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Alright, let's talk about 
postpartum. 

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One of the most postpartum 
complications that you'll see on

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the boards is lactation all 
mastitis. 

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So what do we need to know about
lactation? 

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All mastitis? 
First and foremost, let's look 

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at the signs and symptoms. 
How's it going to present? 

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Well, we're going to have 
swelling because there's an 

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infection there. 
We're going to have fever. 

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We're gonna have pain, swelling,
erythema, warmed redness, all of

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these signs, and symptoms are 
going to lead to what type of a 

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question. 
Select all that, apply. 

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Then you need to know the cause,
what's the cause? 

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Well, it's staph aureus, where 
does the staph aureus come from 

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two different ways? 
One could be from the baby 

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because the nasopharynx or the 
nasopharynx has staph aureus in 

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it. 
And of course they're they're 

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breastfeeding. 
So there's a lot of contact 

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there then. 
Also we contain staph aureus on 

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our skin so it also could come 
from the mother. 

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So when that milk duct gets 
blocked, we get this engorgement

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of the breast. 
So what are we going to do? 

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We're going to treat it with 
Antibiotics, it's staph aureus. 

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It's a gram-positive bug. 
So with a gram, positive 

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bacteria, what antibiotic dr. 
Zee what antibiotic am I going 

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to give them depends. 
If I say the word depends it 

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could be the providers choice. 
So is that a question that the 

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boards are going to ask? 
No, that's what I call a rabbit 

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hole. 
So now, what are we going to do?

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Well, if a patient comes in and 
is complaining of mastitis and 

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they've got all the signs and 
symptoms. 

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Well, let's get them started on 
antibiotics. 

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Biotics freebie question. 
Then the next thing we do is 

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we're going to educate them. 
What are we going to educate 

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them on again? 
Another select all that apply, 

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well we're going to continue 
breastfeeding just because 

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there's staph aureus in there. 
It doesn't matter that the, the 

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baby's getting it because it may
be already has colonized it. 

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Then we're also going to teach 
them proper technique when 

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there's not proper techniques of
breastfeeding that could also 

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lead to mastitis. 
The other thing is we want to 

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use soft supportive bra. 
So we don't want the tight wire 

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because that's going to increase
that engorgement then. 

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Also, we want to use a warm 
compress to feed, to help it 

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flow, to allow it the emptying 
of the breast milk. 

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But we can also use cool 
compresses just for Comfort to 

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help with the pain. 
We also want to do supportive 

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care what is supportive care. 
How about rest proper nutrition 

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hydration. 
So again supportive care to help

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in this situation. 
We also want to control the pain

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and we control the pain with 
analgesics and or NSAIDs. 

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So either acetaminophen or 
Ibuprofen either or are. 

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Okay. 
And then last but not least, 

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wash your hands before you 
breastfeed. 

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And after you breastfeed, when 
do we ever say the opposite? 

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So again, a little recap 
lactation all mastitis, know the

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signs and symptoms know the 
treatment know the cause and 

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know that education. 
So we got to select all the 

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plywood signs and symptoms. 
We got a freebie question. 

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What if they ask, what type of a
bug it is, which is staph aureus

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the treatment antibiotics, look 
for an antibiotic and there and 

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then lastly educate educate, 
educate. 

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So I hope you enjoyed take care.