Hi Rachel,
Just wondering - what do women use for relief from engorgment if cold is
considered harmful for lactating breasts?
Thanks,
All the best,
Chayn in Israel IBCLC

On Tue, Dec 22, 2009 at 4:30 PM, Rachel Myr <[log in to unmask]> wrote:

> Kathleen asks about whether the salt in salt soaks for sore nipples needs
> to be iodized (sea salt contains no iodine naturally, but does have a host
> of other trace minerals).
> I don't know the answer on iodine, but I don't think that the sterile
> normal saline solutions sold for eye washes or used to irrigate IV
> catheters, the same solution we use for moist wound care, contain iodine.  I
> don't know that iodine influences wound healing one way or the other.
> She also asks about the use of ice cubes on sore nipples.  I can only
> report from the culture in which I practice, in which such advice would
> cause a mass flight at high speed *away from* whoever was recommending it.
>  Cold is considered harmful for lactating breasts per se, and ice to nipples
> would be culturally unacceptable to any woman living here in Norway.  Since
> we often see Raynaud's sign developing in women who have had persistent
> severe soreness with visible lesions, I would be hesitant to use ice for
> fear of worsening the Raynaud's.  But to my knowledge there is little
> evidence to inform us, as usual!!
>
> Rachel Myr
> in snowy Kristiansand, thinking about all of the rest of you experiencing
> atypical winter weather, on both sides of the Atlantic
>
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