Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 Thanks for that Barbara – I knew it had to be something well known ! I’ve got to say I’m finding this topic great. I’m relieved, as I’m only in business 3 years but find as I get busier that I can’t follow up As much as Id like with every mum and baby. I also use email to follow up and find it great. I just love when I get an email 6 months down the road telling me how they got on . Best wishes Nicola www.breastfeedingsupport.ie From: [mailto: ] On Behalf Of latternerb@... Sent: 05 December 2008 13:06 To: Subject: Re: Follow-up BaB (I abbreviate it as BAB) is La Leche's Breastfeeding Answer Book. Barbara Latterner In a message dated 12/5/2008 6:38:13 A.M. Eastern Standard Time, nicolaobyrneeircom (DOT) net writes: Whats the BaB ? ( its probably obvious! ) Best wishes Nicola From: [mailto: ] On Behalf Of lylawcomcast (DOT) net Sent: 05 December 2008 00:45 To: Subject: Re: Follow-up Tina smillie recomends saran wrap over mupiricin -----Original Message----- From: ibclc@... Subj: Re: Follow-up Date: Thu Dec 4, 2008 4:12 pm Size: 2K To: Verity Livingtone, many years ago, who did lots of research (from Canada -- Vancouver area, I think) recommended vaseline for abraded nipples AFTER correcting the original problem. She found that it was very healing -- she'd have the moms use vaseline and then (I think -- this is all from memory from my early days as an IBCLC) put saran wrap over them, changing it every couple of hours or so. Don't ask me to quote her work -- it was in the 80's. But she did a LOT of writing and research on sore nipples. Jan Barger, RN, MA, IBCLC, FILCA _My blog_ (http://www.motherofbridebyjan.blogspot.com/) _Year of the MC_ (http://www.marriedcouplebytorrey.blogspot.com/) In a message dated 12/4/2008 12:24:19 P.M. Central Standard Time, lylawcomcast (DOT) net writes: well, first of all - since even lanolin isn't really evidence based for healing, i think recommending ANYTHING on sore nipples and not addressing the cause is negligence.. for healing, i think recommending ANYTHING on sore nipples and not addressing the cause is negligence..<WBR>..but at least if someone is going to recomme for healing, i think that said - i looked on kellymom - because all my lactation books are at the office - and i as very surprised to read this: " To promote " moist wound healing " (this refers to maintaining the internal moisture of the skin, not keeping the exterior of the skin wet) apply a medical grade lanolin ointment (e.g., Lansinoh, Purelan), soft paraffin/vaseline or a hydrogel dressing (e.g., ComfortGel, Soothies). " i have never seen vaseline recommended before and i *thought* it was even recommended AGAINST in the BAB. i can't get the pdf to open though.... warmly, Lyla [sPAM]RE: Follow-up I'm hearing from some of the Mom's that their Pediatrician told them to put Vaseline on their sore nipples. I can't find anything evidence based that says this is OK or not OK. I know some NICU's will put Vaseline on infants lips when they are dry and I'm sure they ingest some of it. Any idea's on this??? -- Denniston, RN, IBCLC Alamo, CA ------------------------<WBR>-- Original mes--- From: " Ellen Simpson " <_esimpsontampabay (DOT) esimps_ (mailto:esimpsontampabay (DOT) rr.com) > I save them for awhile and then print them out when time permits to attach to the history and assessment. Ellen Simpson. BS, IBCLC Tampa, , ____________________________________ From: <ST1>IBCLC [mailto: [mailto:<S ] On Behalf Of beckybutler@beckybutler Sent: Thursday, December 04, 2008 9:15 AM --- message truncated --- Make your life easier with all your friends, email, and favorite sites in one place. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 I cringe every time I see a mom using vaseline on her baby. Paraffin is one of the most common toxins found in the human body. IMO, it is extremely unsafe for babies and for use on nipples. There are many natural, plant-based products that are safer. I suggest pure coconut oil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USA Intuitive Parenting, LLC > From: [mailto: ] On Behalf > Of lylaw@... > Sent: 05 December 2008 00:45 > To: > Subject: Re: Follow-up > > > > Tina smillie recomends saran wrap over mupiricin > > -----Original Message----- > > From: ibclc@... <mailto:ibclc%40aol.com> > Subj: Re: Follow-up > Date: Thu Dec 4, 2008 4:12 pm > Size: 2K > To: @yahoogroup <mailto:%40yahoogroups.com> s.com > > Verity Livingtone, many years ago, who did lots of research (from Canada -- > Vancouver area, I think) recommended vaseline for abraded nipples AFTER > correcting the original problem. She found that it was very healing -- she'd > have > the moms use vaseline and then (I think -- this is all from memory from my > early days as an IBCLC) put saran wrap over them, changing it every couple > of > hours or so. > > Don't ask me to quote her work -- it was in the 80's. But she did a LOT of > writing and research on sore nipples. > > Jan Barger, RN, MA, IBCLC, FILCA > _My blog_ (http://www.motherof <http://www.motherofbridebyjan.blogspot.com/> > bridebyjan.blogspot.com/) > _Year of the MC_ (http://www.marriedc > <http://www.marriedcouplebytorrey.blogspot.com/> > ouplebytorrey.blogspot.com/) > > > In a message dated 12/4/2008 12:24:19 P.M. Central Standard Time, > lylawcomcast (DOT) <mailto:lylaw%40comcast.net> net writes: > > > > > well, first of all - since even lanolin isn't really evidence based for > healing, i think recommending ANYTHING on sore nipples and not addressing > the > cause is negligence.. for healing, i think recommending ANYTHING on sore > nipples and not addressing the cause is negligence..<WBR>..but at least if > someone > is going to recomme for healing, i think > > that said - i looked on kellymom - because all my lactation books are at the > > office - and i as very surprised to read this: > " To promote " moist wound healing " (this refers to maintaining the internal > moisture of the skin, not keeping the exterior of the skin wet) apply a > medical grade lanolin ointment (e.g., Lansinoh, Purelan), soft > paraffin/vaseline or > a hydrogel dressing (e.g., ComfortGel, Soothies). " > > i have never seen vaseline recommended before and i *thought* it was even > recommended AGAINST in the BAB. > > i can't get the pdf to open though.... > > warmly, Lyla > > > > [sPAM]RE: Follow-up > > > > I'm hearing from some of the Mom's that their Pediatrician told them to put > Vaseline on their sore nipples. I can't find anything evidence based that > says this is OK or not OK. I know some NICU's will put Vaseline on infants > lips > when they are dry and I'm sure they ingest some of it. > Any idea's on this??? > > -- > Denniston, RN, IBCLC > > Alamo, CA > > > ------------------------<WBR>-- Original mes--- > From: " Ellen Simpson " <_esimpsontampabay (DOT) > <mailto:_esimpson%40tampabay.esimps> esimps_ > (mailto:esimpsontampabay (DOT) <mailto:esimpson%40tampabay.rr.com> rr.com) > > > > I save them for awhile and then print them out when time permits to attach > to the history and assessment. > Ellen Simpson. BS, IBCLC > Tampa, , > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 I cringe every time I see a mom using vaseline on her baby. Paraffin is one of the most common toxins found in the human body. IMO, it is extremely unsafe for babies and for use on nipples. There are many natural, plant-based products that are safer. I suggest pure coconut oil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USA Intuitive Parenting, LLC > From: [mailto: ] On Behalf > Of lylaw@... > Sent: 05 December 2008 00:45 > To: > Subject: Re: Follow-up > > > > Tina smillie recomends saran wrap over mupiricin > > -----Original Message----- > > From: ibclc@... <mailto:ibclc%40aol.com> > Subj: Re: Follow-up > Date: Thu Dec 4, 2008 4:12 pm > Size: 2K > To: @yahoogroup <mailto:%40yahoogroups.com> s.com > > Verity Livingtone, many years ago, who did lots of research (from Canada -- > Vancouver area, I think) recommended vaseline for abraded nipples AFTER > correcting the original problem. She found that it was very healing -- she'd > have > the moms use vaseline and then (I think -- this is all from memory from my > early days as an IBCLC) put saran wrap over them, changing it every couple > of > hours or so. > > Don't ask me to quote her work -- it was in the 80's. But she did a LOT of > writing and research on sore nipples. > > Jan Barger, RN, MA, IBCLC, FILCA > _My blog_ (http://www.motherof <http://www.motherofbridebyjan.blogspot.com/> > bridebyjan.blogspot.com/) > _Year of the MC_ (http://www.marriedc > <http://www.marriedcouplebytorrey.blogspot.com/> > ouplebytorrey.blogspot.com/) > > > In a message dated 12/4/2008 12:24:19 P.M. Central Standard Time, > lylawcomcast (DOT) <mailto:lylaw%40comcast.net> net writes: > > > > > well, first of all - since even lanolin isn't really evidence based for > healing, i think recommending ANYTHING on sore nipples and not addressing > the > cause is negligence.. for healing, i think recommending ANYTHING on sore > nipples and not addressing the cause is negligence..<WBR>..but at least if > someone > is going to recomme for healing, i think > > that said - i looked on kellymom - because all my lactation books are at the > > office - and i as very surprised to read this: > " To promote " moist wound healing " (this refers to maintaining the internal > moisture of the skin, not keeping the exterior of the skin wet) apply a > medical grade lanolin ointment (e.g., Lansinoh, Purelan), soft > paraffin/vaseline or > a hydrogel dressing (e.g., ComfortGel, Soothies). " > > i have never seen vaseline recommended before and i *thought* it was even > recommended AGAINST in the BAB. > > i can't get the pdf to open though.... > > warmly, Lyla > > > > [sPAM]RE: Follow-up > > > > I'm hearing from some of the Mom's that their Pediatrician told them to put > Vaseline on their sore nipples. I can't find anything evidence based that > says this is OK or not OK. I know some NICU's will put Vaseline on infants > lips > when they are dry and I'm sure they ingest some of it. > Any idea's on this??? > > -- > Denniston, RN, IBCLC > > Alamo, CA > > > ------------------------<WBR>-- Original mes--- > From: " Ellen Simpson " <_esimpsontampabay (DOT) > <mailto:_esimpson%40tampabay.esimps> esimps_ > (mailto:esimpsontampabay (DOT) <mailto:esimpson%40tampabay.rr.com> rr.com) > > > > I save them for awhile and then print them out when time permits to attach > to the history and assessment. > Ellen Simpson. BS, IBCLC > Tampa, , > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 thanks jennifer! that makes a lot of intuitive sense to me! [sPAM]RE: Follow-up> > > > I'm hearing from some of the Mom's that their Pediatrician told themto put > Vaseline on their sore nipples. I can't find anything evidence basedthat > says this is OK or not OK. I know some NICU's will put Vaseline oninfants> lips > when they are dry and I'm sure they ingest some of it.> Any idea's on this???> > --> Denniston, RN, IBCLC> > Alamo, CA> > > ------------------------<WBR>-- Original mes---> From: "Ellen Simpson" <_esimpsontampabay (DOT) > <mailto:_esimpson%40tampabay.esimps> esimps_ > (mailto:esimpsontampabay (DOT) <mailto:esimpson%40tampabay.rr.com>rr.com) > > > > I save them for awhile and then print them out when time permits toattach > to the history and assessment. > Ellen Simpson. BS, IBCLC > Tampa, , > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 Here's another article. http://www.breastfeeding.org/articles/moistness.html What do most of you recommend if the nipple skin is already broken? I know some LCs who recommend APNO after a mild salt water rinse. I recommend lanolin if the skin is irritated but still intact. Along with correcting the latch of course. If the broken skin is clearly caused by poor latch and not some other problem; I generally recommend warm water rinse, blot dry, Polysporin and cover with sterile gauze ("call me tomorrow morning if is is not better by then"). Some reseach shows that Polysporin is no better than vaseline to prevent infection, why does that seems so counter-intuitive? My experience is that it at least does no harm, and satisfies mothers who want *something* they can put on their poor sore nipples. - I cringe every time I see a mom using vaseline on her baby. Paraffinis one of the most common toxins found in the human body. IMO, it isextremely unsafe for babies and for use on nipples. There are manynatural, plant-based products that are safer. I suggest pure coconutoil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USAIntuitive Parenting, LLC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 I cringe every time I see a mom using vaseline on her baby. Paraffin is one of the most common toxins found in the human body. IMO, it is extremely unsafe for babies and for use on nipples. There are many natural, plant-based products that are safer. I suggest pure coconut oil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USA Intuitive Parenting, LLC > From: [mailto: ] On Behalf > Of lylaw@... > Sent: 05 December 2008 00:45 > To: > Subject: Re: Follow-up > > > > Tina smillie recomends saran wrap over mupiricin > > -----Original Message----- > > From: ibclc@... <mailto:ibclc%40aol.com> > Subj: Re: Follow-up > Date: Thu Dec 4, 2008 4:12 pm > Size: 2K > To: @yahoogroup <mailto:%40yahoogroups.com> s.com > > Verity Livingtone, many years ago, who did lots of research (from Canada -- > Vancouver area, I think) recommended vaseline for abraded nipples AFTER > correcting the original problem. She found that it was very healing -- she'd > have > the moms use vaseline and then (I think -- this is all from memory from my > early days as an IBCLC) put saran wrap over them, changing it every couple > of > hours or so. > > Don't ask me to quote her work -- it was in the 80's. But she did a LOT of > writing and research on sore nipples. > > Jan Barger, RN, MA, IBCLC, FILCA > _My blog_ (http://www.motherof <http://www.motherofbridebyjan.blogspot.com/> > bridebyjan.blogspot.com/) > _Year of the MC_ (http://www.marriedc > <http://www.marriedcouplebytorrey.blogspot.com/> > ouplebytorrey.blogspot.com/) > > > In a message dated 12/4/2008 12:24:19 P.M. Central Standard Time, > lylawcomcast (DOT) <mailto:lylaw%40comcast.net> net writes: > > > > > well, first of all - since even lanolin isn't really evidence based for > healing, i think recommending ANYTHING on sore nipples and not addressing > the > cause is negligence.. for healing, i think recommending ANYTHING on sore > nipples and not addressing the cause is negligence..<WBR>..but at least if > someone > is going to recomme for healing, i think > > that said - i looked on kellymom - because all my lactation books are at the > > office - and i as very surprised to read this: > " To promote " moist wound healing " (this refers to maintaining the internal > moisture of the skin, not keeping the exterior of the skin wet) apply a > medical grade lanolin ointment (e.g., Lansinoh, Purelan), soft > paraffin/vaseline or > a hydrogel dressing (e.g., ComfortGel, Soothies). " > > i have never seen vaseline recommended before and i *thought* it was even > recommended AGAINST in the BAB. > > i can't get the pdf to open though.... > > warmly, Lyla > > > > [sPAM]RE: Follow-up > > > > I'm hearing from some of the Mom's that their Pediatrician told them to put > Vaseline on their sore nipples. I can't find anything evidence based that > says this is OK or not OK. I know some NICU's will put Vaseline on infants > lips > when they are dry and I'm sure they ingest some of it. > Any idea's on this??? > > -- > Denniston, RN, IBCLC > > Alamo, CA > > > ------------------------<WBR>-- Original mes--- > From: " Ellen Simpson " <_esimpsontampabay (DOT) > <mailto:_esimpson%40tampabay.esimps> esimps_ > (mailto:esimpsontampabay (DOT) <mailto:esimpson%40tampabay.rr.com> rr.com) > > > > I save them for awhile and then print them out when time permits to attach > to the history and assessment. > Ellen Simpson. BS, IBCLC > Tampa, , > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 I cringe every time I see a mom using vaseline on her baby. Paraffin is one of the most common toxins found in the human body. IMO, it is extremely unsafe for babies and for use on nipples. There are many natural, plant-based products that are safer. I suggest pure coconut oil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USA Intuitive Parenting, LLC > From: [mailto: ] On Behalf > Of lylaw@... > Sent: 05 December 2008 00:45 > To: > Subject: Re: Follow-up > > > > Tina smillie recomends saran wrap over mupiricin > > -----Original Message----- > > From: ibclc@... <mailto:ibclc%40aol.com> > Subj: Re: Follow-up > Date: Thu Dec 4, 2008 4:12 pm > Size: 2K > To: @yahoogroup <mailto:%40yahoogroups.com> s.com > > Verity Livingtone, many years ago, who did lots of research (from Canada -- > Vancouver area, I think) recommended vaseline for abraded nipples AFTER > correcting the original problem. She found that it was very healing -- she'd > have > the moms use vaseline and then (I think -- this is all from memory from my > early days as an IBCLC) put saran wrap over them, changing it every couple > of > hours or so. > > Don't ask me to quote her work -- it was in the 80's. But she did a LOT of > writing and research on sore nipples. > > Jan Barger, RN, MA, IBCLC, FILCA > _My blog_ (http://www.motherof <http://www.motherofbridebyjan.blogspot.com/> > bridebyjan.blogspot.com/) > _Year of the MC_ (http://www.marriedc > <http://www.marriedcouplebytorrey.blogspot.com/> > ouplebytorrey.blogspot.com/) > > > In a message dated 12/4/2008 12:24:19 P.M. Central Standard Time, > lylawcomcast (DOT) <mailto:lylaw%40comcast.net> net writes: > > > > > well, first of all - since even lanolin isn't really evidence based for > healing, i think recommending ANYTHING on sore nipples and not addressing > the > cause is negligence.. for healing, i think recommending ANYTHING on sore > nipples and not addressing the cause is negligence..<WBR>..but at least if > someone > is going to recomme for healing, i think > > that said - i looked on kellymom - because all my lactation books are at the > > office - and i as very surprised to read this: > " To promote " moist wound healing " (this refers to maintaining the internal > moisture of the skin, not keeping the exterior of the skin wet) apply a > medical grade lanolin ointment (e.g., Lansinoh, Purelan), soft > paraffin/vaseline or > a hydrogel dressing (e.g., ComfortGel, Soothies). " > > i have never seen vaseline recommended before and i *thought* it was even > recommended AGAINST in the BAB. > > i can't get the pdf to open though.... > > warmly, Lyla > > > > [sPAM]RE: Follow-up > > > > I'm hearing from some of the Mom's that their Pediatrician told them to put > Vaseline on their sore nipples. I can't find anything evidence based that > says this is OK or not OK. I know some NICU's will put Vaseline on infants > lips > when they are dry and I'm sure they ingest some of it. > Any idea's on this??? > > -- > Denniston, RN, IBCLC > > Alamo, CA > > > ------------------------<WBR>-- Original mes--- > From: " Ellen Simpson " <_esimpsontampabay (DOT) > <mailto:_esimpson%40tampabay.esimps> esimps_ > (mailto:esimpsontampabay (DOT) <mailto:esimpson%40tampabay.rr.com> rr.com) > > > > I save them for awhile and then print them out when time permits to attach > to the history and assessment. > Ellen Simpson. BS, IBCLC > Tampa, , > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2008 Report Share Posted December 6, 2008 Speaking of follow-up . . . I called a mom today because I've had her on my mind. I had seen her privately as well as at our Coalition's drop-in clinic, then didn't see her for several weeks. I kept thinking I'd see her at the clinic and didn't. She had experienced a dramatic change in her breasts, going from engorged to involution in just a couple of days. Last I saw her, she was pumping with the Symphony and going to see her hcp about Reglan (not comfortable with herbs). I had also encouraged her to see if possibly she had a retained placental fragment and to get her thyroid checked (although I didn't think that would bring about the dramatic changes I'd seen). I was very puzzled; I'd never seen breasts undergo such a dramatic change in such a short amount of time. I had experienced some serious doubts, thinking that I'd somehow missed that she was really more engorged than I thought. She *did* have a retained placental fragment. I am so relieved I referred her back and sent the list of rule outs to her provider. Her milk supply has bounced back, and mother and baby are doing well. I'm glad I put my mind at ease and called. I also had a mother come up to me in Target, thanking me for helping her and showing me her happy, chubby baby. I'm always glad when no news is good news. Wagner- Roseville, CA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2008 Report Share Posted December 6, 2008 i am not a fan of lanolin - it is not evidence based as far as i understand, and i find it messy and the slipperiness can contribute to poor latch according to many moms i've worked with. i have had good experience with salt water rinses, and APNO or mupiricin - plus 1-2x a day wash with mild soapy water. gel pads are appreciated by many mothers too... L [sPAM]Re: Re: Follow-up Here's another article. http://www.breastfeeding.org/articles/moistness.html What do most of you recommend if the nipple skin is already broken? I know some LCs who recommend APNO after a mild salt water rinse. I recommend lanolin if the skin is irritated but still intact. Along with correcting the latch of course. If the broken skin is clearly caused by poor latch and not some other problem; I generally recommend warm water rinse, blot dry, Polysporin and cover with sterile gauze ("call me tomorrow morning if is is not better by then"). Some reseach shows that Polysporin is no better than vaseline to prevent infection, why does that seems so counter-intuitive? My experience is that it at least does no harm, and satisfies mothers who want *something* they can put on their poor sore nipples. - I cringe every time I see a mom using vaseline on her baby. Paraffinis one of the most common toxins found in the human body. IMO, it isextremely unsafe for babies and for use on nipples. There are manynatural, plant-based products that are safer. I suggest pure coconutoil on nipples, which actually has healing immense properties. Tow, IBCLC, CT, USAIntuitive Parenting, LLC Quote Link to comment Share on other sites More sharing options...
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