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Breastfeeding And Mastitis

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Title:
Breastfeeding and Mastitis

Word Count:
667

Summary:
Mastitis is perhaps the most distressing problem you may encounter when attempting to breastfeed. You have been making it through the sleepless nights, the relentless feeding schedule, the diapers, the leaking... when all of a sudden you want to stop breastfeeding. Why?


Keywords:
breastfeeding, mastitis, breastfeeding problems, self help, advice


Article Body:
Mastitis is perhaps the most distressing problem you may encounter when attempting to breastfeed. You have been making it through the sleepless nights, the relentless feeding schedule, the diapers, the leaking... when all of a sudden you want to stop breastfeeding. Why?

Mastitis is the answer. One of your breasts is engorged. There is a slightly red patch which is painful to touch. When the baby feeds it's extremely uncomfortable. After the feed your breast feels sore. You dread the next feed... and then you begin shivering. You think you have the flu. You have hot and cold sweats. You have a thumping headache. You retire to your bed and feel utterly miserable. Visitors encourage you to give the baby a bottle so you feel like you've failed... but there is a solution.

In most cases mastitis affects only one breast at a time. So what causes it?

Most often a new mum, whether or not she has previously breastfed, will suffer mastitis as a result of incorrect positioning or latching on of the baby. Consequently the milk is not properly drained from the breast and a milk duct becomes blocked. Other reasons include skipping feeds because you don't want to feed in public or in front of visitors, or the baby is sleeping and you do not want to disturb him.

If you recognise the sensation of a blocked milk duct you may be able to avoid it progressing into mastitis by gently massaging your breast in the bath or shower. Massage downwards towards the nipple. You may feel a small lump which disappears as the duct becomes unblocked. You can also try feeding the baby more often and again massaging the sore area towards the nipple as the baby drinks. Another effective technique is to try expressing milk with the aid of an electric or hand pump. However, if all your efforts are in vain and the duct does not unblock mastitis will often follow. Mastitis is simply when the blocked duct becomes inflamed and possibly infected.

Current medical advice is to continue feeding from the affected breast even if it is infected. The infection will not harm the baby. However, the last thing you may want to do is to feed from the affected side at all as it is so painful. This will only make things worse and you may end up with an abscess. If this happens you will need to have the abscess drained by a doctor.

If you are worried about your baby drinking milk from the affected breast a good alternative is to express and dispose of the milk and to feed only from the unaffected side. Your body will adapt. It will continue to supply enough milk for your baby from the unaffected breast. And as long as you express regularly from the affected breast the milk supply will be maintained. You produce breastmilk on a supply and demand basis so there will always be enough. When the infection clears up you can simply return to your usual feeding pattern.

If you do get mastitis and it does not clear up within a few hours you will probably require an antibiotic so speak to your GP. Make sure to tell him you are breastfeeding so a suitable antibiotic can be prescribed.

To avoid a recurrence make sure you position the baby properly. Ensure he is not sucking on just the nipple but that he has a good mouthful of the areola also. Try to sit upright or if lying down do not lie on the breast. Make sure the baby is tummy-to-tummy with you, his nose and mouth facing the breast and that he is not creating a blockage with his chin or a hand or arms.

Mastitis usually clears up completely within a couple of days so put it in perspective. Don't give up breastfeeding because you have mastitis. Instead ensure you don't get it again; position your baby correctly, feed on demand and avoid skipping breastfeeds.


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BONUS : Title:
Breast Cancer And Pregnancy

Word Count:
541

Summary:
Although it is rare for breast cancer to strike younger women, the fact remains that all women are at risk. And for those of childbearing age, the first sign and symptoms of breast cancer leading to a diagnosis can not only be upsetting and unexpected, but complicated as well.

Developing breast cancer at a younger age—in a woman’s 40s, 30s, even 20s—will mean making important and difficult decisions about one’s life and future perhaps much sooner than originally expected.
...


Keywords:
breast, cancer, women, pregnant, pregnancy, survival, sick, chemo,therapy,babies,baby


Article Body:
Although it is rare for breast cancer to strike younger women, the fact remains that all women are at risk. And for those of childbearing age, the first sign and symptoms of breast cancer leading to a diagnosis can not only be upsetting and unexpected, but complicated as well.

Developing breast cancer at a younger age—in a woman’s 40s, 30s, even 20s—will mean making important and difficult decisions about one’s life and future perhaps much sooner than originally expected.

One concern is developing breast cancer during pregnancy, which although rare, can still occur. In this case, the treatment chosen will not only affect the patient and her body, but the growing baby inside her as well. It will depend on what stage of pregnancy she is in (first, second or third trimester) and what stage her cancer is in—such as whether or not it’s advanced.

Most pregnant women can have treatment for their breast cancer without affecting the baby. But some might be advised by their obstetrician or health-care practitioner—or even decide themselves—to terminate the pregnancy, more so if the pregnancy is in its earlier stages, in order to receive certain treatments that would be too risky otherwise. But it is essential to remember that it is a woman’s own decision—it is not medically necessary to terminate a pregnancy if the expectant mother is diagnosed with breast cancer. All it does is limit treatment options. Breast cancer itself will not affect the fetus—only certain tests and treatments will.

Generally speaking, tamoxifen, chemotherapy, radiation, and other drug-related therapies are avoided if the woman is pregnant because of their associated risks with birth defects. Tamoxifen, especially, is considered very unsafe because it is a hormonal therapy and is never recommended if the woman is pregnant or planning on conceiving.

Surgery—either a lumpectomy or mastectomy—is the most common and preferred method of treatment for breast cancer in pregnant women.

Another concern is whether or not breast cancer survivors can or should go on to have children after treatment and recovery. It’s a very controversial issue with firm advocates on both sides of the debate.

There are two main questions here, for both the medical and health community and breast cancer survivors wanting their own children: 1) Do certain breast cancer treatments affect fertility?; and 2) Is it actually considered safe to conceive and carry a baby to term following breast cancer and breast cancer treatments?

As far as fertility goes, there is no definite answer here. For chemotherapy, it depends on the age and what specific drug was used—some affect fertility more than others. And taking tamoxifen after chemotherapy to prevent recurrence is not recommended if the woman desires to become pregnant right away. Although tamoxifen is sometimes used as a fertility treatment, there is evidence to suggest that it damages developing embryos, and therefore is not considered safe to use.

Many doctors caution these women to wait several years to ensure receiving the best breast cancer treatment possible and to go past the point of the biggest threat of breast cancer recurrence. But some women decide to go ahead and have babies anyway, since it’s so important to them.


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