Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10155
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
Processing time: 209 Days and 3.9 Hours
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.
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.
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.