Li R, Zhang LX, Tian C, Ma LK, Li Y. Successful management of a breastfeeding mother with severe eczema of the nipple beginning from puberty: A case report. World J Clin Cases 2022; 10(28): 10155-10161 [PMID: 36246829 DOI: 10.12998/wjcc.v10.i28.10155]
Corresponding Author of This Article
Ying Li, RN, Chief Nurse, Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, No. 1 Shuaifu Yuan, Dongcheng District, Beijing 100730, China. 13671217108@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2022; 10(28): 10155-10161 Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10155
Successful management of a breastfeeding mother with severe eczema of the nipple beginning from puberty: A case report
Rui Li, Li-Xia Zhang, Ce Tian, Liang-kun Ma, Ying Li
Rui Li, Li-Xia Zhang, Ce Tian, Liang-kun Ma, Ying Li, National Clinical Research Center for Obstetric & Gynecologic Diseases, Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Author contributions: Li R conceived and designed the study; Li R, Zhang LX, Tian C, Ma LK, and Li Y identified the study, provided guidance to the patient, and wrote the manuscript; all authors read and approved the final version of the manuscript.
Supported bythe CAMS Innovation Fund for Medical Sciences (CIFMS), No. 2021-I2M-1-023.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying Li, RN, Chief Nurse, Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, No. 1 Shuaifu Yuan, Dongcheng District, Beijing 100730, China. 13671217108@163.com
Received: March 2, 2022 Peer-review started: March 2, 2022 First decision: June 16, 2022 Revised: June 28, 2022 Accepted: August 24, 2022 Article in press: August 24, 2022 Published online: October 6, 2022
Abstract
BACKGROUND
Nipple eczema is the most common presentation of atopic dermatitis of the breast, which seriously influences breastfeeding of mothers. We here present a case of severe nipple eczema that started in puberty and received continuous care and interventions during pregnancy. The patient succeeded in breastfeeding after the interventions.
CASE SUMMARY
A 36-year-old woman at 16 wk of gestation (gestation 1 parturition 0), visited the breastfeeding consultation clinic, complaining of excessive nipple secretion, severe itching, and concerns about breastfeeding. She was diagnosed with severe nipple eczema. Health education, consultation with dermatologists, topical medication, psychological support, and postpartum care were carried out. Through continuous interventions, her nipple eczema significantly improved, lactating confidence enhanced, anxiety symptoms were reduced, and exclusive breastfeeding was achieved.
CONCLUSION
For lactating women with nipple eczema, breastfeeding consultants should play an important role in patient education and provide whole-process and individual guidance.
Core Tip: We present a case of severe nipple eczema that started in puberty. Continuous care and interventions were provided during the period from pregnancy to postpartum. Holistic and systematic nursing care was carried out, including health education, breastfeeding guidance, psychological support, and medication administration. The patient succeeded in breastfeeding after the interventions. We believe that this case report will be of great interest and helpful to those engaged in maternal health care, interventions to initiate breastfeeding, and the management of breastfeeding problems, and mothers with impediments to breastfeeding.
