Hi Ester
You may find this article of interest re Lansinoh and such like
http://www.breastfeedingnetwork.org.uk/information/moistwound21march2002.pdf
“Possible treatments
The table reviews the different moist wound healing treatments available.
Choosing a
moisturiser is not easy. Perhaps the first suggestion for mothers would be
either white soft
paraffin (Vaseline) or Lansinoh. There is no study however, that compares
these two
options or that indicates lansinoh will be more effective. Vaseline is
widely used in wound
care, either directly, or as a base for other creams. Lanolin is also used
as a base, but
concerns over allergic responses and high levels of contaminants (ref 2 and
7) limit its use.
Lansinoh is a purified anhydrous version. The revised edition of the
Breastfeeding Answer
Book warns that Vaseline is unsuitable because it “keeps out air” (ref 2,
page 163) and is
“not safe for ingestion” (page 395). Unfortunately, these comments are not
referenced and
the standard reference book for drugs, Martindales Pharmacopoeia, makes no
reference
to this. Softened paraffin is likely to stay on the surface of the skin
longer than lansinoh but
this is what makes it so useful in preventing hard scab formation. It is
worth noting that
white soft paraffin, or its unbleached version yellow soft paraffin, has
been widely used
over many years for lip care in special care baby units – if it was unsafe
for ingestion why
is it used directly on babies lips? White soft paraffin is widely available
and cheap (a small
tin currently costs 99p) while Lansinoh costs between £5-£10 and is harder
to obtain.
Sue Huml, Lactation Consultant for Lansinoh, believes “Petrolatum [Vaseline]
is occlusive
(prevents any air reaching the wound/skin). Lansinoh is semi-occlusive,
allowing oxygen
and water transpiration. Petrolatum remains on the surface of the skin.
Lansinoh
penetrates the stratum corneum and in a study was found to penetrate into
the stratum
granulosum, where in can hold moisture already in the skin …… In lanolin
sensitive
patients researchers were unable to elicit a single allergic response.” “
and this one
http://www.lansinoh.co.uk/articles/moist_wound_healing.pdf
with these references
Huml, S. Sore Nipples – a new look at an old problem through the eyes of a
dermatologist. The Practising Midwife, Feb 1999, Vol 2, No. 2, pp 28-31.
Brent N, Rudy SJ, Redd B et al. Sore nipples in breastfeeding woman – a
clinical trial
of wound dressings vs conventional care. Arch Pediatr Adolesc Med, Nov 1998,
Vol
152; pp 1077-1082.
Huml, S. Cracked Nipples in the Breastfeeding Mother ADVANCE for Nurse
Practitioners, April 1995
Huml, S. Moist Wound Healing – Current Concepts in Treatment, National
Conference, June 1993 Assoc of Women’s Health, Obstetrics and Neonatal
Nurses
Becker, G. Treating Sore Nipples. BEST Services 1993
Try goggling ‘lansinoh research’ for hits
Maybe you could contact the Lansinoh (or other companies) for articles
I have no financial interest in these products but do find them helpful as
an addition to basic management of traumatized nipples.
Good luck
Karen Clements
IBCLC
Melb Aust
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