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Tue, 22 Jul 2003 09:00:36 -0500 |
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Regarding the higher incidence of mastitis cited in the JOGNN study in the
lanolin-using moms, I would suspect it is an artifact of the moms continuing
to slather an occlusive on top of an uncleaned, bacterially contaminated
crack. I bet if the moms had gently cleansed the broken skin prior to using
the occlusive that they would have not had this effect. While the majority
of the studies I've looked at suggest that hydrogels reduce pain, most do
not suggest that they promote faster healing. I treat broken skin on the
nipple the way I would broken skin elsewhere: The first aid is mild
cleansing, perhaps mild antibiotics used topically as prophylaxis, and
prevention of further truama. Use of occlusives can prevent scab formation
and can be useful.
Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com
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