To Assess the Efficacy of Lactational Counseling for Prevention of Breast Engorgement

Abstract

Background: Breast engorgement is a swollen, painful breast and overfilling with breast milk. In lactating mothers this condition is common during the puerperal period. Breast engorgement developed inside the breast due to expansion and pressure exerted by the synthesis and storage of breast milk. It is also a main factor in altering the ability of the infant to latch-on. Engorgement changes the shape and curvature of the nipple region by making the breast inflexible, flat, hard, and swollen. The nipples of an engorged breast are flat or inverted. Sometimes it may lead to striae on nipples, mainly a preceding symptom of mastitis.
 Objective:
 1.To assess the effectiveness of lactational counseling on prevention of breast engorgement
 among postnatal mother.
 2.To find out association between lactational counselling of breast engorgement with selected
 demographic variables.
 Methodology: A study will be conducted in AVBR Hospital Sawangi Meghe, Wardha. The 40 post-natal mothers will be selected as the study sample according to the inclusion/exclusion criteria. Sample size will calculated by using formula. In this study non probability purposive sampling technique will be used. In this study researcher will provide lactational counselling among postnatal mother after delivery. In lactational counselling researcher provide counselling regarding the importance of breastfeeding, Local breastfeeding situation, how breastfeeding works, breastfeed technique, learning exercises, health care practices, clinical practice after providing lactational counselling after that researcher will assess the breast engorgement for 4 days after the delivery of baby according to breast engorgement assessment scale. Its conclusion will made from the outcome & analysis of the study.

A 52 year old male with Chronic Kidney Disease associated with Alzheimer’s disease case report

“…It is believed that the disturbance in the blood flow due to vascular stiffness is responsible for the poor cognitive functions in patients with chronic kidney disease. (22)(23)(24)(25)(26)(27)(28)(29)(30) Another research shows that the massive accumulation of urinary toxins can directly affect the cognitive functions as the blood flows through different organs of the body. Patients with chronic kidney disease have a high accumulation of parathyroid hormones in the blood and this hormone can pass through the blood brain barrier and is widely distributed in the central nervous system.…”