Breast Changes During Pregnancy

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Breast Changes During Pregnancy During pregnancy, hormones in your body Areola enlarged, are preparing your breasts for lactation. nipple more sensitive You may experience enlargement of the breasts, nipples and areolas. The breast tissue may extend up into the armpit, and Montgomery glands some women may have additional breast tissue (accessory breast tissue) under Nipple the armpit. Areola You may find darkening of the nipples and areolas due to hormones that affect pigmentation of the skin. You may also find veins along your breasts more noticeable due to increased blood supply to your breasts. Small glands on the surface of the areolas called Montgomery’s tubercles will become raised bumps Tips Your breasts will continue to grow throughout the pregnancy. This can cause discomfort and sometimes pain. This can be helped by wearing a well-fitting bra. You may need to change your bra to fit the growth of your breasts every trimester. 54 The milk ducts are growing and being Anatomy of breast Early Pregnancy stretched as they fill with milk early in pregnancy. All this causes your breasts to be more sensitive, particularly your Chest muscle nipples. This may cause you discomfort. Lobes Ducts Nipple Fatty tissue Ribs Colostrum Your breasts may start leaking a yellowish, thick substance known as colostrum. It can happen as early as 14 weeks into your pregnancy. Women who do not experience colostrum secretion in pregnancy still produce milk for their baby after birth. When should you seek medical care? If you notice any of the following, it is advisable to seek medical advice: - new lumps - pain (especially if it locates at one place or gets worse) - redness - skin or nipple changes such as thickening, dimpling or ulcers - any coloured substance (other than colostrum) from your nipple - discrete lump in the armpit ( Please refer to the details of “Breast awareness” in FHS website at http://s.fhs.gov.hk/7g38e) 55 mniocent.

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Vasospasm of the Nipple
Vasospasm of the Nipple A spasm of blood vessels (vasospasm) in the nipple can result in nipple and/or breast pain, particularly within 30 minutes after a breastfeeding or a pumping session. It usually happens after nipple trauma and/or an infection. Vasospasms can cause repeated disruption of blood flow to the nipple. Within seconds or minutes after milk removal, the nipple may turn white, red, or purple, and a burning or Community stabbing pain is felt. Occasionally women feel a tingling sensation or itching. As the Breastfeeding nipple returns to its normal color, a throbbing pain may result. Color change is not Center always visible. 5930 S. 58th Street If there is a reason for nipple damage (poor latch or a yeast overgrowth), the cause (in the Trade Center) Lincoln, NE 68516 needs to be addressed. This can be enough to stop the pain. Sometimes the (402) 423-6402 vasospasm continues in a “vicious” cycle, as depicted below. While the blood 10818 Elm Street vessels are constricted, the nipple tissue does not receive enough oxygen. This Rockbrook Village causes more tissue damage, which can lead to recurrent vasospasm, even if the Omaha, NE 68144 (402) 502-0617 original cause of damage is “fixed.” For additional information: (Poor Latch or Inflammation) www ↓ Tissue Damage ↙ ↖ Spasm of blood vessels → Lack of oxygen to tissues To promote improved blood flow and healing of the nipple tissue: • See a lactation consultant (IBCLC) or a breastfeeding medicine specialist for help with latch and/or pumping to reduce future nipple damage. • When your baby comes off your nipple, or you finish a pumping session, immediately cover your nipple with a breast pad or a towel to keep it warm and dry.
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