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Milk feeding
Published in Judy More, Infant, Child and Adolescent Nutrition, 2021
Sore nipples are usually due to poor attachment and the pain should decrease when attachment is improved. However, in some instances sore nipples may be due to:thrush: Candida albicans, is a fungal infection that often follows the use of antibiotics to treat mastitis or other infections. The skin may become sore and itchy. Both mother and baby may be infected and should be referred to the GP for treatment.Reynaud’s syndrome where some women’s nipples become blanched due to lack of blood supply. There is no ready cure for this but heat treatment and feeding in a warm room may help.Cracked nipples which may follow from poor attachment. Mothers should be encouraged to continue breastfeeding, as with improved attachment nipple pain should lessen considerably after about the first 20 seconds of feeding. Nipples will then begin to heal. Occasionally, cracked nipples may bleed and the infant may posit or vomit bloodstained milk. Ingesting blood is harmless for the infant and there is no cause for alarm.
DRCOG MCQs for Circuit C Questions
Published in Una F. Coales, DRCOG: Practice MCQs and OSCEs: How to Pass First Time three Complete MCQ Practice Exams (180 MCQs) Three Complete OSCE Practice Papers (60 Questions) Detailed Answers and Tips, 2020
Post-natal mastitis:Usually occurs during the first postpartum week.Responsive to penicillin.Breast-feeding should be avoided during antibiotic therapy.Caused by Streptococcus.May be caused by a cracked nipple.
Assyria
Published in Michael J. O’Dowd, The History of Medications for Women, 2020
Another agent ‘for uterine disease’ in the Assyrian Herbal was storax (from Styrax officinalis). Much used as incense during church ceremonies the plant contains benzoic acid and is in medical use as Benzoin Tincture Co., (The British Pharmacopoeia, 1932 pp. 438–9; Reynolds and Prasad, 1982 p. 314). An effective antifungal agent, it was combined with salicylic acid in Whitfield’s ointment (Harvey, 1985 p. 973). It is tempting to think that the Assyrians could have prescribed it for ‘uterine’ (possibly meaning uterus and genital tract) itch and discomfort. It is currently in vogue as treatment for ‘cracked’ nipples caused by breastfeeding.
Massive upper gastrointestinal bleeding due to a gastric ulcer in a newborn
Published in Baylor University Medical Center Proceedings, 2022
Hasan Akduman, Nurdan Dinlen Fettah, Ayşegül Tok, Rümeysa Çitli, Başak Kaya Gürsoy
Gastric acid production starts immediately after birth in term and preterm babies and probably contributes to the pathophysiology of stress ulcers.3 Stress increases gastric acid secretion and plays a key role in ulceration in older children and adults.4 Stomach ulcers are rare in the neonatal period. They usually occur secondary to an underlying disease.2 Except for cesarean delivery, no other factor increased the risk of upper GI bleeding in our patient. Most upper GI bleeding cases in newborns are benign and self-limiting, but mortality approaches 40% when stress ulcers cause massive GI bleeding.2,5 Hematochezia due to bleeding severity can be seen in bleeding due to stomach ulcerations. Since the bleeding was massive in our patient, hematochezia and low hematocrit in need of blood transfusion were observed. The most common cause of suspicious GI bleeding in newborn babies is the swallowing of maternal blood during labor or through cracks in the nipples during breastfeeding.6 Our patient’s mother had a cracked nipple, and at first we thought this was the cause of the bleeding. Because of the persistence of upper GI bleeding after gastric lavage, we excluded this cause.
Comparison of the effects of olive oil and breast milk on the prevention of nipple problems in primiparous breastfeeding women: a randomized controlled trial
Published in Health Care for Women International, 2021
Derya Kaya Sağlık, Öznur Gürlek Kısacık
It is known that on average 80–90% of breastfeeding mothers suffer from nipple pain and cracked nipples (Buck et al., 2014; Ouyang et al., 2016). While the incidence of damage on and around the nipple due to breastfeeding in the first weeks after delivery is 15.9–62.9%, the incidence of nipple pain is 36–79% (Gerçek et al., 2017; Santos et al., 2016). Preventing these problems related to nipple damage is easier than treating them. For this reason, quickly detecting problems which negatively affect breastfeeding and preventing them before they develop are essential for maternal and newborn health (Mauri et al., 2012; Nakamura et al., 2018). Although numerous researchers reported in their studies conducted to date that there is no single known or proven method for the prevention or treatment of these problems (Cirico et al., 2017), the effectiveness of creams, lotions or pharmacological methods (Abou-Dakn et al., 2011; Abd-Elsalam et al., 2011; Ahmed et al., 2018; Dennis et al., 2012; Mariani Neto et al., 2018; Shanazi et al., 2015; Vieira et al., 2017) along with various natural and alternative interventions (Akbari et al., 2014; Bahar et al., 2018; Eshgizade et al., 2016; Essa & Ebrahim, 2013; Kirlek & Balkaya, 2013; Oğuz et al., 2014; Shahrahmani et al., 2018) has been discussed. However, it is claimed that the use of pharmacological topical agents is unnecessary, lacks scientific basis and is costly and the use of natural and plant-based products in tandem with medical care can provide relief in problems associated with breastfeeding (Akbari et al., 2014; Sayyah Melli et al., 2007).
Female hospital workers in Morocco: factors influencing breastfeeding duration with self-reported experiences
Published in Health Care for Women International, 2020
Halima Hamada, Ali Zaki, Sanaa Chala
My child is 3 months old and I’m suffering from cracked nipples. There is a lack of information on breastfeeding in Morocco and no lactation consultant exists; my family applies a pressure on me that promotes formula feeding. If I have not joined a support group for breastfeeding on Facebook, I would have given up long ago.