Why is it important to breastfeed immediately after birth? Does breastfeeding help with postpartum? Why did she complain of pain in both breast? What is breast engorgement? What causes breast engorgement after delivery?
Lyka, a 29 year old mother, G4P4, delivered a normal healthy baby girl infant via normal spontaneous vaginal delivery in a hospital. The baby immediately had early skin-to-skin contact after birth and immediate newborn care was done with an APGAR score of 8. Properly timed cord clamping and cord care done. Prophylactic eye ointment was applied to both eyes. With IVF of D5LR 1 liter + 10 U of Syntocinon for 8 hours. Patient had a vital signs of:
Temp: 37. 9 °C
BP= 110/80 mmHg
Pulse rate= 89 beats / min
RR= 25 breaths per minute
Lyka complained of post-partum pain with a pain scale of 8 out of 10. The obstetrician ordered Ibuprofen (Advil) 200 mg 1 tab orally PRN for pain and Paracetamol 500 mg PRN for fever. There was a slight relief. Lyka breastfeed her baby per demand, with good sucking reflex. However, she is complaining of moderate pain on both breasts. Breast engorgement was noted. She notes progressive pain, induration, and redness in the right breast. She also complains of suck marks, nipple cracks and pain during breastfeeding. Ice pack was applied and breast pump done. The next day, Lyka was discharged with the baby. The physician prescribed these medications and home instructions were given. Amoxicillin 500 mg, 1 capsule three times a day for 7 days, Methergine 0.2 mg, 1 tablet three times a day for 3 days, and ferrous sulfate 30 mg, 1 tablet once a day for 7 days.
A.
- Why is it important to breastfeed immediately after birth? Does breastfeeding help with postpartum?
- Why did she complain of pain in both breast?
- What is breast engorgement? What causes breast engorgement after delivery?
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