Alright, let's talk about postpartum.
One of the most postpartum complications that you'll see on
the boards is lactation all mastitis.
So what do we need to know about lactation?
All mastitis? First and foremost, let's look
at the signs and symptoms. How's it going to present?
Well, we're going to have swelling because there's an
infection there. We're going to have fever.
We're gonna have pain, swelling, erythema, warmed redness, all of
these signs, and symptoms are going to lead to what type of a
question. Select all that, apply.
Then you need to know the cause, what's the cause?
Well, it's staph aureus, where does the staph aureus come from
two different ways? One could be from the baby
because the nasopharynx or the nasopharynx has staph aureus in
it. And of course they're they're
breastfeeding. So there's a lot of contact
there then. Also we contain staph aureus on
our skin so it also could come from the mother.
So when that milk duct gets blocked, we get this engorgement
of the breast. So what are we going to do?
We're going to treat it with Antibiotics, it's staph aureus.
It's a gram-positive bug. So with a gram, positive
bacteria, what antibiotic dr. Zee what antibiotic am I going
to give them depends. If I say the word depends it
could be the providers choice. So is that a question that the
boards are going to ask? No, that's what I call a rabbit
hole. So now, what are we going to do?
Well, if a patient comes in and is complaining of mastitis and
they've got all the signs and symptoms.
Well, let's get them started on antibiotics.
Biotics freebie question. Then the next thing we do is
we're going to educate them. What are we going to educate
them on again? Another select all that apply,
well we're going to continue breastfeeding just because
there's staph aureus in there. It doesn't matter that the, the
baby's getting it because it may be already has colonized it.
Then we're also going to teach them proper technique when
there's not proper techniques of breastfeeding that could also
lead to mastitis. The other thing is we want to
use soft supportive bra. So we don't want the tight wire
because that's going to increase that engorgement then.
Also, we want to use a warm compress to feed, to help it
flow, to allow it the emptying of the breast milk.
But we can also use cool compresses just for Comfort to
help with the pain. We also want to do supportive
care what is supportive care. How about rest proper nutrition
hydration. So again supportive care to help
in this situation. We also want to control the pain
and we control the pain with analgesics and or NSAIDs.
So either acetaminophen or Ibuprofen either or are.
Okay. And then last but not least,
wash your hands before you breastfeed.
And after you breastfeed, when do we ever say the opposite?
So again, a little recap lactation all mastitis, know the
signs and symptoms know the treatment know the cause and
know that education. So we got to select all the
plywood signs and symptoms. We got a freebie question.
What if they ask, what type of a bug it is, which is staph aureus
the treatment antibiotics, look for an antibiotic and there and
then lastly educate educate, educate.
So I hope you enjoyed take care.