Pathological postpartum breast engorgement: prediction, prevention, and resolution

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Nikolay P AlekseevTalalaeva E Nadezhda

Abstract

Severe breast engorgement can cause substantial discomfort for mothers and interfere with an infant's ability to feed at the breast. This study explored the possibility of prediction of pathological postpartum breast engorgement in lactating women in relation to intense breast engorgement at the end of the luteal phase of the menstrual cycle and the possibility of prevention and resolution of postpartum breast engorgement with expression with a breast pump of colostrum before the appearance of transitional milk. The first group included 70 women with pathological postpartum breast engorgement. The second group included 52 postpartum women, with 24 women having colostrum extracted by the breast pump from each breast once or twice for a duration of 20-25 minutes sequentially in the first 2-3 days after delivery in addition to the removal of colostrum by the baby, before engorgement developed. Twenty-eight women had colostrum removed only by the baby. The degree of breast engorgement was assessed using the previously published Robson four-level scale. Of the 70 patients with severe postpartum engorgement studied in the first group, 90% showed intense breast engorgement in the late luteal phase of the menstrual cycle. Expression of...Continue Reading

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Citations

Apr 14, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Pamela Berens, Wendy Brodribb
Apr 25, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Sukwadee KetsuwanPawin Puapornpong
Jul 17, 2019·Journal of Midwifery & Women's Health·Ashley GreshCorinne Plesko
Oct 30, 2015·Clinical Obstetrics and Gynecology·Pamela D Berens
Jul 21, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Nikolay P Alekseev, Vladimir I Ilyin
Feb 9, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Nikolay P Alekseev

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Methods Mentioned

BETA
cesarean section

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