Condition | Symptoms | Treatment |
---|
Plugged ducts | Afebrile with no systemic symptoms. Breast tender in the area of the plug. Plug will feel like a small knot. The breast should not appear inflamed or reddened. | Moist heat to affected breast. Manual expression to assist in removing the plug. Nurse or pump every two hours, beginning each feeding with the affected breast. Alter position of infant at breast to assist in removing plug. The infant's chin should be near the area of the plug. Remove any constrictive clothing and/or bra. Take oral temperature every four hours; report any fever greater than 101°F to medical provider. Watch for redness, aches, pain, and flu-like symptoms. |
Mastitis | Fever, chills, body aches, and headache. Red, inflamed area on breast or red streaks on breast. Flu-like symptoms: Diarrhea, nausea, vomiting. History of recent plugged duct. Recently returned to work. Recent breast injury or sore nipples with breaks in the nipple or areolar tissue. | Dicloxacillin or erythromycin 250 mg every six hours for 10 days. Strict bedrest until systemic symptoms are absent. Nurse or pump every two hours. Moist heat to affected breast. Removal of bra. Increase fluid intake. Report any increase of symptoms to medical provider immediately. Return to medical provider for further evaluation before refilling the prescription. |
Breast abscess | History of mastitis. Area may no longer be painful. Systemic symptoms may be absent. The abscessed area has risen to the surface of the breast tissue and is indurated in the center. | Surgical incision and drainage. Hospitalization for IV antibiotics as needed. Continue to nurse or pump on a regular schedule. Cover incision with a clean dressing at each feeding. Breast milk is not harmful to the incision, as the macrophages in the milk will assist in the destruction of the offending bacteria and aid in the healing process. |
To urgent care immediately.
Pump breast with hospital-grade electric pump or nurse every two hours.
Follow up in two days.
Call if weaning information is desired.
Hospitalized for incision and drainage of breast abscess and IV antibiotic therapy. Patient V contacted the clinic as she desired weaning. Instructions were given for using breast pump to gradually reduce milk supply.
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Updated case studies in breastfeeding published.
Originally published in 2003, HCP faculty members Karin Cadwell and Cynthia Turner-Maffei recently published an updated 2019 edition of Case Studies in Breastfeeding: Problem-Solving Skills and Strategies. The new book, which is 220 pages long, shares a step-by-step, consultative framework for addressing both common and uncommon issues and includes new real-world case study examples to highlight the approach in action. Combining logic, wisdom, and theory, the text is intended to convey a deeper understanding of how to act in accordance with the highest needs of the breastfeeding mother and baby to increase the practitioner’s knowledge about managing complex breastfeeding cases. Case Studies in Breastfeeding: Problem-Solving Skills and Strategies can be purchased through Health Education Associates or on Amazon.
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CASE ONE: SORE NIPPLES. Presenting Concern. Patient A and her son K, 6 days of age, were seen in the lactation clinic for sore nipples. History of Presenting Concern. Baby K was initially ABM-fed in the nursery. First nursing was at 26 hours of age. Nipple pain began with the first breastfeeding.
The new book, which is 220 pages long, shares a step-by-step, consultative framework for addressing both common and uncommon issues and includes new real-world case study examples to highlight the approach in action.
Case Study for Breastfeeding Woman. UPDATED AUGUST 2022. Meet Laura! Laura has a certification appointment for herself and her 3-week-old infant, Lilly. Laura is fully breastfeeding baby Lilly. Laura reports that her appetite is “not great”.
Steps to Successful Breastfeeding. Understand your role in prenatal counseling regarding infant feeding decisions and supporting appropriate feeding practices after birth. Know the basics of normal breastfeeding in the early postpartum period. Be able to manage common breastfeeding problems
The compilation of these case studies was coordinated by the Global Breastfeeding Collective task team, listed in alphabetical order: Mona Alsumaie, Jeniece Alvey, Heidy Guzman, Alyssa Klein, Altrena Mukuria, Lesley Oot, Linda Smith and Zion Tankard.
Case Study Beckie: Informed decision-making conversations. Beckie is a client that you meet when she is pregnant (early, middle, or late pregnancy as fits your work . environment). 1) You are not aware of how she is planning to feed her baby. How might you start a conversation to find out? What are your thoughts about how to feed your baby? 2)