3
Revista Matronas

Revista Matronas

SEPTIEMBRE 2020 N° 2 Volumen 8

Adaptation of general measures to preserve breastfeeding: Intervention by the midwife in a post-partum woman with mastitis

Section: Caso Clínico

How to quote

Díaz-Jiménez D, Jiménez-García A, Martínez-Municio A. Adecuación de medidas generales para conservar la lactancia: intervención de la matrona en la mujer puérpera con mastitis. Matronas Hoy 2020; 8(2):46-52.

Authors

1Désirée Díaz-Jiménez, 1Ángela Jiménez García, 1Alicia Martínez Municio

Position

1 Enfermeras Especialistas en Obstetricia y Ginecología (Matronas). Unidad de Urgencias Gineco-Obstétricas. Hospital de la Mujer. Sevilla.

Contact email: aliciamartinezmunicio@hotmail.es

Abstract

A case report is used to demonstrate the main actions by the midwife when faced with an issue of lack of efficacy in breastfeeding associated with mastitis in a breastfeeding woman who has recently given birth. The data collected through physical examination are presented, as well as evaluation according to the Virginia Henderson’s model; and a complete plan of care is developed.
A.L. is a primiparous woman who attended the Hospital Emergency Unit presenting symptoms of puerperal mastitis. After being seen by the triage midwife, she was assessed by the Obstetrician, who ordered lab tests, prescribed antibiotic therapy and anti-inflammatory treatment, and gave her basic recommendations about breast emptying at discharge. At the midwife consultation for blood extraction, general measures to maintain breastfeeding were explained in detail to the patient, and she was told to attend a support group led my midwives in the same hospital on the following day, in order to get information about how to folloe the concomitant preventive measures and thus avoid relapses.
The plan of care prepared has been useful in this case to prevent an early discontinuation of breastfeeding, improving the quality of life of the mother and her baby. It was observed at the final assessment that the objectives established at the plan of care had been achieved. Thus, the midwife is considered the key member of staff to provide the adequate instructions for prevention, management and follow-up of puerperal mastitis.

Keywords:

mastitis; breastfeeding; puerperal woman; midwives

Versión en Español

Título:

Adecuación de medidas generales para conservar la lactancia: intervención de la matrona en mujer puérpera con mastitis

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Organización Mundial de la Salud (OMS). Mastitis: causas y manejo [internet]. Ginebra: WHO/FCH/CAH; 2000 [citado 16 ago 2020]. Disponible en: http://apps.who.int/iris/bitstream/10665/66925/1/WHO_FCH_CAH_00.13_spa.pdf
  2. Amir LH; Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol 4: Mastitis, revised March 2014. Breastfeed Med. [internet] 2014 [citado 16 ago 2020]; 9(5):239-43. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048576/pdf/bfm.2014.9984.pdf
  3. Lawrence R, Lawrence R. Breastfeeding. A Guide for the Medical Profession 8th ed. Philadelphia: Elsevier; 2016.
  4. Baeza C. Dolor en la mama lactante: claves etioló́gicas y manejo clí́nico (I). En: Monografías Clínicas en Lactancia Materna 1. Madrid: Centro Raí́ces; 2015. p. 3-13.
  5. Jahanfar S, Ng CJ, Teng CL. Antibiotics for mastitis in breastfeeding women. Cochrane Database Syst Rev. 2013 Feb 28; (2):CD005458.
  6. Grupo de trabajo de la Guía de Práctica Clínica sobre lactancia materna. Guía de Práctica Clínica sobre lactancia materna. Guías de Práctica Clínica en el SNS. Ministerio de Sanidad, Servicios Sociales e Igualdad; Agencia de Evaluación de Tecnologías Sanitarias del País Vasco-OSTEBA, 2017.
  7. Herdman TH, Kamitsuru S (eds.). NANDA International. Diagnósticos enfermeros: definiciones y clasificación. 11ª ed. Madrid: Elsevier; 2018-2020.
  8. Moorhead S, Johnson M, Maas ML, Swanson E (eds.). Clasificación de resultados de enfermería (NOC). 6ª ed. Madrid: Elsevier; 2018.
  9. Bulechek GM, Butcher HK, McCloskey-Dochterman J, Wagner CM (eds.). Clasificación de intervenciones de enfermería (NIC). 7ª ed. Madrid: Elsevier; 2018.
  10. Brahm P, Valdés V. Beneficios de la lactancia materna y riesgos de no amamantar. Rev. chil. pediatr. [internet]. 2017 [citado 16 ago 2020]; 88(1):07-14.
  11. Espínola Docio B, Costa Romero M, Díaz Gómez NM, Paricio Talayero JM; Comité de Lactancia Materna, Asociación Española de Pediatría. Mastitis. Puesta al día. Arch Argent Pediatr. 2016 Dec 1; 114(6):576-84.
  12. Baeza C. Acute, subclinical and subacute mastitis: definitions, etiology, and clinical management. Clinical Lactation. 2016; 7(1).
  13. Sebastián Vicente MP. Los grupos de apoyo a la lactancia materna como iniciativas de participación y promoción de la salud en la comunidad. DILEMATA, revista internacional de éticas aplicadas. 2017; 25:227-38.