.

| 04:38

| 04:42

| Breastfeed the baby whenever she shows early hunger signals and not wait for the baby to cry.

|  Remember, empty one breast completely before you switch to the other side.

|  Next, let’s learn another breast condition called '''Mastitis'''.

| 05:07

| Many mothers go through mastitis in first 6 weeks.

|  But, it can occur at any time during lactation.

|  However, engorgement affects whole breast and often both breasts.

|  Whereas '''mastitis''' affects part of the breast and usually only one breast.

|  Mastitis may develop in an engorged breast or follow condition of blocked ducts.

| 05:58

|When milk stays in part of a breast in blocked ducts and breast engorgement, it is called '''stasis'''.  

|  Whereas, sometimes breast becomes infected with the bacteria and this is called infective mastitis.

|  if fissure is present on the breast, Mastitis remains untreated and delayed treatment.

|Note that breast abscess is a progression of untreated mastitis.

|  Now, let’s discuss the causes of mastitis.

|  Second is nipple feeding. In nipple feeding, baby will not empty the breast completely.

|  Third is oversupply of milk.

|  Fourth is rapid weaning where baby eats other foods apart from breast milk.

| 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.

| 08:02

| Let’s look at the treatment for mastitis.

|  Mother should use warm compresses before breastfeeding

| 08:34

|  or should take a warm shower.

|  She should start breastfeeding from affected breast first.

|09:03

|Remember,  whenever a mother is feeding to a baby from mastitis breast-

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

|  since breast milk from affected side will have many harmful bacteria.

|  Massaging the breast may improve the milk supply.

| 09:33

|  And, mother should take enough  rest.

| 09:36

|  '''Breast abscess''' will require surgical drainage of abscess and '''antibiotic'''s.

| Apart from these, mother should make a special effort to relax her body and breathe deeply and evenly.

|  Listen to the soothing music and  think about her baby to help in starting the let-down reflex.

| 10:03

|  Remember,  for preventing mastitis, correct latching is necessary.

| Keys to prevent all these breast conditions are- proper attachment and positioning of a baby and frequent breastfeeding.

| This brings us to the end of this tutorial.