MANAGEMENT OF BREAST PROBLEMS IN MATERNAL HEALTH

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MANAGEMENT OF BREAST PROBLEMSINMATERNAL HEALTH

• Dr.S.Suganthi, D.H.M.S.

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• In early weeks of pregnancy the breast increases
  in size and become nodular as a result of
  hypertrophy of alveolar cells. The breast size
  increases the delicate veins become visible. The
  nipple become larger, pigmented and erectile. At
  that time the areola become darker, deeply
  pigmented scattered through the areola a small
  number of elevations the so called glands of
  Montgomery.

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• Ostrogen and progesterone stimulate growth of the
  duct and glandular tissues fluid is secreted in
  small amounts by the milk producing cells
  expressed by the 16th week itself. During
  antenatal period itself special care should be
  taken to increase the ability to nurse the child
  by toughening the nipple by fingers and thumb
  there by reducing the incidents cracking and make
  the nipple to evert.

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THE BREAST CARE DURING POSTNATAL OR AFTER CHILD
BIRTH

• The foundations of successful breast feeding are
  laid on the antenatal period where inverted
  nipple are drawn out and colostrums expressed.
  The baby will suck readily at birth and if can be
  put to the breast in the delivery room, it not
  only gives the mother confidence and ability in
  her but also helps in contraction of the uterus.
  For the first 24 to 48 hours after the
  development of the lacteal secretion, it is not
  unusual for the breast to become distended firm
  and nodular. Some cases, it is called ENGORGED
  BREAST and CAKED BREAST. It represents an
  exaggeration of normal venous and lymphatic
  engorgement not a result of over distension of
  the lacteal system with milk. Puerperal fever
  from breast engorgement is common. These fevers
  are particularly worrisome in case of recently
  undergone cesarean delivery.

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MASTITIS

• Parenchymatous infection of the mammary gland is
  uncommon in puerperium. Common cause of
  organism is staphylococcus Aures common source
  is from nursing infants nose and throat.

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CRACKS IN NIPPLES

• Common compliant during lactation may by due to
  infection and long suckling by the infant leads
  to severe pain in breast we can smoothly cure the
  cracks without any externals.
• Abscess formation is more common in a
  stephylo-aures infection. The proper induction
  of medicines can avoid suppuration surgical
  intervention.

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MATERIAL AND METHOD

• The study shows 30 cases of postnatal women who
  were treated with breast engorgement matitis,
  cracks in nipple and breast abscess. The
  remedies were prescribed by individualizing of
  each case.

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GENERAL MANAGEMENT

• The nipple requires little attention in the
  preparation other than cleanliness and attention
  to fissures. Because dried milk accumulated in
  nipples irritate them. Occasionally for the
  irritating nipples, it is necessary to use nipple
  shield in inverted and rearded nipple. In case
  of matitis the breast supported with binder and
  applying ice bag if necessary.

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CASE ILLUSTRATION

• Women aged 24 2nd gravida come with H/o pain in
  breast pain is severe even unable to bear the
  touch of cloth. Pain lt while nursing fever
  severe body pain thirst for large quantities of
  water.
• O/E Right breast is swollen, red enlarged veins
  are seeing. She is very irritable due to pain
  and on the edge of cry.
• Reported on 20.02.2008 Medicines given
  Belladona 30 7 Doses 3 hourly ask to report on
  next day.
• 21.02.2008 patient reported with 50
  disappearance of pain but swelling still perstis.
  
• H/O fever around 100 pain lt jar, touch Bryonia
  200 -5 doses 4 hourly.
• Reported on 23.02.2008 H/O pain and hardness in
  right breast (lower medial quarternt).
  Phytolocca 200-5 doses 6 hourly was prescribed
  that conclude the treatment.

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CASE No 2

• Patient aged about 29 came with c/o cracks in
  left nipple having 8 month old girl child. O/E
  not aneamic well built left nipple shows cracks.
  
• 10.12.2007 Graphities 200-5 doses Bds was given.
• 14.12.2007 patient feels better with pain in
  breast while nursing.
• Ratanhia 200-5 doses Bds reported after a week
  with relief from cracks of nipple.

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RESULT
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DISCUSSION

• During Maternal life some pregnant women
  complaints persistent pain in breast and nipple.
  The striaes which causes itching and some skin
  lesions and ecezematous conditions are treated by
  our drugs very effectively. Our dynamic
  medicines are safer for unborn neonate. The
  medicines are prescribed individualizing the
  patient by the symptoms. The medicines makes the
  body in proper hormonal equilibrium.

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LITERATURE CITED

• Garry cunninghanel-al William obstetrics.
• Boreland Homoeopathy for child and mother care
  
• Kulkarani Shrikant Gynacology and
  obstetrics.

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• Thanks