CPM Certified Professional Midwife

Category - The Postpartum Period

A patient who had a vaginal delivery 4 days ago (and has been unable to drain her breasts due to distraction) has now developed breast pain. Which of the following is the most likely diagnosis?
  1. Breast engorgement
  2. Vaginal discharge
  3. Silicon implants in the breast
  4. Breast abscess
Explanation
Answer: A - Breast engorgement

During the peurperium period, a postpartum woman’s breasts often feel “full”; this is partly due to extra blood and lymph fluids in the breast tissue. Engorgement of the breast often occurs in postpartum women a few days following delivery. This is usually due to lack of sufficient draining of the breasts-and may occur if nursing is not performed often enough (or thoroughly) enough to drain the breasts. The engorgement can result in breast pain and fever.
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