Breast conditions during pregnancy and post-partum period


Topdagi Y. E., Topdagi S. K.

Current Trends in Breast Disease Management, NOVA Publications , ss.201-209, 2024

  • Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
  • Basım Tarihi: 2024
  • Yayınevi: NOVA Publications
  • Sayfa Sayıları: ss.201-209
  • Anahtar Kelimeler: Breast abscess, Breast engorgement, Breast milk, Lactation, Mastitis
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Changes are observed according to the size, shape, developmental stages, physiological status, and phenotype of the breast. If we look at the anatomy of the breast, each mature mammary gland or breast consists of 15-25 lobes. At a distance of 5-10mm from their outlet, the milk ducts dilate and form lactoferra sinuses. During pregnancy, breast tissue may be painful, some dark yellow and green liquid with a denser content than mature milk called colostrum may come, and the breast tissue may also be erectile. Ensuring lactation depends on the co-functioning of some humoral and neural factors. The sudden decrease in estrogen, progesterone, and human placental lactogen (hPL) plays a role in the postpartum onset of lactation. When we look at puerperal diseases, breast problems are among the most common causes of morbidity. The most common conditions in the puerperium are breast angorgy, mastitis, and breast abscess. Breast engorgement is observed in bilateral breasts. It is caused by vascular and lymphatic stasis. Mastitis; if there is no history of trauma in breast tissue that is not in the lactation period, it is very rare to observe an infection. In the case of mastitis, if the lesion turns into a mass formation with local or systemic symptoms, it is called an abscess.