Hi Ann.

At 06:20 PM 1/10/2003 -0500, you wrote:
>Another update on the Mom with the very bad nipples.  They are slowly
>getting better and she continues to exclusively breastfeed with the
>shield.  The right nipple is healing quicker than the left and no longer
>has latch on
>pain.  She finished the oral antibiotic and now her OB is fine with the
>APNO but the new problem lies with the Pedi.
>Her Pedi told her she was uncomfortable with the use of the ointments even
>though the mother described how little she uses and that it goes on only
>4x/day, and she has the shield that prevents much contact with the baby's
>mouth and the little ointment left at that nursing.


The physician is misinformed.

>The Pedi suggested she
>apply Vit E oil to heal the nipples.


Hale advises against this.  See Vit E for the reference. A dangerous practice.

>Now she did not offer the mother any
>references for this treatment and I told the Mom I was very uncomfortable
>with Vit E even with the shield because a possible toxic build up of this Vit
>in the baby.
>Does any one have a good reference I could look at that supports this?
>I called the Pedi and left a message.  Will direct her to Dr. Newman's
>articles.
>Thanks,
>Ann Perry RN IBCLC
>Boston, MA


The physician is again sacrificing breastfeeding on the altar of
"ignorance," as Jack Newman MD says.

Kathleen

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