Question

The nurse is instructing a client about breast-feeding. Which instructions should she include to help prevent the mother from developing mastitis?

Answer 1

To prevent mastitis, proper latching, frequent and on-demand breastfeeding, alternating breasts, avoiding long intervals between feeds, maintaining hygiene, changing nursing positions, and gradual weaning are recommended.

Step-by-step explanation:

Preventing Mastitis During Breastfeeding

To prevent the development of mastitis, a condition where breast tissue becomes painfully inflamed, often due to a blocked milk duct or bacteria entering the breast, the following instructions should be included for a client learning about breast-feeding:

• Ensure proper latching technique so that the baby empties the milk effectively from the breast, reducing the risk of milk stasis which can lead to infection.
• Feed frequently and on demand to maintain regular milk flow and prevent engorgement.
• Switch between breasts during feedings to ensure both breasts are adequately emptied.
• Avoid prolonged intervals between feedings, especially in the first few weeks when supply and demand are still being established.
• Practice good breast hygiene, keeping the nipples clean and dry to prevent the growth of bacteria.
• Consider changing nursing positions to help drain all areas of the breast.
• If there is a need to wean, do so gradually to prevent sudden engorgement.

Lactation is an important process for both mother and child, providing essential nutrition, passive immunity, and helping with the mother's postpartum recovery.