(6)
Sore, cracked, or fissured nipples.
(a) Causes.
1 Infant not having the nipple and areola properly in the mouth.
2 "Friction" of the baby's gums on the nipple.
3 Infant being allowed to suck on an empty breast.
4 Washing the nipples with soap, which is drying.
5 Failure to break suction before removing the infant from the
breast.
(b) Nursing interventions. Teach the mother proper nursing techniques
and proper breast care.
(7)
Breast infection.
(a) Most often caused by the causative organism, Staphylococcus
areus.
(b) Entry is gained through a cracked or fissured nipple.
(c) The infection is usually interstitial and not intraductal, so the
infection will not harm the baby.
(d) Nursing interventions. Instruct the mother on proper breast care. If
breast soreness is present, have the mother to express milk into a bottle to feed to her
baby.
9-6.
BUBBLING THE NEWBORN
a. Methods used to bubble the baby are baby placed on shoulders, baby held
upright leaning slightly forward, and baby held across the lap (see figure 9-9). Rub or
gently pat his back until air is expelled.
b. When no belch follows feeding, position the baby on his right side or
abdomen.
NOTE:
Hiccupping is common.
MD0922
9-12