Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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, Florida From: [mailto: ] On Behalf Of beckybutler@... Sent: Thursday, December 04, 2008 9:15 AM To: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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, Florida From: [mailto: ] On Behalf Of beckybutler@... Sent: Thursday, December 04, 2008 9:15 AM To: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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 -------------- Original message -------------- 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, Florida From: [mailto: ] On Behalf Of beckybutlercomcast (DOT) netSent: Thursday, December 04, 2008 9:15 AMTo: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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 -------------- Original message -------------- 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, Florida From: [mailto: ] On Behalf Of beckybutlercomcast (DOT) netSent: Thursday, December 04, 2008 9:15 AMTo: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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....but at least if someone is going to recommend something, it should be a food grade something?? and preferably something with healing properties/antimicrobial properties... 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 -------------- Original message -------------- From: "Ellen Simpson" <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, Florida From: [mailto: ] On Behalf Of beckybutlercomcast (DOT) netSent: Thursday, December 04, 2008 9:15 AMTo: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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....but at least if someone is going to recommend something, it should be a food grade something?? and preferably something with healing properties/antimicrobial properties... 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 -------------- Original message -------------- From: "Ellen Simpson" <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, Florida From: [mailto: ] On Behalf Of beckybutlercomcast (DOT) netSent: Thursday, December 04, 2008 9:15 AMTo: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Found in the BAB, pg 466 at the bottom:Some creams and ointments change the taste of the nipple, causing the baby to be fussy at the breast or refuse to nurse. Others - such as vit. A and D ointments, baby oil, Vaseline and other petroleum-based producst - may not be safe for baby to ingest. Creams or ointments containing alcohol are drying to the skin. Walters, IBCLCFredericksburg, VA 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 --------- Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 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, FILCAMy blog Year of the MC 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....but at least if someone is going to recommend something, it should be a food grade something?? and preferably something with healing properties/antimicrobial properties... 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 -------------- Original message -------------- From: "Ellen Simpson" <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, Florida From: [mailto: ] On Behalf Of beckybutlercomcast (DOT) netSent: Thursday, December 04, 2008 9:15 AMTo: Subject: Re: Follow-up I'm interested to hear that so many people do follow-up by email. Do you save all the emails as a record, or print them out, or just jot down the pertinent info as from a phone call? Becky , IBCLC Milky Way Lactation Services La Plata, MD www.milkywaybreastfeeding.com 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 4, 2008 Report Share Posted December 4, 2008 It's something runners use. I found this online. http://www.breastfeedingnetwork.org.uk/pdfs/moist%20wound%20healing.pdf - 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??? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 It's something runners use. I found this online. http://www.breastfeedingnetwork.org.uk/pdfs/moist%20wound%20healing.pdf - 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??? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 ah thanks! that is the article i couldn't ge to open! [sPAM]RE: Follow-up It's something runners use. I found this online. http://www.breastfeedingnetwork.org.uk/pdfs/moist%20wound%20healing.pdf - 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??? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 ah thanks! that is the article i couldn't ge to open! [sPAM]RE: Follow-up It's something runners use. I found this online. http://www.breastfeedingnetwork.org.uk/pdfs/moist%20wound%20healing.pdf - 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??? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Excellent. Many thanks. -- Denniston -------------- Original message -------------- It's something runners use. I found this online. http://www.breastfeedingnetwork.org.uk/pdfs/moist%20wound%20healing.pdf - 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??? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 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, lylaw@... 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 " <_esimpson@..._ (mailto:esimpson@...) > 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 --- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 BaB (I abbreviate it as BAB) is La Leche's Breastfeeding Answer Book. Barbara Latterner Whats the BaB ? ( its probably obvious! ) Best wishes Nicola From: [mailto: ] On Behalf Of lylaw@...Sent: 05 December 2008 00:45To: Subject: Re: Follow-up Tina smillie recomends saran wrap over mupiricin-----Original Message-----From: ibclc@...Subj: Re: Follow-upDate: Thu Dec 4, 2008 4:12 pmSize: 2KTo: 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-upI'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, IBCLCAlamo, 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@beckybutlerSent: 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 Whats the BaB ? ( its probably obvious! ) Best wishes Nicola 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@... 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 --- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2008 Report Share Posted December 5, 2008 Just a reminder -- not recommending -- just telling you where the original info came from. Someone asked -- I responded. There is no research on coconut oil either, as I recollect. There are many things that we use in lactation that have no basis in research, which is too bad. Not that I disagree with . I would like to see some really good research behind what all is recommended. And, I have to say, there are lots of things that need to be researched. Let's just look at coconut oil: we need research on how ingesting it affects babies (or has no effect whatsoever) AND how it heals nipples (compared to -- oh, olive oil, lanolin, hydrogels, or nothing). , would like the research that shows that paraffins are one of the most common toxins found in the human body -- and that it is a toxin. Not trying to dispute you, but since I work with medical professionals, I know what will "talk" to them. And it is research. Not just a knowledgeable person such as yourself saying so. Jan My blog Year of the MC 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, , > > 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 7, 2008 Report Share Posted December 7, 2008 You have to forgive me if this sends twice! There is some research that supports the efficacy of lanolin, you can search PubMed and the JHL. There are also some studies that find its use has no effect, or less effective than other treatments. There isn't an abundant volume of research that leaves us with a definitive solution using any specific method. Different approaches will be successful at different times. I think we all agree addressing the source of the irritation is the ideal solution. However, from my experience with thousands of women what can sometimes occur is despite demonstration and education, although we may see it is feasible that improving the latch is the solution, and in the absence of a condition preventing an optimal latch, the mother doesn't always have the kinesthetic ability (or the baby, using infant led) to optimally latch, catches the nipple tip and exasperates the problem. Even if we identify the problem, it doesn't mean that the solution is immediately achieved. I have lots of women specifically ask me for an ointment. I discuss the solution to resolving the problem, sometimes they still want to try some ointment (especially if the inflamed nipple or scab is chafed by their clothing). I think the same thing with the gel pads, there is some evidence that they can be effective tools, and then some research that shows not so much, but mothers often are comforted by the pads...(although I don't particularly care for the new Medela gel pads, they remain sticky, I prefer the Ameda brand, which lasts for up to 6 days). I do encourage hand washing before applying the lanolin, it seems like a great way to promote infection if its applied without clean hands although I don't know that this has been researched (the benefits of hand washing before applying lanolin that is).... > > 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... > Quote Link to comment Share on other sites More sharing options...
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