Breast Abscess

Subject: Midwifery III (Theory)

Overview

Breast abscess happens between the 9th and 10th days of puerperium, as well as after releasing from the hospital between the 2nd and 3rd weeks. Breast abscess results from a neglected or cracked nipple or a big breast. Breast abscess clinical symptoms include considerable discomfort with fluctuation, elevated temperature, brownish edema of the overlying skin, and flushed breast that does not respond quickly to treatments. To avoid harm to the lactiferous ducts, an abscess should be drained under local or general anesthesia using a deep radical incision along the areolar edge. The cavity is filled loosely with gauze, which should be replaced by a smaller pack after 24 hours. The technique will be repeated until the wound has healed.

Breast abscess occurs during the 9th and 10th days of puerperium, as well as after discharge from the hospital between the 2nd and 3rd weeks.

Causes

  • Neglected, cracked, or full breast.

Clinical features

  • Tenderness with variation is noticeable.
  • Temperature increase
  • Edema of the overlying skin that is brown in color.
  • Flushed breast does not respond quickly to medication.

Management

  • To avoid harm to the lactiferous ducts, an abscess should be drained under local or general anesthesia via a deep radical incision extending from near the areolar edge.
  • Corrugated rubber drainage is placed into the dependent site via a second incision.
  • The cavity is lightly filled with gauze, which should be replaced with a smaller pack within 24 hours. The treatment will continue till the wound heals.
  • Antibiotics should be administered in accordance with the C/S findings.
  • Breastfeeding is not recommended until the wound has healed.

 
Things to remember
  • Breast abscess happens throughout the 9th and 10th days of puerperium, as well as after release from the hospital during the 2nd and 3rd weeks.
  • Breast abscess is caused by a neglected or damaged nipple or a big breast.
  • Breast abscess clinical features include marked tenderness with fluctuation, elevated temperature, brownish edema of the overlying skin, and flushed breast that does not respond promptly to antibiotics.
  • To avoid harm to the lactiferous ducts, an abscess should be drained under local or general anesthesia via a deep radical incision extending from near the areolar edge.
  • The cavity is lightly filled with gauze, which should be replaced with a smaller pack within 24 hours.
  • The treatment will continue till the wound heals.
Questions and Answers

Management

  • If an abscess develops, it must be removed using a deep radical incision that begins close to the areolar edge in order to protect the lactiferous ducts. This procedure must be done under local or general anesthesia.
  • The dependent site receives a separate incision through which corrugated rubber drainage is placed.
  • Gauze is used to fill the cavity loosely; this pack needs to be changed after 24 hours with a smaller one. The treatment will continue till the wound has healed.
  • Antibiotics in accordance with the C/S report
  • It is not advised to breastfeed until the incision has healed.
  • Marked tenderness that changes
  • Heightened temperature
  • Browny edema of the skin above
  • Antibiotic treatment for a flushed breast is not working quickly.

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