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Auteur Helene M Johnson
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ABM Clinical Protocol #30: Breast Masses, Breast Complaints, and Diagnostic Breast Imaging in the Lactating Woman / Academy of Breastfeeding Medicine in Breastfeeding Medicine, Vol. 14, n°4 (Mai 2019)
Titre : ABM Clinical Protocol #30: Breast Masses, Breast Complaints, and Diagnostic Breast Imaging in the Lactating Woman Type de document : texte imprimé Auteurs : Academy of Breastfeeding Medicine, Auteur ; Katrina B. Mitchell, Auteur ; Helene M Johnson, Auteur Année de publication : 2019 Article en page(s) : pp. 208-214 Note générale : A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols, free from commercial interest or influence, for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. Langues : Anglais (eng) Catégories : Abcès du sein
Pathologie du sein
Résumé : "Breastfeeding women may develop breast masses or complaints at any point during lactation. Symptoms may be related to lactation, such as a lactating adenoma, or may be due to a condition that coincidentally has manifested during the postpartum period. Understanding the importance of appropriate workup and imaging, as well as indications for referral to breast surgery, is essential to establishing a diagnosis and avoiding delay in care.
Breast symptoms require evaluation by physicians and/or lactation consultants and may also require diagnostic breast imaging and/or biopsy. The American College of Radiology (ACR) released new guidelines in 2018 regarding breast imaging of pregnant and lactating women.1 These guidelines state that all breast imaging studies and biopsies are safe for women to undergo while breastfeeding, and also provide recommendations for maximizing examination sensitivity and minimizing biopsy-related complications in this patient population.
When approaching a breastfeeding woman with breast symptomatology, it is helpful for providers to frame the workup based on the presence or absence of a palpable mass on examination (Fig 1). Some conditions always present as a mass, whereas others rarely have a palpable finding. However, several conditions have variable presentations and may manifest as a mass and/or another sign/symptom such as nipple discharge (Fig. 2)." [Extrait de l'artcile]
En ligne : https://www.liebertpub.com/doi/10.1089/bfm.2019.29124.kjm Format de la ressource électronique : Libre accès Permalink :
in Breastfeeding Medicine > Vol. 14, n°4 (Mai 2019) . - pp. 208-214[article]Crafting an Evidence-Based, Accreditation Council of Graduate Medical Education-Compliant Lactation Policy for Residents and Fellows / Helene M Johnson in Breastfeeding Medicine, Vol. 15, n°1 (Janvier 2020)
Titre : Crafting an Evidence-Based, Accreditation Council of Graduate Medical Education-Compliant Lactation Policy for Residents and Fellows Type de document : texte imprimé Auteurs : Helene M Johnson, Auteur ; Danielle S. Walsh, Auteur Année de publication : 2020 Article en page(s) : pp.56-62 Langues : Anglais (eng) Catégories : Formation professionnelle
Professionnels de santé
Note de contenu : "Background: New Accreditation Council of Graduate Medical Education (ACGME) requirements mandate lactation accommodations for resident physicians and fellows. However, to date, few training programs have developed and reported robust lactation support programs or policies.
Objective: The authors aimed to develop an evidence-based, ACGME-compliant policy to optimize lactation support for residents and fellows at their institution."
[extrait de l'article]
in Breastfeeding Medicine > Vol. 15, n°1 (Janvier 2020) . - pp.56-62[article]