Caring for Injured Breasts During Breastfeeding: Tips and Recovery Time - Breast and Thyroid

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Hello doctor, I recently gave birth and am currently breastfeeding.
However, I may have injured my breast tissue due to improper pumping techniques, resulting in blood in the expressed milk.
What should I do to care for the injured breast? If I want to continue breastfeeding, when can I expect my breast to heal? Will there be any long-term adverse effects on my breast? Thank you for your response!

Miss Wang, 30~39 year old female. Ask Date: 2010/11/19

Dr. Wu Jingtang reply Breast and Thyroid


Dear Ms.
Wang,
Hello.

1.
Please refrain from breastfeeding for now, but be careful to express milk by hand to avoid worsening the wound.

2.
Clean the area with warm water, avoiding soap, and finish with warm or saline solution.
Use a warm hairdryer on a low setting to gently dry the area, then apply petroleum jelly to prevent cracking.

3.
Generally, healing will take only a few days.

4.
There will be no adverse effects on your breast in the future.

Wishing you safety and health.
Sincerely,
Dr.
Wu Ching-Tang
Attending Surgeon, Taoyuan Hospital, Department of Health

Reply Date: 2010/11/19

More Info


Caring for injured breasts during breastfeeding can be a challenging experience, especially when complications arise such as tissue damage or bleeding in the expressed milk. It is essential to address these issues promptly to ensure both your health and the well-being of your baby. Here are some tips for managing breast injuries while continuing to breastfeed, along with insights on recovery time and potential long-term effects.


Immediate Care for Injured Breasts
1. Assess the Injury: First, determine the extent of the injury. If you notice significant swelling, redness, or persistent pain, it may indicate a more severe issue such as mastitis or a blocked duct. If you see blood in the milk, it is crucial to consult a healthcare provider to rule out any serious conditions.

2. Proper Latching Technique: Ensure that your baby is latching correctly. An improper latch can lead to nipple trauma and pain. You may want to consult a lactation consultant who can provide guidance on achieving a proper latch and positioning.

3. Gentle Expression: If expressing milk is causing pain, consider using a breast pump with a gentle setting or hand-expressing to avoid further injury. Avoid over-expressing, as this can lead to more swelling and discomfort.

4. Cold Compresses: Apply cold compresses to the affected area for 15-20 minutes several times a day. This can help reduce swelling and alleviate pain.

5. Warm Compresses Before Feeding: Before breastfeeding, use warm compresses to help stimulate milk flow and ease discomfort. This can also help with any blocked ducts.

6. Nipple Care: Use lanolin cream or other nipple ointments to soothe and protect the skin. Ensure that your nipples are clean and dry after feeding.

7. Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet to support healing. Foods rich in vitamins A, C, and E, as well as zinc, can promote skin healing.


Recovery Time
The recovery time for injured breasts can vary depending on the severity of the injury. Minor injuries may heal within a few days, while more significant injuries, such as those involving deep tissue damage or infections, may take weeks to heal. Generally, if you are following proper care techniques and addressing any complications promptly, you should start to notice improvement within a week or two.


Long-term Effects
In most cases, if the injury is managed correctly and healing occurs without complications, there should be no long-term adverse effects on your breasts or breastfeeding ability. However, if you experience recurrent issues, such as persistent pain or bleeding, it is essential to seek medical advice. In rare cases, severe injuries can lead to conditions like abscess formation or chronic pain, which may require further intervention.


When to Seek Medical Attention
If you experience any of the following symptoms, seek medical attention immediately:
- Severe pain that does not improve with home care
- Fever or chills, which may indicate an infection
- Persistent bleeding in the milk
- Signs of mastitis, such as swelling, redness, or warmth in the breast
In conclusion, while dealing with breast injuries during breastfeeding can be distressing, proper care and attention can facilitate healing and allow you to continue breastfeeding successfully. Always prioritize your health and your baby's well-being, and do not hesitate to reach out to healthcare professionals for support and guidance.

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