Difficulties and Contraindication of Breast Feeding

Subject: Midwifery III (Theory)

Overview

Breastfeeding has various problems that, if not identified and corrected promptly, might have negative implications. The causes can be divided into two categories: mother-related difficulties and infant-related difficulties. Following operational surgery, C/S; the mother is too ill and exhausted to nurse the infant, insufficient milk secretion, and breast disorders might cause trouble due to mother. Temporary illnesses such as brain inflammation, respiratory tract infection, nasal congestion owing to obstruction, etc., overdistension of the stomach with swallowed air, and congenital malformations such as cleft palate can all make breastfeeding difficult in a newborn. Breastfeeding is contraindicated due to maternal causes such as acute puerperal disease, acute breast complications such as cracked nipples, mastitis, breast abscess, and chronic medical illness such as decompensate organic heart lesion, active pulmonary tuberculosis, and so on.

Breastfeeding has various issues that, if not identified and addressed promptly, might have negative implications. The causes can be classified as follows:

Due to mother

  • Feeding difficulty
  • The poor baby's devotion to the breast
  • Anxiety, particularly in elderly primiparae
  • CS; the mother is too unwell and exhausted to nurse the infant after operative surgery.
  • Milk secretion is insufficient.
  • Breast diseases such as engorgement, cracked nipple, depressed nipple, mastitis, and so on.

Due to infant

  • A baby with low birth weight is unable to suck
  • Temporary illnesses such as brain inflammation, respiratory tract infection, nasal congestion caused by obstruction, and so on.
  • Stomach distension is caused by ingested air.
  • The Cleft palate is an example of a congenital deformity.

Contraindication of Breastfeeding

Maternal cause

  • Acute puerperal disease
  • Cracked nipples, mastitis, and breast abscess are examples of acute breast complications.
  • Indefinite contraindication
  • Chronic medical conditions include decompensating organic cardiac damage and active pulmonary tuberculosis.
  • Pregnancy psychosis
  • The patient is taking a high dose of anti-epileptic and anti-thyroid medication.
  • A mother infected with HIV

Neonatal causes

  • Baby with a very low birth weight
  • Acute sickness with asphyxia and intracranial stress
  • Pyloric stenosis
  • Atresia of the esophagus
  • Permanent
  • Cleft palate of severe severity
  • Galactosaemia
Things to remember
  • Breastfeeding has various issues that, if not identified and addressed promptly, might have negative implications.
  • The causes can be divided into two categories: difficulties caused by the mother and difficulties caused by the infant.
  • Following operational surgery, CS; the mother is too ill and exhausted to feed the infant, insufficient milk secretion, breast diseases such as engorgement of the breasts, cracked nipple, depressed nipple, mastitis, and so on might create trouble due to the mother.
  • Temporary illnesses such as brain inflammation, respiratory tract infection, nasal congestion owing to obstruction, etc., overdistension of the stomach with swallowed air, and congenital malformations such as cleft palate can all make breastfeeding difficult in a newborn.
  • Breastfeeding is contraindicated due to maternal causes such as acute puerperal disease, acute breast complications such as cracked nipples, mastitis, breast abscess, and chronic medical illness such as decompensate organic heart lesion, active pulmonary tuberculosis, and so on.
  • Breastfeeding is contraindicated due to newborn factors such as pyloric stenosis, hypoxia and intracranial stress, acute sickness, extreme degree of cleft palate, and so on.
Questions and Answers

There are some issues with breastfeeding, and if they are not quickly identified and resolved, they could have negative effects. One category for the causes is:

  • Due to mother:
    • Hesitation when feeding
    • Infant's poor breast attachment
    • Notably in elderly primiparae, over anxiety
    • After the operation, C/S; the mother is too exhausted and unwell to breast the child.
    • Inadequate secretion of milk.
    • Breast conditions such engorgement, broken or depressed nipples, mastitis, etc.
  • Due to infant:
    • Low birth weight infant: incapable of sucking
    • Temporary disease, including irritated brain, respiratory infection, obstruction-related nasal congestion, etc.
    • Excessive stomach distension brought on by air consumption.
    • Congenital defects like cleft palate
  • Maternal cause:
    • Temporary prohibition:
      • Acute pregnancy illnesses
      • Acute breast complications such breast abscess, mastitis, and broken nipples
    • Permanently obstructing:
      • Chronic medical conditions such active pulmonary tuberculosis and decompensate organic heart lesions
      • Patient with perinatal psychosis taking large doses of anti-epileptic and anti-thyroid medications
      • Mother who has HIV
  • Neonatal causes:
    • Temporary
      • Acute sickness and asphyxia in a newborn with very low birth weight
      • Pyloric obstruction
      • Epigastric atresia
    • Permanent
      • Cleft palate of a severe degree
      • Galactosaemia
      • Phynelketouria

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