A 25-year-old woman, 4 weeks postpartum, presents to the GP with nipple pain during breastfeeding. On examination, her nipple is cracked and erythemat...

Question

A 25-year-old woman, 4 weeks postpartum, presents to the GP with nipple pain during breastfeeding. On examination, her nipple is cracked and erythematous. She has no systemic symptoms and there is no breast lump or erythema. Which is the single most appropriate initial management?

Accepted Answer

Assess and correct breastfeeding attachment and positioning

Answer

Advise her to stop breastfeeding to allow the nipple to heal

Answer

Prescribe oral flucloxacillin prophylactically

Answer

Prescribe topical miconazole for suspected nipple thrush

Answer

Refer urgently to breast surgery

uk-drcog MCQ (SBA): Nipple Pain in Breastfeeding

A 25-year-old woman, 4 weeks postpartum, presents to the GP with nipple pain during breastfeeding. On examination, her nipple is cracked and erythematous. She has no systemic symptoms and there is no breast lump or erythema. Which is the single most appropriate initial management?