User:Mr. Ibrahem/Breast engorgement
| Mr. Ibrahem/Breast engorgement | |
|---|---|
 | |
| Breast engorgement in a women who is breastfeeding | |
| Specialty | Family medicine |
| Symptoms | Painful and hard breasts[1] |
| Complications | Mastitis, cracked nipples, stopping breastfeeding[2] |
| Usual onset | Shortly following delivery[2] |
| Duration | Up to 2 weeks[2] |
| Risk factors | Not enough breastfeeding, ineffective feeding, excessive milk production, breast implants[2] |
| Differential diagnosis | Mastitis, blocked milk duct, breast abscess, yeast infection[1] |
| Treatment | Removing milk, specifically designed bra, ibuprofen or acetaminophen (paracetamol), applying cold[1][2] |
| Frequency | 15% to 50% of women[2] |
Breast engorgement occurs when the breasts are overly full with milk.[1] Symptoms may include pain and the breasts may feel hard.[1] The nipple may also become flat which may make it hard for the baby to feed.[1] Onset is often in the days after delivery with both breasts being involved.[2][3] Complications may include mastitis, cracked nipples, or a women stopping breastfeeding.[2]
It generally occurs due to insufficient removal of breast milk.[2] This may occur due to not enough breastfeeding, ineffective feeding, or excessive milk production.[2] Other risk factors may include breast implants.[2]
It may be improved by either breastfeeding or removing some milk by hand.[1] Removing milk by hand; however, may increase milk production.[4] Other measures may include a specifically designed bra for breastfeeding, taking ibuprofen or acetaminophen (paracetamol), or apply cold gel packs or cabbage leaves.[1][2] Generally symptoms improve within 2 weeks of delivery.[2] About 15% to 50% of women are affected.[2]
References[edit]
- ^ a b c d e f g h "Breast pain and breastfeeding". nhs.uk. 7 December 2020. Archived from the original on 17 January 2024. Retrieved 25 January 2024.
- ^ a b c d e f g h i j k l m n Zakarija-Grkovic, I; Stewart, F (18 September 2020). "Treatments for breast engorgement during lactation". The Cochrane database of systematic reviews. 9 (9): CD006946. doi:10.1002/14651858.CD006946.pub4. PMID 32944940.
- ^ Jacobs, A; Abou-Dakn, M; Becker, K; Both, D; Gatermann, S; Gresens, R; Groß, M; Jochum, F; Kühnert, M; Rouw, E; Scheele, M; Strauss, A; Strempel, AK; Vetter, K; Wöckel, A (December 2013). "S3-Guidelines for the Treatment of Inflammatory Breast Disease during the Lactation Period: AWMF Guidelines, Registry No. 015/071 (short version) AWMF Leitlinien-Register Nr. 015/071 (Kurzfassung)". Geburtshilfe und Frauenheilkunde. 73 (12): 1202–1208. doi:10.1055/s-0033-1360115. PMID 24771901.
- ^ "Overview of Postpartum Care - Women's Health Issues". Merck Manuals Consumer Version. Archived from the original on 11 January 2024. Retrieved 25 January 2024.